Pain behind the Knee cap and Chiropractic

The knee cap is a moveable bone that is in the tendon the the quadriceps. It acts to center the tendon of the quad during extension and bending of the knee. It also acts as a sort of fulcrum. Problems with the movement of the knee cap may cause problems with the cartilage on the underside of the knee. This condition is often referred to as patellar malacia. Malacia is the process of breakdown of the cartilage on the back of the kneecap.
Trauma may be one possible cause of malacia of the patella.
Another possible cause of malacia of the patella is tracking disorders of the patella. Chiropractic treatments including myofascial release are often very helpful in treating patellar tracking disorders. Patellar tracking disorders are also related to injuries of the knee especially hyperextension or dislocation of the knee cap.
Some people may experience patellar problems in both knees without any known cause or injury. Often these cases are thought to be the result of cumulative trauma to the knee from repeated minor injury.
Tenderness to the upper and lower borders of the patella often indicate what is known as jumper’s knee. This condition is an inflammation of the quadriceps tendon. Myofascial release techniques are the most beneficial Chiropractic technique in treating jumper’s knee.
Dr. Tom Etter is a Chiropractor with over ten years of experience treating knee pain, back pain, neck pain and whiplash. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas. Dr. Etter is an approved Chiropractic provider for Blue Cross, UHC, Aetna, Cigna, medicare and others.

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Sports Injury-Meniscus injury-Chiropractic Topics

The most common cause of tears of the meniscus in young adults is a sporting injury. The most common mechanism of injury is a twisting strain applied to the bend and weight bearing leg.
A bucket handle tear is a term commonly associated with mensicus tears. A bucket handle tear can prevent full extension of the knee. There is often a painful, elastic resistance to attempts to fully straighten the knee.
Medial meniscus injurys can limit full extension of the knee and be associated with rupture of the ACL. Generally, it is common that the meniscus is a cause of ACL rupture.
In older adults some degree of elasticity of the meniscus may be lost. Some older persons may have tears to the meniscus and may recall no injury event. One of the key features of meniscus injury is pain or tenderness at the joint line of the knee.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience treating sports injury, back pain, neck pain and whiplash. Dr. Etter’s Chiropractic practice serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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Sports injury and the knee. The MCL. Chiropractic topics

One of the more common injuries of the knee in sports is an injury to the medial collateral ligament or MCL. A ligament is a fibrous structure that prevents extreme motion in the joints. In the case of the knee the MCL limits inward bowing of the knee. The knee joint is unique in that there are strong ligaments within the knee that limits its motion (the ACL and PCL). The knee also has menisci which are pads that limit the motion of the knee. The medial meniscus is partially attached to the MCL which means that the meniscus may be damaged if there is an injury or sprain to the MCL.
A sprain is an injury to a ligament. Severe sprains may even cause part of the bone to pull off. Repeated sprains can have the effect of lengthening on the ligament making it less able to control the motion of the joints. The function of the ligament is dependent on its strength as well as length. Repeated sprains to ligaments may effect both the strength and length of the ligament making them less effective in controlling joint motion.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience managing back pain, neck pain and sports injury. Dr. Etter’s Chiropractic practice serves Olathe, Kansas, Lenexa, Kansas, Overland Park, Kansas and the surrounding area.

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The Knee-Sports and Chiropractic

The knee is one of the most commonly injured joints in the body. The unique design of the knee makes is susceptible to trauma from external forces. Chiropractic treatments are effective treatment for many conditions of the knee especially for overuse conditions including patellar tendinitis and IT band syndrome.
The knee is unique in that it relies on strong ligaments and muscles for stability. The main ligaments that control the knee are the medial and lateral collateral ligaments (MCL/LCL) and the anterior cruciate ligament and posterior cruciate ligament (ACL/PCL).
The quadriceps which are the large muscles at the front of the thigh are probably the most important muscles that protect the knee. One of the earliest signs of internal injury to the knee is atrophy or shrinking of the muscles of the quadriceps.
While the knee may appear as a simple hinge joint it is not. The tibia which is the large bone in the lower leg travels a curved path on the femur. The patella is highly moveable as well and slides in a groove in the femur. Patellar tendinitis and quadriceps tendinitis are commonly treated by Chiropractic methods including myofascial release. One of the most common conditions of the knee which may lead to arthritis in later life is injury to the meniscus.
One reason the knee can be difficult to treat is that it lacks the bony stability that protects most joints including the hip and ankle. The meniscus is a small soft tissue pad located on the interior of the knee joint that acts to limit certain motions of the knee and increase stability. Injury to the meniscus is known to cause pain on the middle joint line of the knee and may also click. Meniscus injuries often take place when the knee is twisted while bent.
Dr. Tom Etter is a Chiropractor and graduate of Palmer College of Chiropractic. Dr. Etter’s Chiropractic practice focus is back pain, neck pain and knee injuries. Etter Chiropractic serves the Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas areas.

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The Hip Joint and Chiropractic

Often patients with back pain and pain in the sacro-iliac joints complain of the sensation of their legs being different lengths. There are two ways in which Chiropractors can determine the length of the legs. One is by tape measure. In this procedure the length between the bump at the front of the hip (ASIS) and the medial malleolus (bump at middle of ankle) is measured. A second involves and x ray of the pelvis. Often fixations of the sacro-iliac joints can cause one side of the pelvis to move differently causing a sensation of leg length difference. Some individuals have an actual difference in the length of the length of the bones of the leg.
Ligamentous laxity effecting the hip is a condition which may be seen in pregnancy. Women also are more prone to dislocation of the hip joint due to naturally more lax ligaments at the hip joint.
Defects of the hip joint itself are equally common in men and women. Defective development of the hip is thought to be hereditary in nature. This type of inherited hip defect is seen on both hips when it occurs.
The incidence of congenital hip dislocation is slightly higher when infants are delivered breech. It is thought that movement of the hips during delivery makes an infant prone to hip dislocation when delivered breech.
One general way Chiropractors can determine if there is a leg length discrepancy is to have a person lie on their back with the knees bent 90 degrees. Often it is possible to observe a leg length discrepancy in this position.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. Dr. Etter’s Chiropractic practice focuses on the treatment of back pain, neck pain, sports injury, whiplash and acupuncture. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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