The micro-current stimulation of knee acupoints in management of chondromalacia patella: a case report

摘要

[Purpose] A case report in which we treated injured patellar cartilage using non-invasive electrical stimulation; we also used MRI to document the morphology of the patellar cartilage before and after the treatment. [Participant and Methods] A police officer suffered from right anterior knee pain that noticeably affected his firearms marksmanship in kneeling position. After a MRI scan he was diagnosed with grade I chondromalacia patella involving the lateral patellar facet. He received therapeutic electrical stimulation on right knee acupoints for four weeks. [Results] He responded positively to the treatment and his numerical rating scale reduced from 6 to 0 for the right knee pain. The MRI revealed that the signs of grade I chondromalacia patella disappeared. [Conclusion] The patellar cartilage is largely avascular; the chondrocytes in cartilage have a low metabolic rate due to limited nutrient supply. Mild cartilage repair may occur spontaneously but is undoubtedly slow. Although this is a case report, we believe that the micro-current stimulation may help enhance the local metabolism and repair process in the affected cartilage.