ACL Tears, Meniscus: Knee Pain and Chiropractic

This is part four of Chiropractic and knee pain series. ACL tears are one of the most common injuries to the knee is sports. Most frequently a tear to the ACL occurrs as a sequel to tears of the medial meniscus. This is partially due to the fact that a meniscus tear blocks full extension of the knee and puts more stress on the ACL as a result. Medial collateral ligament tears may also be associated with later injury to the ACL.
Isolated rupture of the ACL is uncommon and not usually treated surgically unless there is an avulsion fracture of the femur.
Posterior cruciate ligament tears (PCL) are usually caused then the knee is forced backwards while bent.
ACL and PCL problems may cause the tibia (largest bone in lower leg) to produce a feeling of instability in the joint as well as pain. Ruptures of the ACL may also produce a laxity in the knee and allow more front and back sliding motion at the knee. The test used by Chiropractors to determine if the ACL is intact is called the Drawer test. If the tibia has excessive motion to the front it may indicate ACL rupture. If the knee has excessive motion to the back it may indicate PCL rupture.
Dr Tom Etter is a graduate of Palmer College of Chiropractic and is in full time Chiropractic practice. His Chiropractic practice serves Olathe, Lenexa and Overland Park, Kansas. Dr. Etter’s Chiropractic practice focus is back pain, neck pain and sports injuries.

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The Knee and Chiropractic Care

The knee is a complex joint that is the frequently the site of pain from traumatic injury and overuse conditions. Many overuse conditions are able to be treated effectively with Chiropractic care (including myofascial release techniques).
One of the conditions of the knee that responds most readily to Chiropractic methods is patello-femoral pain. This type of pain refers to problems with the up and down movements of the patella (knee cap). The patella functions much like a pulley. In some cases the cartilage on the underside of the patella may break down. This conditions is known as patellar malacia. The condition may be caused by trauma, especially in young athletes. Another cause of malacia of the patella is a tracking disorder of the patella. This type of condition is due to a disturbance in the normal rhythm of the patella sliding up and down the groove in the front of the femur. Patellar tracking disorders are often able to be treated successfully with Chiropractic methods that address adhesions in the patellar tendon.
In the condition known as Jumper’s knee the upper and lower borders of the patella are tender.
One general test used by Chiropractors to determine if a patellar tracking disorder is present is to press down on the knee cap while the knee is extended. If pain is present on pressing down on the knee in this position it may indicate some degree of tracking disorder as well as malacia of the patella.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. His practice focus is conservative Chiropractic care of back pain, neck pain, and sports injuries. Dr. Etter’s Chiropractic practice serves the Olathe, Lenexa and Overland Park, Kansas area.

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Meniscus tears and Chiropractic

The meniscus is a fibrocartilage disc in the knee that acts to stabilize the knee. The medial meniscus is in the middle of the knee and is attached to the medial collateral ligament. The meniscus is often the site of knee injury. Meniscus tears can be cause by a twisting motion on a bend and weight bearing knee. The meniscus may be split lengthwise and produce what is known as a bucket handle tear of the meniscus. The bucket handle tear prevents full straightening of the knee and a painful springy resistance to attempts at full straightening is felt. Injury to the meniscus which prevents full straightening of the knee can lead to stretching and rupture of the ACL ligament as well. Major meniscus tears are treated by surgical removal of part of the meniscus.
Meniscus tears produce sharply localized tenderness at the mid joint line of the knee. Meniscus tears are the most common internal problem of the knee. The menisci are often damaged by trauma but the trauma may be so slight the person cannot attribute any cause to their knee pain.
Dr. Tom Etter is a Chiropractor with over ten years of experience treating back pain, neck pain and sports injury. His Chiropractic practice serves Olathe, Lenexa and Overland Park, Kansas.

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The Knee and Chiropractic

The knee is a complex joint that can be the cause of injuries both from external forces and overuse. Chiropractic techniques such as myofascial release are often very helpfull in certain conditions of the knee especially tendinitis related conditions (such as quadriceps tendinitis or IT Band tendinitis).
One interesting feature of the knee is that the knee has ligaments within the knee. The joint also contains menisci which are fibrocaritlage pads that cushion and stabilize the knee. The medial meniscus is attached to the ligaments on the middle of the knee. An injury to the medial meniscus often produces pain on the midline joint of the knee. The medial collateral ligament may also be sprained (also known and MCL sprain).
The ligaments of the knee, menisci, and contours of the bones are important structural stabilizers of the knee. The muscles provide the dynamic support of the knee through complex motions and activities.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. His practice focus is back pain, neck pain and sports injuries. Dr. Etter’s Chiropractic practice serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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Scoliosis and Chiropractic

Scoliosis is a sideways curvature to the spine. Many patients who consult a Chiropractor are concerned that their spine is not straight. Scoliosis may be the result of structural and be the result of difference is formation of the vertebrae. Most scoliosis is the result of non structural conditions in the spine the cause may be tilting of the pelvis. The pelvis may become tilted due to a structurally short leg or shortening as a compensation to motion problems in the pelvis. Often a problem with the discs may cause a scoliosis as well. One such case would be an antalgic lean resulting from a disc condition. An antalgic posture is a position caused by the body’s efforts to reduce painful pressure on nerves, discs or joints. Usually acute back pain is associated with this type of curve of the spine or scoliosis.
Many scoliosis are known as idiopathic which means the cause is unknown. Many people have mild curvatures to the spine or mild scoliosis. Often the curve in the middle of the back is to the right side which is away from the heart and towards the dominant hand.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. His Chiropractic practice serves Olathe, Kansas , Lenexa, Kansas and Overland Park, Kansas. His practice focus is back pain, neck pain, sports injuries and acupuncture.

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