Paul thanks for your contribution. I was thinking more of the knee and ankle area.
I take it from the dearth of takers on this one that there is little evidence for this situation and that we all rely on the two explanations I put forward.
Any takers on this one?
Neville
Neville Parker
Senior I Poditrist
Podiatry Department
Therapy Unit
Royal Bolton Hospital
Minerva Road
Farnworth
BL4 0JR
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry on behalf of Paul Conneely
Sent: Thu 03/11/2005 04:00
To: [log in to unmask]
Cc:
Subject: Re: clicking cracking...cavitation?
Desar Dave et al
I have now just posted how to stretch the psoas.
see
www.musmed.com.au and it is on the left hand slider.
Regards,
Paul Cnneely
> Paul
>
> What is a good illio psoas stretching exercise that the average 50-70yr old
> could do at home?
>
> Dave Smith
> ----- Original Message -----
> From: "Paul Conneely" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, October 28, 2005 3:24 AM
> Subject: Re: clicking cracking...cavitation?
>
>
> > Neville
> >
> > The commonest cause of a hip cracking sound is a taut psoas tendon hitting
> > the
> > pubic bone after falling off the anterior part of the hip capsule. The
> > muscle
> > is so taut that it cannot stretch fast enough and thus tenses and gets
> > caught
> > on the anterior part of the hip capsule. Eventually the tension causes it
> > to
> > move and hit the pubis.
> >
> > This can be felt by palpation of the psoas tendon in the abdomen or seen
> > on an
> > ultrasound.
> >
> > The treatment is psoas lengthening. The most common dysfunctional muscle
> > outside the quadratus lumborum I see. I would say that almost 100% of back
> > pain
> > have a psoas involved somewhere in th dysfunctional kinetic chain.
> >
> > Regards,
> > Paul Conneely.
> > www.musmed.com.au
> >
> >> Parker,
> >>
> >> In the ankle region it is ususally the peroneal tendons slipping out of
> >> its groove. Less commonly is the extensor digitorum longus slipping over
> >> the lateral head of the talus. These conditions are brought about by a
> >> decrease of integrity of the fascia/retinaculum. Move the foot around
> >> and place your fingers over the appropriate area, and you will feel the
> >> snap.
> >> The snapping in the knee can be either a plica snapping over the femoral
> >> condyle ( most commonly on the superior medial patella region), or the
> >> iliotibial band snapping over Gerdy's tubercle.
> >>
> >> Regards,
> >>
> >> Stanley
> >>
> >> Parker Neville wrote:
> >>
> >> > Dear Colleagues,
> >> >
> >> > I have a question regarding the high pitched clicking and cracking
> >> > that occurs in knees, ankles and other joints. After having attended
> >> > a course on manipulation I am not talking about the pop or cavitation
> >> > of a joint. Neither am I talking about the thud or clunking that may
> >> > occur in a hip when circumducted into strange positions.
> >> >
> >> > As a long time sufferer of completely asymptomatic clicks and cracks
> >> > at the ankles and knees, I have on every opportunity asked physio's,
> >> > other podiatrist and knee specialists, but don't have a definitive
> >> > answer. Can anyone enlighten me?
> >> >
> >> > I have come across flowery explanations such as "Oh it's air in the
> >> > joint", or "The noise occurs when tendons 'flick' over each other".
> >> > Nothing concrete and I am none the wiser.
> >> >
> >> > I have had young patients with the complaint recently come to see me
> >> > with concerned mothers worrying if the child will get arthritis later
> >> > on in life. What do others tell patients? I have just fallen back on
> >> > the above explanations and said "I'm doing okay, so it's nothing to
> >> > worry about". I have nothing better to refer to and if anyone can
> >> > point me in the right direction I would be most grateful.
> >> >
> >> > Until then, I won't take up robbery as a side profession as I make a
> >> > hell of a noise climbing stairs!
> >> >
> >> > Thanks, in anticipation
> >> >
> >> > Neville
> >> > Neville Parker
> >> > Senior I Poditrist
> >> > Podiatry Department
> >> > Therapy Unit
> >> > Royal Bolton Hospital
> >> > Minerva Road
> >> > Farnworth
> >> > BL4 0JR
> >> >
> >> >
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