Bucek Daniel W
Bucek Chiropractic, Batavia, Illinois.
J Chiropr Med. 2019 Sep;18(3):236-241. doi: 10.1016/j.jcm.2019.07.006. Epub 2020 Aug 21.
The purpose of this case report is to describe the chiropractic management of a patient with knee pain stemming from pelvic imbalance.
A female patient presented to a chiropractic clinic with ongoing anteromedial knee pain whenever she walks. The patient reported being unable to walk a half mile without her knee feeling like it would "give out."
The patient received 5 treatments focusing on the pelvic imbalance and reduced muscle strength discovered in the patient's initial evaluation. Chiropractic manipulation of the sacroiliac joint, kinesiology taping, and gluteus medius exercises were administered. The Verbal Rating Scale, muscle strength assessment, and orthopedic evaluation measured the patient's progress. After 5 treatments the Verbal Rating Scale went from 8 to 1 and gluteus medius strength scored 5 of 5.
The patient in this case reported resolution of her knee pain after 5 treatments over the course of 10 days. The patient reported no pain while walking nor while performing other activities of daily living. Although this is one case, correcting pelvic balance via conservative measures resolved the knee pain. Implementing therapy proximal to the complaint may be a viable option for patients with knee pain.
本病例报告旨在描述对一名因骨盆失衡导致膝关节疼痛患者的整脊治疗。
一名女性患者前往整脊诊所,自述每当行走时都会出现持续的膝关节前内侧疼痛。患者称,若行走不到半英里,膝关节就会感觉“发软”。
患者接受了5次治疗,重点针对在初次评估中发现的骨盆失衡和肌肉力量减弱问题。治疗包括对骶髂关节进行整脊手法治疗、应用肌动学贴扎技术以及进行臀中肌锻炼。通过视觉模拟评分法、肌肉力量评估和骨科评估来衡量患者的进展。经过5次治疗后,视觉模拟评分从8分降至1分,臀中肌力量评分为满分5分。
该病例中的患者在10天内接受5次治疗后,膝关节疼痛症状消失。患者表示行走时及进行其他日常生活活动时均无疼痛。尽管这只是一个病例,但通过保守措施纠正骨盆平衡可缓解膝关节疼痛。对于膝关节疼痛患者,在疼痛部位近端实施治疗可能是一种可行的选择。