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Naturopathy: knee pain - connections and treatment options: Due to its architecture and the daily weight loads, our knee is an area on our body in which many people complain about pain.
In contrast to the shoulder, the knee has to keep our body weight constantly while standing and walking. For this purpose, the joint bodies of the thighs and lower legs are not particularly well shaped for one another and must be stabilized by many ligaments on the knee, which then often cause complaints. In order to compensate for the inequalities between the joint partners, there are two menisci, crescent-shaped cartilage discs in the knee, which have to withstand high loads and are often involved in knee complaints.
Connections of the knees with other structures The supplying nerve of the knee (nerve femoralis) comes from the lumbar spine and has to move between two parts of a muscle through the hip flexor (M. Iliopsoas). This muscle is often shortened due to our much sitting and lack of movement. Knee pain that occurs after getting up or completely without mechanical stress and that cannot be explained or treated by imaging methods - in which a nerve clamp-off is assumed here. In osteopathy, this muscle is also called "the body's garbage dump". This is due to a dump in the biochemical sense and its immediate spatial proximity to the intestine. It is assumed that if the contents of the intestine remain for a long time, toxic or irritant substances pass through the tissue at certain points and irritate the hip flexor and surrounding nerve connections.
Another component that led to the formulation of the “dump” is one in the emotional sense. The hip flexor is closely linked to the diaphragm. A tension in the diaphragm (fixation in the inhalation position) can constantly exert tension on it. The tension in the diaphragm can arise, for example, from holding on, if the affected person finds it difficult to redeem after personal fatal blows or other individually stressful factors. Because the diaphragm is the first structure that contracts quickly when you sob. This mechanical connection is the best explanation as to why an acute outbreak of these emotions sometimes occurs when the hip flexor is mechanically stretched, and why this can also affect indefinable knee pain.
What is done for knee pain? Knee pain is usually easy to isolate or diagnose using manual (orthopedic) tests. The most affected structures in the knee (menisci, side ligaments, cruciate ligaments, kneecap) can be clearly distinguished from one another by the tests. More precise diagnostics, if necessary, can then be carried out using imaging methods.
Although nowadays in the medical business with invasive interventions in the knee extreme restraint is shown. Since joints are basically a poor and difficult structure to be supplied by our organism in relation to the immune defense, interventions here always harbor the risk of pathogens penetrating. The danger of multi-resistant pathogens such as MRSA (multi-resistant Staphylococcus aureus), which often occurs in the medical field in Germany, could offer a possible reason for non-invasiveness. Another simple reason is that the problems on the knee, if not a massive damage has been found, sometimes take care of themselves after a while and a surgical intervention does not always guarantee an improvement.
However, surgical care has taken a giant step in the area of the cruciate ligaments. Most of the old structures are now left standing and are only sewn together. Holes are then drilled in the thigh so that bone marrow cells can run down and dock on the cruciate ligament structures. They are able to form new cells that are also able to work receptorily.
Manual treatment of knee osteopathy, FDM, Rolfing, etc. In an osteopathic treatment of the knee, its everyday or athletic stress is looked beyond the knee. The American scientist Professor Serge Gracovetsky was able to impressively prove that our legs are only an extension of our spine. That means how we move, how the load is distributed in the knees also depends to a large extent on the spine and the transmitter, the pelvis. This is taken into account in an osteopathic view of the knees in order to be able to influence the knees in principle and for the future in terms of positive development. In addition, the connections to nerve supply and the hip flexor and its surrounding structures mentioned at the beginning are also examined.
The foot, which can influence knee strain with possible deformities (hallux valgus, splayfoot, etc.), side differences and restrictions on movement, is of course also involved in diagnosis and treatment.
A similar approach is used in Rolfing. Here, even more attention is paid to the overall posture and the influence of the fascia tissue in the treatment.
In the fascia distortion model, the pain-inducing movements and movement restrictions are diagnosed using movement tests and body language and treated accordingly. For some of those affected, unspecific mobilization often helps. It can be assumed that, for example, the menisci with small lesions can slide properly again after mobilization, so that the change between flexion and extension can again be unproblematic.
Alleged arthrotic complaints of the knee can also be relieved by simple mobilization. Possibly through improved transport of synovial fluid and relaxation of the joint capsule. The so-called Baker's cyst, a bulge of fluid in the hollow of the knee, can also disappear. It often forms when there are knee problems. If it is quite large, it can hinder bending, but otherwise it is usually symptom-free. It is believed that improved fluid transport can make the cyst disappear.
Since findings from imaging procedures often show no connection to the complaints of those affected, it usually makes sense to undertake non-invasive treatment in these cases. (Thorsten Fischer, non-medical practitioner osteopath 25.01.2010)
What is osteopathy
Fascia- a neglected structure