a case of knee pain cased by low back and SI joint

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hi thanks for joining me uh what we're

about to see is

um a case of knee pain that's actually

being caused by the low back and SI

joint and what's remarkable about this

is that

the patient came in a week ago with pain

only in the gastroc muscles behind the

knee and now she's having pain there and

also in the center of the knee joint she

describes the knee feeling painful and

twisted when she squats down in other

words to When the knee is all the way in

flexion and then when she tries to stand

up from a squat

so that's flexion and extension of the

knee

the muscles in the back of the knee are

spasming as a result of the whole chain

from her lower back and her SI joint and

her hip all the way down starting to

become tight in response to a new

technique that she's studying called

gram technique which involves a lot of

extension through the spine and a lot of

extension through the hip and her body

has yet to really get used to that and

to learn to relax in into and through

that technique but once she gets a

little bit of

um

soft tissue release some foam rolling

some stretching in place her and and

studies gram technique a little a little

more further

she should start to settle in and it

won't be a problem I noticed that her

low back is actually tighter this week

than it was last week and her SI joints

are tighter this week than they were

last week and again the reason for that

is the new technique and she's not quite

she's not quite stretching and rolling

quite enough yet but that's just a

learning curve that her body has to get

over and once she does that she'll be

fine the pain that she's having in the

center of the knee which can be quite

scary

I believe is being caused by the tibia

and the femur being rotated against each

other that's that's one thing that

happens with the knee joint it doesn't

just bend and straighten it also twists

slightly and this kind of twisting or

shearing force can cause quite a lot of

discomfort if you deeply Bend and then

try to extreme to try to extend or

straighten the knee from a deep knee

Bend

so the strategy that today has to be a

two-sided treatment I'll be needling her

face down to loosen the gastrox the

hamstring muscles the popliteius also

doing some deep needling into the back

of the knee joint in order to encourage

the body to open the circulation there

and irrigate the knee joint then I'm

going to turn her face up and needle the

front of the knee joint to help the

femur and the tibia to line up and I'm

going to follow that up finish the

treatment off with some gentle flexion

and extension of the knee to encourage

those bones to line up and go back to

Optimal

okay so this is after all the needling

and after the passive range of motion

exercises she got off the table and did

comment that her knee felt much more

calm she was able to squat and stand up

with very little discomfort she's going

to be a little sore for a few days from

all the motor point and trigger point

needling that's a normal byproduct of of

acupuncture sessions and that's just

fine and what I expect is that a lot of

the pattern of tension and pain will

start to recede and what she'll be left

with is a little bit of discomfort

through the gastroc muscles in the back

like she had a week ago and maybe a

little stiffness or some Sensation that

things are not moving quite quite well

enough in her back and her site joints

so when she comes back I'm going to

treat her only face down as long as her

knee joint pain has calmed down if

that's resolved I'm just going to treat

her face down do some cupping and some

acupuncture and some passive range of

motion to open up and realign the

tissues in her back her SI joint pelvis

hip on down through the knee