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Hello,
I have a pt. 4 mos. post op tibial plateau fx. He had to undergo a knee joint manipulation due to impaired knee flexion ROM. Currently, he complains of medial knee pain with knee bending at end ROM. So i have needled the hamstring and adductor with STIM with no notable change in knee ROM and symptoms. He also have limited knee extension. Any ideas are truly appreciated. ( I have been doing knee joint mobilizations as well). Thank you.
C. Johnson
Hi Christine!
Interesting case for sure. Have you tried needling the quads? Maybe L3/ L4 spinal segment? Primary passive trigger points for the LE for sure (not sure if you know those from Foundations? But the IT band, common peroneal, deep peroneal, saphonous, tibial.
Check out the Dunning paper from 2018. Even though he is not an OA patient, may give you an idea. I would try this and see if it is helpful from a pain standpoint.
Just some thoughts. Keep me posted!
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