Knee Overuse Syndromes Flashcards
Overuse Syndromes of the Knee include (3)
Patella Femoral Dysfunction
Patella Tracking
IT Band Friction Syndrome
For Patella Femoral Dysfunction the pain is worse with
date=>taking long walk along Donau=>going to movie=>climbing stairs to Muenster
Movement or when Sitting for a long time (Movie Goer’s Knee) Up/Down Stairs
Movie Goer’s Knee means
long periods of sitting with the knee bent
Patella Femoral Dysfunction
Patella Femoral Dysfunction in some cases may cause pain resulting in reflex inhibition of the _________, causing further ________
- inhibition of the QUADS
- causing bucking or giving way of the knee
Patella Femoral Dysfunction commonly presents with a weak ______ and _______
VMO, vastus medialis and tight IT BAND
The MAIN CULPRIT Patella Femoral Dysfunction …… i.e. causing bucking or giving way of the knee is mostly d/t lack of ________ control over the lower extremities
Gluteal
With Patella Femoral Dysfunction what else besides lack of Gluteal control is present?
pelvic rotation, foot pronation
Tenderness over the lateral epicondyle or over the tibia AS commonly seen in runners IS CALLED
IT Band Friction Syndrome
Gerdy’s tubercle
lateral tubercle of the tibia
IT Band Friction Syndrome’s pain is worse with _______ better with ______
full knee extension & STAIRS
BETTER => 5 degree flexion
Prognosis
total 6-10 treatments, 3-4 TX biwk until change
TCM Diagnosis
SP/LV BL def.
Overuse Syndrome (patella & IT) Treatment focus should be on (3)
strengthening Glut med/max
strengthening Vastus Medialis
releasing IT-Bandq
IZ Zones to be needled
VMO (SP10)
TFL
Glute max/med
How is the Retinaculum of the knee needled?
Thread a needle along the lateral edge of the patella
