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Yael Grauer
07-26-2011, 03:52 PM
So I did something to my knee back in February, and went to a chiropractor for ART. He said it was not torn and just hyperextended.

Anyway, it's been months and I'm noticing that it's still not at 100% (strength-wise), and that it particularly hurts or feels numb after ART. Other times it feels about 90%, with no pain or numbness but a bit of stiffness/soreness from time to time.

I am going to an orthopedist to get an MRI (on the 8th) and rule out a possible ACL tear, since my chiro wants me to rule it out, but honestly it does not hurt and does not feel sore or anything around the ACL (though the articular cartilage feels a little tender).

I am just wondering if there's any way the ART could be doing damage. Is it possible that it is destroying muscle fiber in an attempt to realign fiber? Could it be affecting the integrity of neuro activation? Maybe not getting ART is exactly what I need.

Donald Lee
07-26-2011, 05:51 PM
I have never received ART and can't really tell what techniques they use to break up scar tissue.

But, if you hyperextended your knee, I don't see why you're getting ART for all these months. Hyperextending your knee doesn't directly damage muscle tissue. It most likely damages ligaments or other supporting structures. ART or any other soft tissue modality cannot get inside the knee joint to realign scar tissue, although myofascial work may be beneficial. Soft tissue work can be beneficial for addressing issues that arise from compensation patterns due to the injury (which may be beneficial for preventing aggravation of the injury or a re-injury down the road), but it won't directly aid in the healing of the damage in the knee joint.

Yael Grauer
08-08-2011, 09:46 AM
Well, I went to the ortho and she said I didn't need an MRI and definitely didn't have an ACL tear and didn't even need x-rays. She said it was a right patella subluxation and I just needed to increase strength and improve function.

It always feels worse when I get ART, but my chiro said that is because we are improving mobility within the tissue to reduce restriction which makes it feel loose and weak for a short period.

So just trying to decide whether to keep getting ART or not. TO me it feels like it is not helping.

Donald Lee
08-09-2011, 07:20 AM
I think for what you're dealing with, ART may not be that important. It sounds like you've got more of a physical therapy issue. Even though patellar tracking issues are common, there isn't a consensus on effective treatments. I think Steven should chime in.

Also, if you've been getting soft tissue work done for this long, you shouldn't still be feeling weak after the work. I'd prioritize the physical therapy over any soft tissue work.

But then again, you could have dislocated your patella. While sitting in a chair, put a hand over your patella and feel if it is tracking correctly as you flex and extend your knee. Also, with a loose/relaxed and straight leg, try to move your patella to the left and right, and feel whether it is looser to either side.

Steven Low
08-09-2011, 11:40 AM
ART is not needed for this type of injury

Strengthening the muscles in good movement patterns will beyour best bet

Yael Grauer
08-14-2011, 09:41 AM
But then again, you could have dislocated your patella.

A patella subluxation is a partially dislocated patella.

Yael Grauer
08-14-2011, 09:43 AM
Strengthening the muscles in good movement patterns will beyour best bet

Cool. Doing single-leg exercises and finally broke down and bought a copy of Bulletproof Knees.

I also got some massage the other day and the guy said I had the tightest hip flexors and knottiest IT band he's ever seen. Great. LOL. I'm going to break out the foam roller more often.

I think things are shifting, though.

Donald Lee
08-14-2011, 09:58 AM
Try self-massaging your glute max and TFL for your IT band issues. In a webinar, Thomas Myers stated that recent fascia research indicates that the IT band is too strong for manual therapists to be able to directly affect, and he stated that IT band work usu. just works the vastus lateralis.

I haven't looked much into it myself, but I trust Myers' stuff.

Steven Low
08-14-2011, 10:33 AM
Try self-massaging your glute max and TFL for your IT band issues. In a webinar, Thomas Myers stated that recent fascia research indicates that the IT band is too strong for manual therapists to be able to directly affect, and he stated that IT band work usu. just works the vastus lateralis.

I haven't looked much into it myself, but I trust Myers' stuff.
Well, IT band doesn't stretch much anyway cause it's dense connective tissue. Can't really do much to the compartments of the leg, and to a lesser extend the forearm either. If you're targetting anything in the leg or forearm it's usually going to be the muscles via various techniques.

So yes, working the IT band itself tends to mostly work VL underneath of it.

Glute max and TFL work do affect IT band the most since they insert into it so yeah... it's just logical.