Conversation: The conversation between human and AI assistant.
[|Human|] i have patello femoral osteophyte formation is present with minimal changes at the posterior aspects of the patellae which may represent osteo chondromalacia, I have lot of pain on top of my patella, I can t go up stairs and up to a chair, I am 51 years old, should I do for a surgery to it fixed?
[|AI|]  Hello, As this indicated that there us malt racking of the patella. This means that when there is an extension of the knee the patella moves upwards to lock the knee joint. You can take help of the physiotherapists who can teach you the VMO exercises. It's very important to do the VMO exercise to correct the malt racking of the patella. You can even try in later stages balance board training will also help to improve the muscle imbalances. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.