Does Patella Alta Get Worse?
Patella alta, also known as high patella, is a condition where the patella (kneecap) is positioned higher than normal on the femur (thigh bone). This condition can cause pain, swelling, and other complications in the knee joint. One of the most common questions that patients with patella alta ask is whether the condition gets worse over time. In this article, we will explore the nature of patella alta and whether it tends to worsen with age or activity levels.
Understanding Patella Alta
Patella alta can be caused by a variety of factors, including congenital conditions, trauma, or abnormal development of the knee joint. In some cases, it may be asymptomatic, meaning the individual may not experience any symptoms. However, for others, patella alta can lead to pain, popping or clicking sounds in the knee, and difficulty with activities that involve bending or straightening the knee.
The exact cause of patella alta is not always clear, but it is believed to be related to the alignment of the patella within the trochlear groove of the femur. When the patella is too high, it may not track properly, leading to increased friction and wear on the joint surfaces. This can result in pain and inflammation over time.
Can Patella Alta Get Worse?
Whether patella alta gets worse over time is a complex question that depends on several factors. In some cases, the condition may remain stable and not worsen significantly. However, for others, the symptoms may become more pronounced as the individual ages or as they engage in activities that put additional stress on the knee joint.
Several factors can contribute to the worsening of patella alta symptoms:
1. Increased Activity Levels: Engaging in activities that require repetitive bending or stretching of the knee can exacerbate the symptoms of patella alta. This includes sports such as running, jumping, and basketball.
2. Weight Gain: Being overweight or obese can place additional stress on the knee joint, potentially leading to a worsening of symptoms.
3. Aging: As individuals age, the cartilage in the knee joint may become worn down, leading to increased pain and inflammation.
4. Trauma: Sudden or repetitive trauma to the knee can worsen the symptoms of patella alta.
5. Poor Alignment: If the patella alta is associated with other knee misalignments, such as genu varum (bow legs) or genu valgum (knock knees), the symptoms may worsen as these misalignments progress.
Management and Treatment
The management and treatment of patella alta depend on the severity of the symptoms and the individual’s lifestyle. In some cases, conservative treatments such as physical therapy, bracing, and activity modification may be sufficient to manage symptoms. For others, surgical intervention may be necessary to realign the patella and alleviate pain.
Physical therapy can help improve the strength and flexibility of the muscles around the knee, which can reduce stress on the joint. Bracing can also provide support and help maintain proper alignment of the patella. In severe cases, surgery may be recommended to realign the patella and correct any underlying misalignments.
In conclusion, whether patella alta gets worse over time is not a straightforward answer. While some individuals may experience worsening symptoms, others may maintain a stable condition. It is essential for individuals with patella alta to work closely with their healthcare providers to determine the best management and treatment options for their specific situation.
