Dr. Biren Nadkarni

30/07/2026

Not every patient with front-of-knee pain requires an X-ray or MRI. The first and most important step is a detailed clinical evaluation by an orthopaedic surgeon to understand the nature of your symptoms, examine the knee, and identify the possible cause of the pain.
The need for imaging depends on factors such as your age, symptoms, physical examination findings, history of injury, and how long the pain has been present.

𝐖𝐡𝐞𝐧 𝐢𝐬 𝐚𝐧 𝐗-𝐑𝐚𝐲 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝?
An X-ray helps assess the bones and alignment of the knee joint. It may be recommended to:
• Evaluate the position and alignment of the kneecap
• Look for signs of arthritis or bone abnormalities
• Rule out fractures or other bony conditions after an injury
Although an X-ray cannot show cartilage directly, it provides valuable information about the overall structure of the knee.

𝐖𝐡𝐞𝐧 𝐢𝐬 𝐚𝐧 𝐌𝐑𝐈 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝?
The MRI measures the specific patellofemoral alignment ratios. Specify some relationship between the knee cap and the underlying bones, which helps us to decide the future course of management. - Correct this line. An MRI provides detailed images of the cartilage, ligaments, tendons, muscles, and other soft tissues around the knee. It may be advised when:
• Symptoms persist despite appropriate treatment
• A cartilage injury or chondromalacia is suspected
• There is a history of sports injury or knee trauma
• Other conditions such as ligament or meniscus injuries need to be ruled out
MRI is particularly useful for evaluating the condition of the cartilage beneath the kneecap and identifying associated knee problems.

𝐈𝐬 𝐈𝐦𝐚𝐠𝐢𝐧𝐠 𝐀𝐥𝐰𝐚𝐲𝐬 𝐍𝐞𝐜𝐞𝐬𝐬𝐚𝐫𝐲?
No. Many patients with PFPS can be diagnosed based on their medical history and a thorough physical examination alone. Imaging is recommended only when clinically indicated or when symptoms do not improve with appropriate treatment.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
X-rays and MRI scans are valuable diagnostic tools, but they are not required for every patient with anterior knee pain. The right investigation depends on the individual patient and should always be guided by a careful clinical assessment to ensure an accurate diagnosis and the most appropriate treatment plan.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭

𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025
📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]

25/07/2026

It is common to experience mild knee soreness after an intense workout, a long run, or a physically demanding day. In many cases, this improves with rest, activity modification, and simple measures.

However, persistent anterior (front-of-knee) pain that lasts for several weeks, keeps returning, or begins to interfere with your daily activities should not be ignored. Ongoing pain may indicate an underlying condition such as Patellofemoral Pain Syndrome (PFPS), Chondromalacia Patellae, cartilage injury, ligament injury, or other knee disorders that require proper evaluation.

𝐒𝐢𝐠𝐧𝐬 𝐓𝐡𝐚𝐭 𝐘𝐨𝐮 𝐒𝐡𝐨𝐮𝐥𝐝 𝐒𝐞𝐞𝐤 𝐚𝐧 𝐎𝐫𝐭𝐡𝐨𝐩𝐚𝐞𝐝𝐢𝐜 𝐄𝐯𝐚𝐥𝐮𝐚𝐭𝐢𝐨𝐧
• Knee pain that persists despite rest, medications, or physiotherapy
• Pain that keeps returning during sports, gym workouts, or daily activities
• Difficulty climbing stairs, squatting, kneeling, or getting up from a chair
• Swelling, clicking, grinding, or catching sensations within the knee
• A feeling that the knee is unstable or giving way
• Reduced ability to exercise, walk comfortably, or perform routine activities

𝐖𝐡𝐲 𝐄𝐚𝐫𝐥𝐲 𝐄𝐯𝐚𝐥𝐮𝐚𝐭𝐢𝐨𝐧 𝐌𝐚𝐭𝐭𝐞𝐫𝐬
Persistent knee pain should not be considered a normal part of an active lifestyle. Identifying the underlying cause early allows treatment to begin before the condition progresses, helping relieve pain, restore knee function, and protect long-term joint health.

