Knee Pain

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7 Ratings

Knee Pain

This 23 minute video is in three parts:

0:00    Anatomy of the Knee
1:13    Assessment
10:18  Treatment


The video shows the ligaments of the knee.

Muscles that act on the knee are:

Quadriceps - Knee extension
     Rectus femoris - hip flexion,knee extension
     Vastus lateralis - knee extension, pulls patella laterally
     Vastus intermedius - knee extension
     Vastus medialis - knee extension, pulls patella medially - distal fibers (Vastus Medialis Obliqus) help with last 15 degrees of extension

     Semimembranosis - hip extension, knee flexion, internal tibial torsion
     Semitendonosis - hip extension, knee flexion, internal tibial torsion
     Biceps Femoris - hip extension, knee flexion, external tibial torsion

Gastrocnemius - Knee flexion

Tensor Fascial Lata, Gluteus Maximus - through Iliotibial Band will help cause lateral torsion

Sartorius, Semitendonosis, Gracilis - these three muscles cross at the medial side of the knee and attach at the pes anserinus (goose foot) area of the tibia. They help to give stability to the medial side of the knee. These three muscles come from three widely separated orgins on the three bones of the innominate (ilium, ischium and pubis) so they can act as inverted guy wires to stabilize the medial knee. Their common attachment on the medial tibia reminded early anatomists of a goose foot, so thay gave it the name pes anserinus, which is latin for goose foot.

Polpliteus - originates on the lateral femoral epicondyle and inserts on the posterior surface of the tibia. It can help to flex the knee and rotate the tibia internally.

Plantaris - originates on the lateral supracondylar ridge of the femur. Its has a long tendon that goes down the medial side of the soleus muscle and merges into the achilles tendon. It helps to flex the knee.



1:44 Medial Collateral Ligament - Valgus Stress Test
3:12 Lateral Collateral Ligament - Varus Stress Test
4:03 Anterior Cruciate Ligament - Anterior Drawer Test
4:52 Posterior Cruciate Ligament - Posterior Drawer Test
5:09 Anterior Cruciate Ligament - Lachmnan Test
5:31 Meniscus - McMurray's Test
6:59 Meniscus - Apley Compression Test
7:25 MCL, LCL - Apley Distraction Test
7:59 Patellofemoral Compression Test
8:42 Tibial Torsion

I wish to thank James Waslaski for the information on Tibial Torsion. I highly recommend his orthopedic massage workshops and his excellent DVD on knee pain.



10:18 MCL Sprain
13:18 LCL Sprain
13:53 Patellofemoral Syndrome
15:45 Tibial Torsion
21:33 MCL & LCL Ligament
22:34 Cruciate Ligaments, Meniscus


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Tibial Torsion Exercise




Member Comments:

  • commented Sunday 8th of February 2015 at 6:50:46AM

    This is the best treatment explanation of the knee.
    Love it!!! I will study every day.

  • commented Wednesday 4th of February 2015 at 9:32:01AM

    Just what the doctor ordered!
    Love the structure of the video. A neat and valuable package of information focusing on a single bodily structure. It would be nice to think that other joints will perhaps be covered in a similar manner in the future. Keep up the good work, truly an ever expanding library tailored for the massage therapist.

  • James W commented Monday 2nd of February 2015 at 10:04:09AM

    Outstanding!! Very Valuable, Clear and Concise