Brief Answer:
Instead of running, focus on low impact activities
Detailed Answer:
Hello XXXXXXX
Thanks for your query
Considering your age, your present complaints and x-ray findings, you might be suffering from
arthritis of patella. In early stages it presents as painful initiation of movement of knee and later on subsides during routine work. This condition is called as
Chondromalacia patellae.
Generally
physiotherapy for your quadriceps muscle with straight leg raising and knee mobilisation will improve your muscle strength and will decrease the progression of arthritis. Life style modifications like avoiding stairs, squatting and sitting cross legged will also help in reducing your symptoms. Reducing weight is of prime importance if you are
overweight. If the pain is severe, you can take few doses of NSAID's or physiotherapic modalities like IFT to relieve your pain.
Running and jumping will often accelerate
cartilage loss from the joint. So instead of running, focus on low impact activities, such as swimming or cycling. This will also help you in reducing your weight.
You can take
glucosamine & chondroitin supplements. Daily intake of these supplements over a period of 3-4 months will help in reducing the arthritic pains and thereby decreases the necessity to take daily
analgesic medications.
You can take calcium and vit d3 supplements after prescription of your doctor.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care