back of knee pain

[clarett]

Hi
He's doing
-v.m.o in sitting
- SLR with hip lat rotation
- knee F against resistance in sitting
- gastroc against resistance

His muscles are really strong bilaterally. It's just that the right is slightly weaker than the left.

[karen.hankey]

When I suspect meniscal damage I usually find that squats with correct alignment help.

You might find WB strength exercises help as thats when you will have increased pressure on the meniscus.

Hope that helps

[okphysio]

Hi Clarett,
Have you had a look at his calf length. The medial head of the gastroc does have a small attachment to the MM. I have found in the past that a calf release technique and relavant stretches are often quite helpful. I also agree with Karen with alignment exercises. Has he had any xrays done? If there is degenerative changes then it may be a matter of modified rest until his swelling reduces. Hope this helps

[clarett]

Thanks very much - we'll have a go.
okphysio - what do you mean by a calf release technique? He did get v. occasional pain but more in the lateral head of gastroc not the medial.
He hasn't had any x-rays done and won't have any done for the meantime (at least 1-2 months) and there's no history of swelling.
No active trigger points in the calf or foot.