Question
Dear respectful doctor,
I walk up last week suddenly with knee pain, unable to use the stairs, walk for more than five minutes, or bend, and I was diagnosed with a condition called "Chondromalacia Patellae" on both knees, due to muscle weakness (of the vastus medialis)   , after I did MRI the doctor found fluids in both knees and the ASO titre was 223 " a bit high ". He gave me an anti biotic for three weeks after seeing the ASO titre results,  I am currently on a wheel chair because it is too paintful to walk due to pressure on the knee, am going through PhysioTherapy, done the fifth session today but without any signs of improvments yet. I am surprised that I walk up with this condition just like that! My question is:
Why did I develope fluids in both knees? And does the ASO titre has anything to do with it?
-Do I have to stop physiotherapy until the fluids are gone? or it just wouldn't matter?
- Can Chiropratic Help me or cure this condition???
- What kind of atlernative therapy can be helpful?
- Do I need to take glucoosline for the bones? cos the doctor did not give me anything but the antibiotic and an ice gel
- Last, what kind of excercies can I do at home to help me cure fast (images, links plz)

please let me know asap.

P.S: I am 24 - Slime/Slender - Healthy - Practice sports (Walking, Yoga, Pilates, Machines) + Blood tests didn't show any illnesses related to bones.

 Thank you very much & God blesses

  Love and Peace

Answer
The ASO titre means that there is a Strep infection going on...the level should come down with treatment, and the symptoms should improve.  If you are seeing no change with physical therapy after 2 weeks, I would suggest a different course.  A chiropractor may be able to help, dealing with the muscles of the spine and extremities.  Exercises to target the inner thighs usually consist of the Thigh Adduction machine in the gym.  Lunges, where the knee does not go out farther than the foot, leg press, leg extension, and leg curls.  Focusing on one group is usually not a good idea; the whole of the leg and lower body should be targeted for maximum efficacy.
As far as Glucosamine, it will be a good idea once the infection is under control.