𝐖𝐡𝐚𝐭 𝐭𝐨 𝐄𝐱𝐩𝐞𝐜𝐭 𝐃𝐮𝐫𝐢𝐧𝐠 𝐘𝐨𝐮𝐫 𝐂𝐨𝐧𝐬𝐮𝐥𝐭𝐚𝐭𝐢𝐨𝐧
An orthopaedic surgeon will perform a detailed clinical examination, assess knee movement and alignment, and determine whether investigations such as X-rays or an MRI scan are required. This helps identify the exact cause of the pain and allows an individualized treatment plan to be developed.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
Not every episode of knee pain requires surgery—but persistent or recurring pain deserves proper evaluation. Seeking expert advice at the right time can help prevent further joint damage, improve recovery, and keep you active with healthy knees.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭

𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025

📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]

21/07/2026

Many patients notice that their knee feels comfortable while resting but starts hurting during everyday activities such as climbing stairs, squatting, running, or even after sitting for a long time. This happens because these movements place greater pressure on the kneecap (patella) and the cartilage beneath it.

In Chondromalacia Patellae and Patellofemoral Pain Syndrome (PFPS), the cartilage under the kneecap may become irritated, or the kneecap may not glide smoothly within its normal groove. As the pressure on the joint increases, these activities become painful.

𝐖𝐡𝐲 𝐃𝐨 𝐂𝐞𝐫𝐭𝐚𝐢𝐧 𝐀𝐜𝐭𝐢𝐯𝐢𝐭𝐢𝐞𝐬 𝐓𝐫𝐢𝐠𝐠𝐞𝐫 𝐏𝐚𝐢𝐧?
Different movements place different amounts of force on the patellofemoral joint:
• 𝐂𝐥𝐢𝐦𝐛𝐢𝐧𝐠 𝐬𝐭𝐚𝐢𝐫𝐬 – Every step increases the load on the kneecap as it supports your body weight.
• 𝐒𝐪𝐮𝐚𝐭𝐭𝐢𝐧𝐠 𝐨𝐫 𝐤𝐧𝐞𝐞𝐥𝐢𝐧𝐠 – Deep knee bending significantly increases pressure between the kneecap and the thigh bone.
• 𝐑𝐮𝐧𝐧𝐢𝐧𝐠 𝐚𝐧𝐝 𝐣𝐮𝐦𝐩𝐢𝐧𝐠 – Repetitive impact and frequent knee bending can irritate the cartilage and surrounding tissues.
• 𝐒𝐢𝐭𝐭𝐢𝐧𝐠 𝐟𝐨𝐫 𝐥𝐨𝐧𝐠 𝐩𝐞𝐫𝐢𝐨𝐝𝐬 – Keeping the knee bent for an extended time increases pressure behind the kneecap, often causing pain when standing up. This is commonly known as "moviegoer's knee."
• 𝐆𝐞𝐭𝐭𝐢𝐧𝐠 𝐮𝐩 𝐟𝐫𝐨𝐦 𝐚 𝐜𝐡𝐚𝐢𝐫– The kneecap experiences increased force as the knee straightens to lift the body.

𝐃𝐨𝐞𝐬 𝐏𝐚𝐢𝐧 𝐀𝐥𝐰𝐚𝐲𝐬 𝐌𝐞𝐚𝐧 𝐒𝐞𝐫𝐢𝐨𝐮𝐬 𝐃𝐚𝐦𝐚𝐠𝐞?
Not necessarily. Pain is often an early warning sign that the kneecap is under excessive stress. In many patients, the condition can be managed successfully with activity modification, physiotherapy, muscle strengthening, and correction of the underlying cause. Ignoring persistent pain and continuing high-impact activities, however, may allow symptoms to worsen over time.

