Tips for maltracking patella?

My kneecap doesn't track well...the orthopedic said he could feel my kneecap go out to the side then jump back in when I was sitting on the edge of the table flexing and extending my knee. I had knee surgery 8 months ago that was suppose to fix this (medial reefing and lateral release). I had a lot of trouble recovering esp. pain. I also have had a lot of muscle loss despite my intense rehab. I'm currently going to the gym, walking on treadmill, riding stationary bike, and using stim on my VMO. Recovery is still slow. The surgeon, who wasn't the one who did my surgery but was my second opinion, said he is worried I should have had more reefing to keep it pulled in line.

Besides strengthening, what else can I do? Do you think I need another surgery? Any tips for battling patella pain?

Thanks

I would see another sports medicine specialist for a second opinion. Ordinarily a second surgery is not needed unless the original surgery did adequately correct the alignment and maltracking issue. A second opinion never hurts and it would be good to get a copy of all you radiographs to bring with you if you see another specialist. I would look for a top orthopedic surgeon specializing in sports medicine in your area. The Castle Connolly website is good for finding top rated specialists. Good luck.

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