Allowing the inflammation of chondromalacia to settle is the first step of treatment. Avoiding painful activities that irritate the
knee for several weeks, followed
by a gradual return to activity is important. In this time, cross-training activities, such as swimming, can allow an athlete to maintain their fitness while resting the knee. The next step in treatment is a physical therapy program that should emphasize strengthening and flexibility of the quadriceps and hamstring muscle groups.