The knee problems are a major cause of disability in Western populations and affect patients of any age, sex or profession.
They are numerous and varied: pain, joint limitations amplitude, deposits, inflammation, structural damage to the menisci, cruciate and collateral ligaments, capsule and many more.
Very often, these symptoms do not occur in isolation but co-exist or even add up to discomfort in other districts.
Osteopathy is useful for all this class of problems because they are almost always the expression of a functional discomfort that actually involves the whole skeletal scaffolding.
Indeed in most cases, the knee is not even primary seat of dysfunctions but is forced to adapt to inconveniences present elsewhere, ie it must compensate for functional deficiencies localized in other districts.
Therefore, the osteopathic intervention is almost never targeted directly at the knee but is primarily aimed at rebalancing the global mechanics of the entire organism.
Here are to two example cases I dealt with and resolved.
The first case concerns a 63-year-old patient suffering from pain in his right knee especially in the act of going down the stairs and generally under stress.
Radiographic investigations had revealed a rather compromise situation characterized by meniscal and ligamentous as well as cartilage degeneration of the tibial plateau and joint effusion with a large cyst Backer.
Osteopathic examination showed a cranial adaptation twisted right with a restriction of the right temporal bone level, there was also a first-degree ptosis of the right kidney that appeared adherent to the psoas muscle.
The knee did not have inherent problems but had to adapt to these dysfunctions responsible for, among other things, an impairment of the dynamics of the sacrum.
Due to the failure in the course of time the knee had undergone mechanical erosion.
Osteopathic treatment has given an enormous benefit to the patient that, despite this impairment, has found a good mobility, greater agility and a total remission of pain.
In this patient the organic lesions of the tissues could not be the source of pain and related problems, but they themselves were a consequence of global dysfunction.
The second case concerns a young 19-year-old patient who complained of pain in his right knee under stress.
According to diagnostic imaging result there was a slight decrease in the patellar cartilage on the outer side, ipercompressione local index.
Cranial osteopathic examination showed a restriction at the spheno - squamous and right rotation of L5 to the left. The basin had a sacral torsion with an iliac compensation.
Also in this case the knee did not presented inherent problems in these conditions it could not work in a normal way.
The patient had tried to strengthen the vastus medialis muscle of the quadriceps, as it is often recommended in these cases, but had no results.
This is because the prior iliac art associated with internal rotation of the femur caused
an offset towards the outside of the quadriceps femoris muscle forcing the articular face of the patella to a compression on the external side.
In other words, the quadriceps muscle was not weakened but it was working on a non-physiological mechanical axis because, following the osteopathic lesions, its insertions were dislocated.
Therefore it was necessary to rebalance the dynamics of the basin and, consequently, of the lower limb.
After the osteopathic treatment the patient no longer had any problems..
These cases represent just some examples of how it is addressed and solved a problem with the knee of Osteopathy.
This is not to deny the usefulness of other therapies, especially in cases of serious injury to the tissues, but a long-lasting therapeutic approach cannot ignore a global rebalancing of the skeletal mechanics.
It is perfectly useless to repair the damage before removing the causes that produced them.