PGM??
----- Original Message -----
From: "Hamish Ashton" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, March 02, 2005 1:53 PM
Subject: Re: Lateral knee pain!
> Hi Nabil
> I have found over the last couple of years that those with tight ITB's
> leading to lateral knee pain have a dominance of TFL activity over PGM. By
> encouraging PGM activation though sidelying bent knee external rotations
and
> pelvic tilts with PGM activation, and small knee bends with directional
> control this ususally decreases ITB tension much faster than trying to
> stretch the ITB. If you do acupuncture you can also use motor point or
> trigger point releases to the TFL and/or GB31 to help as well
> Hamish Ashton MHSc
> Physio
> NZ
> ----- Original Message -----
> From: "nabil keshavjee" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, March 02, 2005 2:54 PM
> Subject: Lateral knee pain!
>
>
> > Hi All!
> > A case I hope you can all help me with in regards to
> > treatment, and possible other diagnosi.
> > Female, 40s, came in with lateral knee pain. Pain has
> > been getting worse, and started about 5 months back.
> > Started during her runs, and gradually she had to
> > reduce her runs distance wise. She is now at a point
> > where walking even aggravates the pain. Pain is very
> > irritable. Aggravated with stairs, running, rising.
> > No real easers, other than rest. Although she feels
> > she is unable to find a comfortable spot for her knee,
> > and needs to move it.
> > No locking or giving way.
> > Repeated lumbar movements (flexion/extension), do not
> > provoke pain. Any knee movement does.
> > Valgus/Varus Stress Tests were negative. ACL/PCL
> > drawer were negative. At this point was very sore, so
> > meniscal tests were painful, but no locking or
> > increase in pain.
> > On palpation, very tender only ITB insertion, and
> > along band.
> > I would assume this ITB, but am stuck due to the
> > irritablity. I have used only pain relief
> > modlalities, with limited results. Have thought of
> > possible orthotics (destress ITB) but her feet look to
> > be doing pretty good.
> > Any helpful hints would be greatly appreciated.
> >
> > Nabil K.
> >
> > ______________________________________________________________________
> > Post your free ad now! http://personals.yahoo.ca
> >
> >
>
>
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