Final answer:
Chondromalacia, or runner's knee, is effectively managed with rest, ice, and isometric exercises, followed by balanced strengthening exercises for the quadriceps to prevent further damage. It is not a condition treated with steroids or enhanced by calcium intake, and immobilization is generally not advised.
Step-by-step explanation:
A competitive skier complaining of knee pain during activities like climbing stairs or sitting with knees bent may be experiencing chondromalacia, also known as runner's knee or patellofemoral syndrome. This condition occurs when the cartilage under the kneecap (patella) softens and wears away, commonly due to misalignment or imbalance in the quadriceps femoris muscle.
To manage this condition, the nurse can instruct the client that rest, ice, and isometric exercises are effective measures for reducing inflammation and pain. Subsequently, strengthening exercises to balance the muscles around the knee, particularly the quadriceps, can prevent abnormal tracking of the patella and limit further damage, potentially reducing the risk of arthritis.
It is important to clarify that chondromalacia is not a lifelong inflammatory condition, nor is it traditionally treated with steroids. A diet higher in calcium does not heal this condition directly, although maintaining overall bone health is beneficial. Immobilization for several weeks is usually not recommended; instead, progressive exercise with periods of rest to avoid aggravating the knee is the typical approach. Ultimately, protecting the knee from overuse and injury is key to managing symptoms and preventing future joint damage.