The technique of "Unmasking and treating the underlying problem":
This technique is being explained for the first time. It is a source of new hope for the patients, and gives promising results. It also gives us the clue and the knowledge of a new etiology for the symptom of Pain Knee Joint. Clinically our work has proved that the pain knee is due to lesions that are outside the joint and the aging process has nothing to do with it. These lesions may appear as early as 35 years of age and are invariably found in all those cases of Osteo-arthritis knee joint that clinically present with Pain Knee. Why these lesions develop is a question yet to be answered, but anyway they are well demarcated, identifiable and severely tender on deep palpation. These lesions when treated give complete relief to the symptom of Pain Knee, thus certain other treatment modalities would be required to be postponed, till the time that the patient escapes any benefit from this new technique.
However a big task is still lying ahead. This new algorithm needs to be authenticated and standardized by designing bigger treatment models. Their results evaluated and follow-ups carried out. Till date this new algorithm only gives us a clue of the etiology of pain knee and a new possible treatment technique.
Trigger spots identified around knee joint are as under:
1. Above the joint on the medial side it is on the Adductor Tubercle, possibly the insertion of Adductor Magnus (Fibro Osseous Junction).
2. Higher up on the tendons and ligaments in the same line on the medial side. May be these are tendonitis or with associated underlying Bursitis.
3. On Lateral side it is on the origin of the Gastronemius lateral head (Fibro Osseous Junction).
4. Higher up on the tendons and ligaments in the same line on the Lateral side. May be these are tendonitis or with associated underlying Bursitis.
5. Underneath the upper border of Patella (this is very rare).
6. On the medial aspect of the joint upon Tibial Collateral Ligament ( Pes anserine bursa).
7. On the Dorsum above the popliteal fossa.
The first and the third points are invariably found in all the cases presenting with Pain Knee joint. Rarely a patient may have only one of them. These points are basically causing the main symptom of pain as we clinically see in our everyday practice. Why these sites are more prone to develop these pathological changes is a very important question that needs to be answered.
However other questions that are looking forward towards us for explaining the etiology and pathogenesis of this disease are:
What in particular is the pathology at these sites?
Why are certain people more prone to develop these changes while others are not?
Can these be prevented?
Are these posture related?
Having identified them what are the most effective options to treat them?
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