RE: [RC] Knee pain helped by massage - SHEILA A WALSH
Bruce,
I had a deep tissue massage therapist work on my ilio-sacral muscles, as diagnosed by my chiropractor, and that helped my knee pain tremendously. That and stretching. Now I go to her on a regular basis and I can ride for hours on end without better living through chemistry.
Sheila
> Date: Wed, 25 Mar 2009 06:36:19 -0700 > From: bweary@xxxxxxxxxxxx > To: Ridecamp@xxxxxxxxxxxxx > Subject: [RC] Knee pain > > Hi Cheryl-- > You have an interesting problem in your bilateral keen pain. The pes > anserine bursa (trivia: "pes anserine" means "goose foot," referring to > the appearance of the bursa resembling a goose's foot) is located below, > in front and to the inside of the knee. It lies under the tendon > attachments for the hamstring and adductor muscles. (Adductors are the > muscles inside the thigh that keep you on the horse when he shies. :>) > I'm not sure how your problem started, but I would stay away from any > further injections. Steroids can be very useful, but they have a > downside, in that they can actually impair healing, or cause tissue > destruction if used too much. Gentle stretching of the hamstrings, foot > and hip joint manipulation, and possibly wearing orthotics may help. The > knee is a great compensating joint, in that problems in the hip or foot > are often compensated for in the knee. This often sends us doctors on a wild > goose (foot) chase, since the pain may be in the knee, but the origin of > the problem lies somewhere else. > The trick in diagnosing joint pain is recognizing which pain sensitive > tissue the pain is coming from. In your knees, you would have to rule > out pain coming from the joint capsule, the medial collateral ligament, > the various bursae, the patellar tendon, the coronary ligaments (which > hold the cartilage in place and are the main source of pain in torn > cartilage) the tendons of the various adductors and the hamstring and > the periosteum (which is the pain sensitive covering of the bone). > I suppose an MRI might be done, of your knees, but unless you have > significant known osteoarthritis, it probably wouldn't yield much useful > information, if the pain is indeed coming from the bursa. I suspect your > problem involves pain or dysfunction coming from more than one tissue. > I would try a really good chiro who is trained in lower extremity > diagnosis and treatment. Not easy to find. Good luck. Bruce > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= > > Ridecamp is a service of Endurance Net, http://www.endurance.net. > Information, Policy, Disclaimer: http://www.endurance.net/Ridecamp > Subscribe/Unsubscribe http://www.endurance.net/ridecamp/logon.asp > > Ride Long and Ride Safe!! > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= >
