How To Treat Knee Pain? The Mechanics -- Part 1

#kneepain #sciatica #lowbackpain #chiropractic #carolstream
Where is the pain?

Is it Sciatic? Or an Acute Proximal Tibiofibular Joint Dislocation: a sports related injury?

Proximal tibiofibular joint (PTFJ) dislocation is a rare injury, accounting for less than 1% of all knee injuries. The mechanism of this injury is usually a 'twisting' related mechanism. Diagnosis is largely clinical, but the findings may be subtle. This condition may be easily missed. It is thought that there is an underestimated prevalence of this condition due to misdiagnosis as radiographs are not always clear.

The mechanism of injury is often a twisting of the knee with inversion and plantar flexion of the foot with simultaneous knee flexion and external rotation of the leg. It occurs usually during sports activity, or more rarely, following direct high-energy trauma to the knee.

This condition was first described in 1874. There are four types of PTFJ injuries: type I—subluxation (atraumatic, excessive joint mobility with no dislocation); type II—antero-lateral (85% of all cases, usually during sports); type III—postero-medial [10% of all cases, usually related to direct trauma to the knee]; type IV—superior dislocation (rare, usually related with fibular head fractures or high-energy trauma).

Diagnosis is essentially clinical, supported by high suspicion when the mechanism of injury is known. Most common signs and symptoms are acute lateral pain exacerbated by manual pressure over the fibula head, associated with visual asymmetry of the lateral compartment of the knee.

Peroneal palsy is rare, but transient common peroneal injury is often associated with types II, III and IV. Inferolateral dislocation of the PTFJ is usually associated with popliteal artery transection as the anterior tibial vessels and the anterior peroneal vessels pass through the oval apertures in the superior and distal aspects of the interosseous membrane. Associated tibial or fibular head fractures in patients with polytrauma are rare, but because of its rarity this entity may easily go unnoticed.

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Dr. Jawad demonstrates the mechanics of this injury.

How To Treat Knee Pain --- The Treatment:
   • How To Treat Knee Pain? The Treatment -- P...  

See the full video:
How To Treat Knee Pain?
   • How To Treat Knee Pain?  

Dr. Jawad is a Board Certified Chiropractic Neurologist and Acupuncturist. He also is a Diplomat for the American Chiropractic Neurology Board, Fellow of the American College of Functional Neurology as well as Fellow of the International Academy of Medical Acupuncture. He is a Certified Functional Medicine Practitioner. Dr. Jawad's functional medicine in nutrition practice is an outgrowth of the increasing need for natural healthcare solutions which is evident throughout the area.

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DR. JINAAN JAWAD
D.C., DACNB, FACFN, FIAMA, CFMP

Dr. Jawad is a Board Certified Chiropractic Neurologist and Acupuncturist. In addition, a Diplomat for the American Chiropractic Neurology Board, Fellow of the American College of Functional Neurology as well as Fellow of the International Academy of Medical Acupuncture. He is a Certified Functional Medicine Practitioner.

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