Common knee ortho
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| IT Band pain is mainly where and why? | On the lateral portion of the knee (or hip) due to the abnormal friction and pulling on the lateral condyle of the femur (or greater trochanter)
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| What are the three main muscles involved in IT band syndrome if left untreated | TFL, glute Max and IT band.
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| What is the typical western tx for IT band syndrome. (Acute) | Rice (acute) anti-inflammatory medication (acute).
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| What is the typical Western tx for IT band syndrome (chronic) | Heat (chronic) Massage(chronic)
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| What type of athlete will usually have IT band syndrome. | Marathon runners
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| What is the typical ortho acu tx for IT band syndrome | Perfusion tx. Ear shen men, ear knee. Distal pints (GB 42, SJ 3). GB 29 (MP TFL), GB 34, GB 31 (wind pint), ashi pints x 4 (threading behind the IT Band), Glute Max MP
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| What percent of the Glute Max connects to the TFL | 70%
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| What is the Glute max MP | 6 inches lateral from S4 And 1 inch distal
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| A sprain usually occurs with | Ligaments.
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| A strain usually occurs with | Tendons/muscles
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| Medial collateral ligament sprain | Medial knee pain due to trauma from the outer part of the knee (football tackle). The impact causes the femur and tibia to gap and that lead to a SPrained MCL
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| Indication of MCL | Pain on the medial portion of the knee, swelling and tenderness upon palpation. If the SPrain is significant, than there might be instability in the knee
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| If a patient indicates pain on the medial side of the leg around live 8 it could indicate | MCL sprain
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| What is the typical western treatment for MCL sprain | RICE. Immobilization. Anti-inflammatory medication.
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| Typical ortho acu tx for MCL sprain | Perfusion tx. Ear shen men, ear knee. Ashi points threading the medial joint line. MP of the vastus Medialis (3 inches up 1 medial). Distal piknts (Sp 6), extraordinary vessels.
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| What is the main point for hamstring disharmony | Kid 10
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| What is the man channel for adductor problems | Liver channel
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| Patello femoral pain syndrome | Knee pain typically located under the patella especially when walking DOWN HILL or SITTING for long periods of time
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| What causes patellofemoral Pain | Due to patella not tracking properly over the femur. This leads to inflammation under the patella.
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| If not addressed what can patellofemoral pain syndrome lead to | Chondromalacia patella
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| What is the typical western tx for patellofemoral pain syndrome | Rest reduce exercise intensity. Anti- inflammatory medication.
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| Where would a patient indicate pain for patellofemoral pain syndrome | On the knee crepitus is usually present when px moves knee
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| What is the typical ortho acu tx for patellofemoral pain syndrome | Perfusion treatment. Ear shen men, ear knee. Distal pints. Vastus medialis MP, xi yan, St 36. Secondary modalities should focus on loosening the outer quads.
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| Where is the vastus medialis MP location. | 3 inches up and 1 inch medial
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| What is pes anserine bursitis | Synovial fluid filled sac that causes medial knee pain espically in LONG DISTANCE RUNNERS
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| What are the muscles are usually HYPERtonic in Pes Anserine Bursitis | Gracilis (liv), sartorious (Sp), simitendinosus (Kid). The increase pressure and movement lead to inflammation.
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| Where does the px indicate pain for Pes Anserine Bursitis | Pain around the medial side of the knee around Sp 9
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| What is the western tx for Pes Anserine Bursitis | RICE. Rest. Anti-inflammatory medications
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| Where is the Pes anserine Bursa located | 1 up and 1 inch anterior to Sp 9
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| What it the typical orthopedic acu tx for Pes Anserine Bursitis | Perfusion tx. Ear shen men, ear knee. Distal points (Sp 6). Surround the dragon (4 needles in a square around the bursa) connects the wires - then +, - then +. (And so on 4x total)
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| What should you never do to a bursa | Never cup needle or gua sha the bursa.
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