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Questions for Dr. Kennedy
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Patello-Femoral Syndrome
Posted by: Sag
Date: July 1, 2001 9:57 PM

I am a male, 29, 5' 6", 146 lbs with patello-femoral syndrome in both knees. There is something additionally (subtle) wrong in particular with my left knee that I would like to hear your educated guess on. Due to a long history of long distance running I have damaged the cartilage in my knees. Any suggestions?

RE: Patello-Femoral Syndrome
Posted by: Ron Kennedy, M.D.
Date: July 1, 2001 10:46 PM

A joint needs three things to operate correctly: synovial fluid, sufficient thickness of cartilage, and correct alignment. I suspect the glucosamine helps you with the synovial fluid and I would alert you to chondroitin which is even more effective than glucosamine. Also MSM is commonly used and there are preparations containing all three. Alignment would be best handled by a chiropractor. As to thickness of cartilage, an MRI should reveal if there is a problem there and it is a non-invasive test. If the cartilage is gone you will need a knee replacment prosthesis as cartilage does not grow back. As to the patella, it is lined with cartilage on the posterior side and may benefit from chondroitin as well. Probably your knees will never be quite the same as they were before this damage. You will most likely hear funny sounds and feel little slipages. But with care, and maybe surgical intervention at some point, they will probably serve you well. I presume you have retired your superman cape. If not, take my advice and do so now.

Here is an article I wrote from pure experience. Perhaps you will find some value in it for yourself:


I should add one thing: prolotherapy. If ligaments are stretched beyond their ability to tighten themselves (shorten themselves back to their original length), correct alignment can usually be achieved without surgery using prolotherapy. See that article on same.

This Thread has been closed


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