Neuroprolotherapy With Physical Therapy for Treatment of Patellar Chondromalacia
Chondromalacia Patellae
About this trial
This is an interventional treatment trial for Chondromalacia Patellae
Eligibility Criteria
Inclusion Criteria:
- Patients treated in the rehabilitation medicine service of the Specialties Hospital National Medical Center of the West.
- Men and women with clinical and radiographic diagnosis of chondromalacia patellae with or without gonarthrosis.
- Age over 25 years
- Patients expressed their signed consent to participate in the study....
Exclusion Criteria:
- Patients who have been infiltrated with corticosteroids in the knee during the last year.
- Septic arthritis.
- Systemic infection or cutaneous infection at the site of infiltration.
- Systemic inflammatory disease.
- Joint instability (ligament injuries).
- Meniscopathies
- Intra-articular fracture
- Coagulation disorder or treatment with anticoagulants.
- Diabetes mellitus poorly controlled (> 130mg / dL).
- Badly controlled systemic arterial hypertension (> 140 / 90mmHg).
- Hemarthrosis
- Pregnancy.
- Patients with cognitive disorders that prevent the follow-up of indications or carry out the program.
- Patients who do not accept to sign informed consent.
Sites / Locations
- Centro Médico Nacional de Occidente
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Study group
Control group
Painful points will be located in the path of the sensory nerves of the knee in which asepsis and antisepsis will be performed, and then 0.5-1 ml of 5% dextrose solution will be applied subcutaneously at a 45º angle along the way. of the nerve with a 27 gauge needle of ½ inch. The number of injections will vary according to the symptoms to be treated. The application will be made once a week for 6 weeks. After the first application of neuroprolotherapy, the patient will be trained to perform a rehabilitation therapy program based on thermotherapy, kinesitherapy and knee strengthening exercises. At the end of the 6 sessions, a new assessment will be made with the WOMAC, EVA and measurement of movement arcs to assess the evolution after treatment.
Physical therapy consisting of 10 sessions based on thermotherapy, kinesitherapy and muscle strengthening exercises to the knee. Subsequently, the patient will perform this therapy home until completing 6 weeks. At the end a new assessment will be made with measurement of movement arcs, WOMAC scale and EVA to assess the evolution after treatment.