resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.