Knee - moderate cartilage damage

 

MRI Findings

There is moderate cartilage damage on the back of the kneecap (patella), and mild cartilage wear is also visible on the outer side of the knee. The kneecap sits slightly higher than normal, which may be contributing to the cartilage problems. Additionally, there is a degenerative tear in the meniscus with an associated cyst, and swelling is present within the joint. A fluid-filled cyst that formed at the back of the knee may have ruptured.

Cause Analysis

The root cause of these issues is pelvic height imbalance, which places excessive load on the left leg, resulting in left-right muscle imbalance.

Combined with overexercising and age-related collagen loss, these multiple factors have led to cartilage damage.

Since she runs marathons and play fencing, I have advised her to stop running and fencing  for now.

The first step is to take glucosamine supplements while performing SBM  to correct the pelvic alignment starting from adjusting the pelvic height.