There are various causes for knee pain. But Integration Massage provides knee pain relief!
Knee pain can be from recent or old injuries, sports, arthritis or even surgery. Ortho-Bionomy®, neuromuscular and myofascial therapy and massage are effective for some knee conditions. However, some conditions require doctors or physical therapists.
I will take your history and do a thorough assessment. Then I watch you move, and ask where it hurts. Finally, I palpate areas around your knee, so I can find out what creates the pain and what can relieve it.
Kinds of knee pain, and how I bring relief:
→Is it just knee pain, or also ankle instability?
Many people with knee pain have an old ankle injury. You might have sprained your ankle in childhood and ignored it ever since. Or it might be unstable from repeated sprains. You may even have no sensation at your ankle, but you find it tends to roll under when you walk on uneven ground. Without realizing it, the chronic instability may contribute to your knee pain.
Or, perhaps you only feel the pain in your newly twisted knee, and you come to me for detective work. For more details, see my post, Sprained Ankle Still Bothering You?
→Muscle pain or tightness?
A principle of Ortho-Bionomy® is to move in the direction of ease or comfort. So I will find the direction of ease for leg muscles and tendons around the knee until your body releases the tightness. When the first area is complete, I will go on to other areas of tightness until the knee pain is resolved. (See Alison Zuber’s Ortho-Bionomy®: To Find Balance)
→Recent sports or athletic injury?
Doctors used to recommend the RICE method–Rest, Ice, Compression and Elevation. But that is changing. Current research encourages you to move your knee as soon as possible, to increase circulation and prevent stiffness (see, Rethinking RICE). Come see me after the swelling is down.
→Knee sprain, a.k.a. ligament injury?
A sprain is an injury to a ligament, the small dense tissues that help to stabilize a joint. Knees have many ligaments. Each has specific functions and directions of movement. When you have injured one, various muscles may tighten to limit movement and prevent further injury.
So I will examine your entire leg for muscle tightness or guarding. Then I will zero in on the area where you have the most tenderness. However, a serious injury such as a complete tear of ACL, MCL or LCL requires a physician’s expertise, and you probably wouldn’t be seeing me first!
A bursa is a fluid-filled sac. A synovial bursa protects tissues such as bone, muscle and tendons, around a joint. It decreases the friction of rubbing as these tissues move against each other.
Although synovial fluid lubricates joints, a synovial bursa can sometimes become inflamed. The most common causes of knee bursitis are frequent kneeling, sports, or impact from a fall.
More than one bursa may even be inflamed! Depending on which bursa you have injured, gentle massage and Ortho-Bionomy® can be effective. Treatment may take two weeks to two months.
→Osteoarthritis of the knee?
Movement and massage have helped knee pain from osteoarthritis. One research study showed that over eight weekly visits, patients showed “significant improvements in pain, function, and global response” (Massage Therapy for Osteoarthritis of the Knee: a randomized dose-finding trial).
Massage and movement exercises can also help you at home: Effects of Self-Massage on Osteoarthritis of the Knee. Those participants improved in such measures as walking, standing, overall physical function and decreased pain and stiffness.
Integration Massage aims to have you experience these same benefits.
I start by encouraging your muscles to relax. Ortho-Bionomy®, neuromusclular release and massage are effective for relaxation. Next I apply gentle movement to lubricate the joint, stimulate synovial fluid and decrease inflammation. Afterwards, I teach you to continue the treatment at home so that your symptoms continue to improve.
If you indicate pain in the area of the meniscus, I assess how you move. Depending on what I notice, you may need to see a physician first.
Perhaps your doctor has already diagnosed a meniscus tear and said you don’t need surgery? Then I can treat you. The goal will be to relieve your knee pain, improve pain-free movement and increase circulation.
→Post-surgical knee pain?
Depending on when you had the surgery, and what you had the surgery for, I may ask you some questions: Was it a knee replacement? Was it surgery for tibial plateau fracture? Do you still have pins in it? And, are the pins bothering you?
Or, was the surgery for a meniscus tear or ligament reconstruction? Does it get more painful after you have put weight on it and are walking for a while, or climbing stairs, or when you sit still for a while? Is there still swelling? Are you still getting physical therapy?
I have had training in post-surgical treatment of knee pain, but I recommend you complete most of your physical therapy first. For total knee replacement, I find where you are in this timeline: Total Knee Replacement Surgery Rehabilitation Timeline.
What will it take to jump for joy again?
Because of the complexity of the knee, and the many possible causes of knee pain, I cannot tell ahead of time how many sessions it will take. I can bill your insurance, if you have a medical diagnosis, if your insurance includes massage therapy, and if you bring a prescription.
Please call with any questions: 503-708-2911. Or schedule an appointment using the purple “Appointment ” button for a time of your convenience.
Ortho-Bionomy® is a registered trademark of the Society of Ortho-Bionomy International, and is used with permission.