Usually x-rays of the knee are able to give quite a good evidence of the disease (for runner's knee or runner's disease). The diagnosis is solely not based on the x-rays. It is collectively based on the symptoms, signs, clinical examination findings and x-rays. An associated osteoarthritis needs to be considered. Following is the comprehensive plan of treatment;
1) Knee care in the activities of daily living. Few simple self-care measures can be remarkably effective in ending pain cycle.
a) Avoid prolonged standing or walking or sitting with joint in a single position.
b) whenever you sit, keep the knee stretched and fold them intermittently.
c) Squatting, sitting cross legged should not be done.
d) Avoid climbing stairs.
e) Avoid sitting legs unsupported or hanging.
2) Rest: Taking a break from your normal activities reduces repetitive strain on your knee, gives the time to heal and helps prevent further damage.
3) Anti-inflammatory medications.
4) Physical therapy; the goal of physical therapy is to strengthen the muscles around your knee and help you regain knee stability. Ideal is supervised physical therapy. Stretching exercises are also part of the physical therapy regime.
5) Orthotics and bracing.
6) Glucosamine and chondroitin orally for about 1-2 years, if there is an associated osteoarthritis.
7) Hyaluronic acid injections in knee.
8) Local sprays and ointments to your skin may help relieve the pain and stiffness.
9) Deep Electrotherapy by physical therapist.
Please feel free for your follow up questions.