Chiropractic care is an important part of conservative management of knee injuries. Several key factors in the nature of the injury can suggest the type of problem.
If swelling follows the injury it may be the result of blood inside the knee joint. If the knee is tense, swollen and painful following the injury it may indicate blood in the knee joint and the a possible ACL tear. If swelling is delayed a few hours and not especially painful generally the ACL is less likely effected and the condition may be related to the meniscus.
If the knee gives way at the time of injury a reflex action of the quadriceps is usually involved. Often instablility of the knee involving ACL instability is the cause of a knee giving way but may also be related to other painful knee conditions.
A pop at the time of injury is indicative of an ACL tear especially if the pop was accompanied by immediate pain and swelling.
Locking of the knee may involve a meniscus tear.
It is estimated that 10-15 % of adults report knee pain at any one time. Many people consider Chiropractic care to be focused only on the spine but Chiropractic care offers excellent conservative management options for knee pain. Chiropractic is a conservative option to orthopedic consultation.
Pain in the knee may be the result of direct trauma or be referred from pain sensitive structures in the lower back, pelvis, leg or foot. The facet joints, sacro-iliac joints and hip joints may refer pain into the knee. Trigger points in the muscles may also refer pain into the knee. Entrapment of peripheral nerves including the sciatic nerve may also cause knee pain. Knee injuries may be the result of trauma or overuse conditions. The knee is relatively unprotected as a joint and may be quite susceptible to traumatic injury. Trauma that causes internal damage to the knee is often hard to diagnose. Knee swelling as a result of a knee injury often makes diagnosis of a knee problem harder due to the stabilizing effect of the swelling. Often people delay seeking any type of treatment of a knee injury due to swelling and its stabilizing effect on the knee.
Injuries to the soft tissues usually are the result of overuse or disuse of the knee. Some of the most common types of knee pain caused by overuse are: 1. Pain in the front of the knee in an athlete due to tracking problems of the knee cap and compression of the knee cap by the quadriceps muscle. 2. elderly people experiencing osteoarthritis 3. injury to the ACL and instability of the knee 4. Painful locking of the knee due to a meniscus tear.
Trigger finger is a condition in which a person has trouble extending the fingers from a bent position. Often the person may have to extend the fingers with the other hand to get them straight. The condition may have a history of chronic overuse in occupational settings.
The cause of the condition is inflammation of the tendon sheaths of the fingers.
Chiropractic management of trigger finger involves myofascial release of the flexor tendons and rest from aggrevating activities. It is usually recommended that a trial of conservative management including Chiropractic and myofascial release be tried for several months before other options are explored. Medical treatment often involves a cortisone injection or surgical release of adhesions.
Pronator syndrome is a condition in which the median nerve is impinged by the muscles in the forearm. The condition may be very similar to carpal tunnel in symptoms. Usually a person with pronator syndrome has a history of repetitive motions in the forarm or wrist from such activities as weight lifting or working with the hands. Usually, the nerve is compressed at a point near the elbow and the spot may be rather tender.
Chiropractic management of pronator syndrome involves myofascial release and rest. Usually it is recommended that a person undergo 2-3 weeks of Chiropractic treatment and rest.