𝐇𝐨𝐰 𝐂𝐚𝐧 𝐘𝐨𝐮 𝐑𝐞𝐝𝐮𝐜𝐞 𝐒𝐭𝐫𝐞𝐬𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐊𝐧𝐞𝐞𝐜𝐚𝐩?
Simple measures can make a significant difference:
• Warm up before sports or gym workouts.
• Strengthen the hip, thigh, and core muscles.
• Increase training intensity gradually.
• Maintain proper exercise technique.
• Avoid pushing through persistent knee pain.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
Pain while climbing stairs, squatting, running, or sitting for long periods is not simply a part of an active lifestyle. It often indicates increased stress on the patellofemoral joint. Understanding why these activities trigger pain and addressing the problem early can help relieve symptoms, protect the cartilage, and keep your knees healthy in the long run.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭
𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025

📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]

16/07/2026

The symptoms of 𝐂𝐡𝐨𝐧𝐝𝐫𝐨𝐦𝐚𝐥𝐚𝐜𝐢𝐚 𝐏𝐚𝐭𝐞𝐥𝐥𝐚𝐞 𝐚𝐧𝐝 𝐏𝐚𝐭𝐞𝐥𝐥𝐨𝐟𝐞𝐦𝐨𝐫𝐚𝐥 𝐏𝐚𝐢𝐧 𝐒𝐲𝐧𝐝𝐫𝐨𝐦𝐞 (𝐏𝐅𝐏𝐒) usually develop gradually and may be mild in the beginning. Many people ignore these early warning signs, assuming the pain is simply due to overexertion or a strenuous workout. However, persistent symptoms should not be overlooked, as early diagnosis and treatment can help prevent the condition from worsening.

𝐂𝐨𝐦𝐦𝐨𝐧 𝐬𝐢𝐠𝐧𝐬 𝐚𝐧𝐝 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐢𝐧𝐜𝐥𝐮𝐝𝐞:
• 𝐏𝐚𝐢𝐧 𝐚𝐫𝐨𝐮𝐧𝐝 𝐨𝐫 𝐛𝐞𝐡𝐢𝐧𝐝 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞𝐜𝐚𝐩 – The most common symptom, often felt during or after physical activity.
• 𝐏𝐚𝐢𝐧 𝐰𝐡𝐢𝐥𝐞 𝐜𝐥𝐢𝐦𝐛𝐢𝐧𝐠 𝐬𝐭𝐚𝐢𝐫𝐬 𝐨𝐫 𝐬𝐪𝐮𝐚𝐭𝐭𝐢𝐧𝐠 – Activities that place extra pressure on the kneecap may make the pain more noticeable.
• 𝐃𝐢𝐬𝐜𝐨𝐦𝐟𝐨𝐫𝐭 𝐚𝐟𝐭𝐞𝐫 𝐩𝐫𝐨𝐥𝐨𝐧𝐠𝐞𝐝 𝐬𝐢𝐭𝐭𝐢𝐧𝐠– Knee pain that develops after sitting for a long time with the knee bent is commonly known as the "moviegoer's sign."
• 𝐂𝐥𝐢𝐜𝐤𝐢𝐧𝐠, 𝐠𝐫𝐢𝐧𝐝𝐢𝐧𝐠, 𝐨𝐫 𝐜𝐫𝐚𝐜𝐤𝐢𝐧𝐠 𝐬𝐞𝐧𝐬𝐚𝐭𝐢𝐨𝐧 – Some patients notice a grinding or crackling feeling when bending or straightening the knee.
• 𝐏𝐚𝐢𝐧 𝐝𝐮𝐫𝐢𝐧𝐠 𝐫𝐮𝐧𝐧𝐢𝐧𝐠, 𝐣𝐮𝐦𝐩𝐢𝐧𝐠 (𝐑𝐮𝐧𝐧𝐞𝐫 𝐊𝐧𝐞𝐞), 𝐨𝐫 𝐠𝐲𝐦 𝐰𝐨𝐫𝐤𝐨𝐮𝐭𝐬 – Symptoms often increase with sports and repetitive knee movements.
• 𝐌𝐢𝐥𝐝 𝐬𝐰𝐞𝐥𝐥𝐢𝐧𝐠 𝐚𝐫𝐨𝐮𝐧𝐝 𝐭𝐡𝐞 𝐟𝐫𝐨𝐧𝐭 𝐨𝐟 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞 – Some patients may experience occasional swelling after prolonged activity.
• 𝐑𝐞𝐝𝐮𝐜𝐞𝐝 𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐭𝐨 𝐩𝐞𝐫𝐟𝐨𝐫𝐦 𝐬𝐩𝐨𝐫𝐭𝐬 𝐨𝐫 𝐝𝐚𝐢𝐥𝐲 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐢𝐞𝐬 – Ongoing knee pain may gradually affect exercise, work, and routine movements.

