Knee

Knee:

LEARN ABOUT AND UNDERSTAND YOUR PAIN THROUGH THE DYNAMICS OF APPLIED BIOMECHANICS:
Knee pain is normally caused by wear and tear, or trauma. Examples are: an athletic injury in which the ACL is torn, or repetitive overuse activities such as stair walking or running that may result in knee pain. The knee is subject to ongoing sheering forces. A slow and steady deterioration of the structures in the knee joint is usually a result of medial collapse. This is a subject that has been proven by the extensive research of Dr. Chris Powers at the University of California:
http://movementpi.com/people/christopher-m-powers
He was the first to show how the femur rotates under the patella via active MRI.

IN A NUTSHELL
Our knee pain treatment plans and diagnosis are based on biomechanical research done by Christopher M. Powers, PhD, PT, FACSM, FAPTA at the University of California. The keywords are “glute strategy,” “quad dominance,” and “trunk posture compensation.”

Understanding how knee pain developed depends on the specific structure in question. It may be patellofemoral pain or internal derangement. In many cases, biomechanical issues are at play, especially weakness of the gluteal structure. This occurs because of poor activation of the gluteal mechanisms. The glutes or hips allow stability in the knee joint as we move. By knowing the specific structure involved and why they are symptomatic, we can develop exercise plans that are powerful and effective. Rehabilitation needs to include hip strengthening, and proper movement patterns need to be taught and implemented.

LEARN HOW OUR OFFICE CAN HELP YOUR INJURY AND HOW TO PREVENT FUTURE KNEE INJURIES:
We evaluate patients by examining the movement patterns and biomechanical weaknesses that are present. We accomplish this with a series of manual and active testing, as well as video analysis of walking and/or running. The movement patterns at each portion of the gait are measured and analyzed to see where the default is occurring and how we can correct it. We can measure the ground reaction force at weight bearing and shock absorbance throughout all movements such as running, walking, jumping, cutting and stair walking. Only then can we really see where we need to make corrections in order to reduce pain. These corrections are achieved through strength, flexibility and movement retraining exercises. There are seven levels for restoration and all of these levels have specific parameters for performance and progression. For sports related issues we have a very specific return to sport testing protocol, as well as for daily activities. Learning these protocols well is the key to preventing future injuries.

In many cases the fascial binding of the foot, leg and hip is extremely important to understand and treat the knee. Treatment to the fascia allows for improved biomechanical relationship between the foot, knee, and pelvis, decreasing knee pain. There is a very specific fascial structure that runs along the peroneal group, loops under the base of the calcaneus, ascends through the tibialis anterior, and spirals up the iliotibial band as well as the biceps femoris. This fascial structure can have dynamic effects on foot placement and pelvic rotation. When attention is given to this structure, along with the proven biomechanical dysfunctions, significant changes in movement can occur and pain relief can be significant.

40 Years of Healing Experience. Call Us Today: 805.681.1004

Dallmeyer Physical Therapy Treats Knee Pain of All Types