Posterior and Medial knee pain

[Canuck Physio]

Hi,

Have you examined all lower limb neurological signs and stress tests?
Dermatomes, Myotomes?

Regards

[Meagan]

i've checked the med,lat, ant and post drawer plus the mc murrary. myotomes and dermatomes are intake.

After doing trigger point release, his ankle pain subsided and was wondering if the two problems were perhaps not related? i've read just because mc murrary test does not indicate as positive it can not always be rules out? but i am still having difficulty with this case?

thank you Canuck

[Hallamshire Physiotherapy]

I would check his SLR and assess how he runs. Has he had a sudden growth spurt recently or does he sit slumped at a computer all day? From my experience patients blame thier sport but its usually what they do for the majority of the time that gives them the problem.ie sitting, standing


This does not sound like a primary knee problem and the referred pain is probably referred somatic pain from his spine (and hence no change in dermatomes.myotomes).
I am not a big fan of trigger points and think these are an indication of a problem elsewhere.

Steve
Hallamshire Physiotherapy