𝐖𝐡𝐲 𝐓𝐡𝐞𝐬𝐞 𝐒𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐒𝐡𝐨𝐮𝐥𝐝 𝐍𝐨𝐭 𝐁𝐞 𝐈𝐠𝐧𝐨𝐫𝐞𝐝
Front-of-knee pain that persists, keeps returning, or limits your daily activities is not a normal part of an active lifestyle. Early evaluation helps identify the underlying cause and allows appropriate treatment before cartilage damage progresses, improving recovery and helping you return safely to your normal activities.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
Persistent pain around the front of the knee is not a normal part of an active lifestyle. Early recognition of symptoms and timely treatment can help prevent further cartilage damage, improve recovery, and keep you active in the long run.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭
𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025

📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]

Website : https://www.drbirennadkarni.com | https://jointreplacementdelhi.com

13/07/2026

A patient with 𝐁𝐢𝐥𝐚𝐭𝐞𝐫𝐚𝐥 𝐀𝐯𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐍𝐞𝐜𝐫𝐨𝐬𝐢𝐬 (𝐀𝐕𝐍) of the hip was struggling with severe pain and difficulty walking, making even simple daily activities a challenge.

After a thorough evaluation, Dr. Biren Nadkarni performed simultaneous bilateral total hip replacement surgery to relieve pain and restore mobility.

Today, he is walking comfortably, performing his daily activities independently, and enjoying a significantly improved quality of life.

His journey reflects how timely diagnosis, appropriate treatment, and expert surgical care can help patients regain mobility, confidence, and independence.

We are grateful for his trust and wish him continued health and happiness.

10/07/2026

Young adults, athletes, and gym-goers place greater demands on their knees through regular sports, workouts, running, jumping, squatting, and other high-impact activities. Because the kneecap moves every time the knee bends or straightens, repetitive movements can gradually increase stress on the front of the knee.

When training intensity increases too quickly, exercises are performed with poor technique, or the muscles around the hip and knee are not strong enough to support the joint, the kneecap may not move smoothly within its groove. This extra pressure can irritate the joint and lead to Patellofemoral Pain Syndrome (PFPS).

𝐂𝐨𝐦𝐦𝐨𝐧 𝐟𝐚𝐜𝐭𝐨𝐫𝐬 𝐭𝐡𝐚𝐭 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐭𝐡𝐞 𝐫𝐢𝐬𝐤 𝐢𝐧𝐜𝐥𝐮𝐝𝐞:
• 𝐑𝐞𝐩𝐞𝐭𝐢𝐭𝐢𝐯𝐞 𝐫𝐮𝐧𝐧𝐢𝐧𝐠, 𝐣𝐮𝐦𝐩𝐢𝐧𝐠, 𝐚𝐧𝐝 𝐬𝐪𝐮𝐚𝐭𝐭𝐢𝐧𝐠 – Frequent high-impact activities place repeated stress on the kneecap.
• 𝐒𝐮𝐝𝐝𝐞𝐧 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐢𝐧 𝐰𝐨𝐫𝐤𝐨𝐮𝐭 𝐢𝐧𝐭𝐞𝐧𝐬𝐢𝐭𝐲 – Doing too much too soon without allowing the body to adapt can overload the knee.
• 𝐖𝐞𝐚𝐤 𝐭𝐡𝐢𝐠𝐡 𝐚𝐧𝐝 𝐡𝐢𝐩 𝐦𝐮𝐬𝐜𝐥𝐞𝐬 – Reduced muscle strength affects knee stability and kneecap movement.
• 𝐏𝐨𝐨𝐫 𝐞𝐱𝐞𝐫𝐜𝐢𝐬𝐞 𝐭𝐞𝐜𝐡𝐧𝐢𝐪𝐮𝐞 – Incorrect form during squats, lunges, or gym exercises can increase pressure on the front of the knee.
• 𝐈𝐧𝐬𝐮𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐭 𝐰𝐚𝐫𝐦-𝐮𝐩 𝐚𝐧𝐝 𝐫𝐞𝐜𝐨𝐯𝐞𝐫𝐲 – Muscles and joints need adequate preparation and rest to prevent overuse injuries.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
Being active is important for overall health, but training smart is equally important. Proper exercise technique, gradual progression, muscle strengthening, and early attention to knee pain can help prevent PFPS and keep you active without unnecessary injury.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭
𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025

📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]

06/07/2026

Pain in the front of the knee is a common problem, especially in young adults, athletes, and people who are physically active. In many cases, this pain may be due to 𝐂𝐡𝐨𝐧𝐝𝐫𝐨𝐦𝐚𝐥𝐚𝐜𝐢𝐚 𝐏𝐚𝐭𝐞𝐥𝐥𝐚𝐞 𝐨𝐫 𝐏𝐚𝐭𝐞𝐥𝐥𝐨𝐟𝐞𝐦𝐨𝐫𝐚𝐥 𝐏𝐚𝐢𝐧 𝐒𝐲𝐧𝐝𝐫𝐨𝐦𝐞 (𝐏𝐅𝐏𝐒)—conditions that affect the kneecap and the way it moves within the knee joint.

The kneecap (patella) normally slides smoothly over the thigh bone every time you bend or straighten your knee. A layer of smooth cartilage on the underside of the kneecap acts like a cushion, helping the joint move comfortably and reducing friction.

In Chondromalacia Patellae, this cartilage gradually becomes soft or damaged. In Patellofemoral Pain Syndrome (PFPS), the kneecap is placed under increased stress because it is not moving as smoothly as it should. Over time, this extra pressure can lead to pain and discomfort around the front of the knee.

𝐂𝐨𝐦𝐦𝐨𝐧 𝐜𝐚𝐮𝐬𝐞𝐬 𝐚𝐧𝐝 𝐫𝐢𝐬𝐤 𝐟𝐚𝐜𝐭𝐨𝐫𝐬 𝐢𝐧𝐜𝐥𝐮𝐝𝐞:
• 𝐎𝐯𝐞𝐫𝐮𝐬𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞– Repetitive activities such as running, jumping, cycling, squatting, or climbing stairs can place extra stress on the kneecap.
• 𝐖𝐞𝐚𝐤 𝐭𝐡𝐢𝐠𝐡 𝐨𝐫 𝐡𝐢𝐩 𝐦𝐮𝐬𝐜𝐥𝐞𝐬 – Poor muscle support can affect the way the kneecap moves during daily activities.
• 𝐏𝐨𝐨𝐫 𝐤𝐧𝐞𝐞𝐜𝐚𝐩 𝐚𝐥𝐢𝐠𝐧𝐦𝐞𝐧𝐭 – If the kneecap does not glide properly within its groove, it can increase pressure on the cartilage.
• 𝐏𝐫𝐞𝐯𝐢𝐨𝐮𝐬 𝐤𝐧𝐞𝐞 𝐢𝐧𝐣𝐮𝐫𝐲 𝐨𝐫 𝐤𝐧𝐞𝐞𝐜𝐚𝐩 𝐝𝐢𝐬𝐥𝐨𝐜𝐚𝐭𝐢𝐨𝐧– Earlier injuries can change the normal movement of the kneecap.
• 𝐅𝐥𝐚𝐭 𝐟𝐞𝐞𝐭 𝐨𝐫 𝐥𝐞𝐠 𝐚𝐥𝐢𝐠𝐧𝐦𝐞𝐧𝐭 𝐩𝐫𝐨𝐛𝐥𝐞𝐦𝐬 – These may alter the forces acting on the knee joint and contribute to anterior knee pain.
• 𝐀𝐛𝐧𝐨𝐫𝐦𝐚𝐥 𝐏𝐚𝐭𝐞𝐥𝐥𝐨𝐟𝐞𝐦𝐨𝐫𝐚𝐥 𝐚𝐥𝐢𝐠𝐧𝐦𝐞𝐧𝐭 - It occurs when your kneecap shifts out of its normal groove on the thigh bone.

𝐖𝐡𝐲 𝐄𝐚𝐫𝐥𝐲 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐌𝐚𝐭𝐭𝐞𝐫𝐬
When diagnosed early, most patients can be treated without surgery through physiotherapy, activity modification, muscle strengthening, and correction of the underlying cause. If symptoms continue despite conservative treatment, minimally invasive arthroscopic procedures may be considered in selected patients.

