To work on a Knee, we would first check for subluxations in the low back, thighs, and pelvis. Then we would check a knee.
Click on those sections to see how extensive of an approach Chiropractic can be, to treat those areas. We don't have a low back page up yet. This site is new, still working on it. We will put it up because we want you to see what is involved in working with a low back. 14 muscles have to be worked on for a low back issue, along with checking for misaligments
The Knee can subluxate a number of different ways:
Tibia Anterior and Medial- There will usually be point tenderness (painful at touch) at the anterior aspect of the medial meniscus with this. One of the hamstring muscles (Semimembranosus) helps pull the medial meniscus posteriorly during knee flexion, to prevent meniscus impingment. So this muscle has to be addressed if this is the case.
Tibia Anterior and Lateral- There would be point tenderness over the front aspect of the lateral meniscus. The Popliteus muscle helps to pull the lateral meniscus posteriorly during knee flexion. This muscle unlocks your knee so it can bend. In our clinical experience, it is involved in 99% of knee problems. This muscle has to be addressed.
Tibia Posterior- There would usually be a dull ache in the back of the knee. There could also be pain below the knee cap spanning from one the inside of the knee to the outside.
Fibula Lateral- The Fibula is not weight bearing like the Tibia, but a lot of muscles needed for the leg and foot/ankle attach themselves to this bone. So, not needed for weight bearing, but needed for all those muscles to work. So, a very important bone. There will usually be a dull ache over the head of the Fibula (the top of the bone)
Patella (Knee Cap)- Since this bone is entirely suspended by muscle, we usually don't have to work with it. This is because we work on the muscles. But sometimes it needs some extra TLC. When it subluxates, it likes to go Superior Medially or Superior Laterally (the last one is the most common). This is a traction move.
This is a Tug of War situation where your Quadriceps and the Tibialis Anterior are on opposite sides of the rope, and your Patella is in the middle (the knot part). We can tell you real fast which muscle group is winning just by doing a quick check on them.
Additional Muscle, Soft Tissue Work:
Along with the 17 muscle stretches involved in working with the low back, we would also address the Adductor muscles (3 of them). In fact, in our clinical experience, the Adductor Magnus is involved in 100% of knee issues.
The Pes Anserinus bursa likes to drop down somewhat. This is in the anteriomedial aspect of the knee. 3 muscles come together at this region (Sartorius, Gracilis, and Semitendinosus). We gently push the bursa where it should be.
We would also address the Calf and Hamstring muscles. Especially looking at where the calf (Gastrocnemius) attaches to the hamstrings above the knee. This area has to be worked on in knee pain, in our opinion.
This is Muscle and Soft Tissue Work, along with adjustment. Every Chiropractor has techniques to deal with these issues. We are just sharing ours.
Pain that runs down side of thigh into lateral aspect of knee?
We would check your Tensor Fasciae Latae muscle, which then attaches to your Iliotibial Band, which goes into the lateral aspect of the knee. The Iliotibial band is really connective tissue (not a muscle) that runs down the side of the thigh.
We will have to check the Gluteus Maximus (the big butt muscle), because that muscle also attaches to this band. Therefore, your Gluteus Maximus influences even your knee. Which makes sense, The Glut Max is the main muscle that gives you propulsion. It would need to influence your knees to accomplish this task.