resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
April, 2003, Vol. 03, Issue 04
Tendinitis Masquerading as Knee Joint Pain
By Ben Benjamin, PhD
Question: Which muscle tendon units often masquerade as medial, lateral or posterior knee ligament or joint injuries?
Answer: c - semitendinosis, semimembranosis, biceps femoris and gastrocnemius
The semitendinosis, semimembranosis, biceps femoris, popliteus and gastrocnemius are the muscle tendon units responsible for knee flexion. The semitendinosis and semimembranosis are located on the medial aspect of the knee, while the biceps femoris is located at the lateral aspect. Collectively known as the hamstrings, they work together to flex the knee. The superior portion of the gastrocnemius muscle tendon unit, located at the back of the knee, and the popliteus muscle also assist in the initiation of knee flexion.
All of these tendinous attachments may become injured and give rise to a confusing type of knee injury. Pain felt medially, just posterior to the medial collateral ligament, may mean injury to the semimembranosis has occurred; pain at the medial upper tibia, or slightly behind the medial aspect of the knee in the tendon body, may indicate hamstring tendinitis of the semitendinosis; and pain at the head of the fibula, or slightly superior, may be caused by tendinitis of the biceps femoris.
Since this tendon attaches to the fibula head (the same bony prominence the lateral collateral ligament is attached to), it can be difficult to differentiate these injuries unless the practitioner is skilled at testing both ligaments and tendons. Superficial pain felt directly behind the knee may be caused by strain of the popliteus muscle or the gastrocnemius muscle at its broad upper tendon attachment.
Bear in mind that when a tendon is injured, no swelling or limitation in flexion and extension of the knee occurs. Swelling at the knee usually indicates a ligament injury, or injury to some structure within the joint capsule, such as the medial or lateral meniscus.
Continuing to educate ourselves in the most current information is vital in helping our profession grow in skill and stature. Identifying if a client has a superficial tendon or ligament injury (which can be treated with myofascial or friction massage techniques) is an important part of a therapist's education. On the other hand, trying to treat a client with knee pain caused by torn cartilage or a cruciate ligament tear (for which hands-on therapy will not help) will leave the client confused, frustrated and disappointed. Treating the wrong structure because of limited knowledge is an all-too-common error.
I continue to learn, and encourage you to do the same.
Click here for more information about Ben Benjamin, PhD.
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