Treating Knee Conditions| Medical Massage for Knee Conditions| Ken Youngberg
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Phone 952-807-2948
E-mail: Ken@KYTBinc.com

 
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treating knee conditions
 

When a client presents with knee pain from a recent injury (acute condition) exhibiting inflammation, heat, redness, or swelling, or a hypermobile knee due to excess ligament laxity, I refer them to their physician for further evaluation.  After taking a client intake history and doing a complete assessment on those who qualify for my treatment, which is a structural approach to pain management, I always begin treating knee problems by stabilizing the pelvis because many muscle groups that originate in the pelvic area affect the knee. Imbalances in the hips due to tight muscles can create additional joint tension and rotational forces of the femur and tibia, which can result in degeneration of the knee joint structures.

Further evaluation determines if the knee problem is due to myofascial restriction, muscle-tendon tension, trigger point tension, strained fibers, scar tissue or damage to structures in the joint such as the ligaments or meniscus. The treatment focuses on the contracted structures that limit pain-free movement and create tension and imbalance in the knee. Meniscus damage can also be determined with a simple compression test; a distraction test would more likely indicate the medial or lateral collateral ligaments rather than the medial or lateral meniscus.

 
 

James Waslaski, Integrated Manual Therapist, teaches orthopedic clinical massage internationally to massage therapists, athletic trainers, physical therapists, osteopaths, chiropractors, physicians, occupational therapists, nurses. He claims that compression, accompanied with abnormal knee rotation, is responsible for a majority of clinical symptoms of the knee. In many cases when rotational patterns of the knee, like a laterally rotated foot, are corrected, the medial collateral ligament (MCL) and the lateral collateral ligament (LCL) are brought into their resting positions, pain in those structures will disappear.

Evaluating painless active range of motion of the knee joint will determine which muscle groups are restricted and therefore preventing normal movement. Pertinent muscles are lengthened and strengthened to achieve joint balance. Medial and lateral rotators of the knee are also assessed and treated to eliminate abnormal stress of the knee.

Patellar tendinosis (tearing of tendon fibers) is usually caused by overuse of the quadriceps, placing an excessive amount of upward pressure on the patella, which stretches and irritates the patellar ligament. The common cause of patellar ligament injury is muscle imbalance between the quadriceps and hamstrings.

Condromalacia is described as degeneration of cartilage on the underside of the patella, resulting in pain and a grating sensation. Having an imbalance between a strong lateral and a weaker medial quadriceps muscles can also exacerbate this condition and lead to lateral tracking of the knee and chondromalacia. Torn muscles or tendons are treated last, after opposing muscle groups have been balanced.

Client self-care is essential for maintaining the new normal range of motion created during therapy. Clients must learn the stretching and strengthening techniques specific to their condition and perform them at home to keep the muscle groups balanced.

   


The above information is from James Waslaski's Clinical Massage Therapy – A Structural Approach to Pain Management.

 
   
 
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"I am totally committed to helping my clients relieve and eliminate pain and discomfort of body, mind, and spirit."
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Acid Reflux . Acute Pain/Chronic Pain. Arthritis . Carpel tunnel . Emotional Energy Release . Fibromyalgia . . Frozen Shoulder . Headaches/Migraines
Hiatal Hernia . Limited Range of Motion . Low Back Pain . Neck and Shoulder Pain . Plantar Fascitis . Respiratory Problems . Running Injuries . Scar Tissue
SET Quick Release . Stress/Tension . Swelling and Inflammation . Tendinitis . Thoracic Outlet . TMJ Syndrome . Trigger Finger . Whiplash
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Ken Youngberg Therapeutic Bodyworks
Releasing the individual fibers and tendons of the finger flexors.
 

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