Part 1 of our fearful knee patient is here. I have since followed up with her twice and here are the results.
Follow up results
- The patient had borrowed my large mirror box over the weekend and was able to hold it herself while she did mini-squats
- she did about 30-40 3-4 times/day
- She had not worn her knee brace in 4 days, except to workout
- piloxing (not sure exactly what this entails, but my imagination runs wild with it)
- TRX, which increases her stability and decreases her anxiety and allows her to bend her knee past 30 degrees in WB
- she has much less crepitus, pain and anxiety, but now has medial knee pain
- observation of mini lunge and mini squat shows medial knee tracking
- instruction of knee going over the 2nd toe reduces knee pain, but causes mild aching in lateral knee
- this was abolished with EDGE Mobility band wrapping above and below the patella
- adding mobilization with movement posterior talar glide and tibial IR enabled her to bend in each activity to at least 40 degrees without fear, anxiety or pain
- IASTM was performed to the lateral upper and lower LE patterns and MWMs to the hip and ankle were also performed again
- HEP was progressed to watching herself in a mirror and checking her knee tracking
- gluteus medius strengthening was also demonstrated and performed correctly from instructions last week
- next week plan on looking at rolling patterns
More to come after this week's treatments!
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