𝐓𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡
A detailed clinical examination, along with X-rays or MRI when needed, helps identify the exact cause of knee pain and guides the most appropriate treatment to restore comfortable movement and protect long-term knee health.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
Chondromalacia Patellae and PFPS are common causes of front-of-knee pain, but they are treatable. Early diagnosis and the right treatment can help relieve pain, improve knee function, and keep you active.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭
𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025

📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]

Dr. Biren Nadkarni, the Best Knee Hip Joint Replacement Surgeon in Delhi has 20+ yrs of orthopedic surgery experience.

03/07/2026

This wonderful patient placed her trust in Dr. Biren not once, but twice. After a successful shoulder surgery, she returned for Bilateral Total Knee Replacement surgery to regain her mobility and independence.

Just 6 weeks after surgery , she is walking confidently, recovering well, and getting back to her daily activities with renewed comfort.

Her inspiring journey and kind words remind us that the right treatment, timely surgery, and dedicated rehabilitation can truly transform lives.

We're grateful for her trust and wish her continued health and happiness ahead.

01/07/2026

Happy Doctor's Day

28/06/2026

Avascular Necrosis (AVN) of the Hip is a progressive condition that can gradually damage the hip joint if not treated at the right stage. In early stages, joint-preserving procedures such as core decompression or biological treatments may help save the natural hip joint. However, when significant bone collapse and joint damage occur, hip replacement surgery may become the most effective treatment option.

𝐖𝐡𝐞𝐧 𝐢𝐬 𝐇𝐢𝐩 𝐑𝐞𝐩𝐥𝐚𝐜𝐞𝐦𝐞𝐧𝐭 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝?
Hip replacement is usually advised when:
• The femoral head (hip bone) has collapsed significantly
• Severe pain affects walking, sleep, or daily activities
• There is advanced joint damage or arthritis
• Stiffness and reduced movement limit mobility
• Conservative or joint-preserving treatments are no longer effective

𝐖𝐡𝐚𝐭 𝐇𝐚𝐩𝐩𝐞𝐧𝐬 𝐃𝐮𝐫𝐢𝐧𝐠 𝐇𝐢𝐩 𝐑𝐞𝐩𝐥𝐚𝐜𝐞𝐦𝐞𝐧𝐭 𝐒𝐮𝐫𝐠𝐞𝐫𝐲?
Hip replacement surgery involves removing the damaged portions of the hip joint and replacing them with artificial implants designed to restore smooth movement and reduce pain.
Modern hip replacement techniques aim to improve mobility, joint stability, and overall quality of life.

Benefits of Hip Replacement in AVN
• Significant pain relief
• Improved walking and mobility
• Better hip joint movement
• Enhanced quality of life
• Return to daily activities with improved comfort

𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐀𝐟𝐭𝐞𝐫 𝐒𝐮𝐫𝐠𝐞𝐫𝐲
Recovery includes physiotherapy, gradual rehabilitation, and guided strengthening exercises to help patients regain mobility and confidence in movement. Most patients experience noticeable improvement in pain and function after recovery.

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲
While early-stage AVN may be managed with joint-preserving procedures, advanced stages with severe bone collapse often require hip replacement surgery for long-term pain relief and improved mobility. Timely evaluation by an orthopaedic specialist helps determine the most appropriate treatment based on the stage of the disease and the condition of the hip joint.

𝐅𝐨𝐫 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭
𝐉𝐨𝐢𝐧𝐭 & 𝐁𝐨𝐧𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
D-26, Ground Floor, Hauz Khas, New Delhi – 110016
🕔 5 PM – 7:30 PM (Mon–Fri)

𝐒𝐢𝐭𝐚𝐫𝐚𝐦 𝐁𝐡𝐚𝐫𝐭𝐢𝐚 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 & 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡
B-16, Qutub Institutional Area, New Delhi – 110016

𝐇𝐨𝐥𝐲 𝐅𝐚𝐦𝐢𝐥𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥
Okhla Road, New Delhi – 110025

📱 +91-85878 78568 | +91-83683 52606
📧 [email protected]