Kneecap Instability Treatment 

Understanding Kneecap Instability 

Kneecap instability, also known as patellar instability, occurs when the kneecap moves out of its natural position in the femoral groove. This condition can cause discomfort, knee pain, and even dislocation. For some patients, kneecap instability is a one-time issue resulting from an injury, while for others, it can become a recurring problem due to structural or muscular imbalances in the knee joint. 

Symptoms of Kneecap Instability 

If you’re experiencing any of the following symptoms, you may be dealing with patellar instability: 
 
Knee pain or discomfort during movement 
A sensation of the kneecap slipping out of place 
Swelling around the knee 
Tenderness along the patellar tendon 
Difficulty walking or bearing weight on the affected knee 
Episodes of complete dislocation. 
 
These symptoms can worsen with high-impact activities – sometimes even with everyday movements like climbing stairs or when you bend the knee, straighten in or twist and turn. 

Causes and Complications of Kneecap Instability 

Kneecap instability can result from a variety of factors, including: 
 
Patellar maltracking or misalignment of the patella bone 
Weakness in the thigh muscles or patellofemoral ligament 
Structural abnormalities in the femoral groove or thighbone 
Prior injury or trauma leading to ligament damage. 
 
Left untreated, kneecap instability may lead to further complications such as arthritis, cartilage damage, or chronic knee pain. Early diagnosis and management from a medical professional are vital to prevent long-term issues. 

Diagnosis of Kneecap Instability 

Accurate diagnosis is critical to develop an effective treatment plan. At The West London Knee and Hip Clinic, Dr imbuldeniya and his team of specialists use advanced diagnostic techniques, including: 
 
Physical examination to assess patellar tracking and ligaments 
Imaging studies, such as X-rays or MRIs, to identify structural issues like patellofemoral instability or patellar dislocation. 

Treatment Options for Kneecap Instability 

1. Nonsurgical Treatments 
For many patients, nonsurgical options can effectively manage knee instability and reduce symptoms: 
 
Physical therapy to strengthen the thigh muscles and improve patellar tracking 
Custom knee braces to support the kneecap and prevent further dislocation 
Activity modifications and targeted exercises to reduce stress on the knee joint 
Medications like paracetamol to manage swelling and pain relief. 
 
2. Surgical Treatment for Kneecap Instability 
If nonsurgical options are insufficient or if you experience recurring patellar dislocation, minimally invasive surgery may be recommended. Common surgical treatments include: 
 
Knee osteotomy to realign the patella and improve stability 
Reconstruction of the patellofemoral ligament to secure the kneecap in place 
Repair or replacement of damaged cartilage or ligaments. 
 
Our expert surgeons will work with you to develop a personalised treatment plan tailored to your condition and lifestyle. 

Recovery and Rehabilitation 

Recovery from kneecap instability treatment involves a combination of rest, rehabilitation, and gradual return to activity. Our specialists will guide you through: 
 
A customised rehabilitation program to restore strength and mobility 
Guidance on further exercises to prevent future episodes of instability 
Long-term strategies to maintain knee health and prevent complications. 

Book Your Consultation 

Don’t let kneecap instability hold you back. At The West London Knee and Hip Clinic, Dr Imbuldeniya and his multidisciplinary team specialise in diagnosing and treating patellar instability with both nonsurgical and surgical treatments. Book a consultation today to regain confidence in your knee joint and return to the activities you love.