Need help with a client

[Danielle P]

I have been working on a client for a couple of months with no major improvement.  She is having pain behind her knees.   She complains of discomfort when she is climbing stairs or walking for longer than 10 min.   I have done TP and worked on her glutes.  I have offered to refer her out to a therapist with more training and she wasn't interested.  If anyone has suggestions, I would appreciate it.  Thank you.

 

[Doc]

Need help with a client

I'm not exactly sure what you are reffering to when you say "TP"---my mind must be blank. She may need Chiropractic care. The Coccyx may be displaced (subluxated). The Hamstrings are probably tight. Possibly showing her a few yoga moves to do when she's not in your office would help her. I've noticed that my progress with a clients condition can be held back if a client does nothing to reverse the pain in between appointments. As Massage Therapists, we can only do so much, and sometimes a client can put unreasonable expectations on our abilities. Good Luck!

 

[AJ Rawr Chomp Grr]

Need help with a client

TP= Trigger point

 

[Pompal 09.]

Sandy,  One thing I have found with knee pain and stairs or excessive walking is the IT Band.  Do linear friction up the IT Band and look (feel) for adhesions.  I have found in some patients that the entire IT Band is adhered to Vastus Lateralis.  This seems to be more common in people that were very active and have slowed down.  Hope this helps.Dale

 

[enfriendemy]

Sandy,Document in your notes suggestions for referrals and follow ups etc. Have her scale the pain in your session, before and after. Sometimes I even make a follow up phone call  just to check on my folks progress.Her aches/pains could be a variety of things. It's hard to tell on a forum. Be conscientious, and believe in yourself.Keep us posted.Deb

 

[Kathryn]

I have a client complaining of the same problem.  after she consulted an excellent PT, they discovered it was a genetic displacement of the patella due to less than supportive ligaments.  This condition showed itself somewhere in the 40' to 50's for both her sister and her mother. I would suggest telling your client, if he/she has not already, to take a family history and see if any other immediate members have had the same complaint.  It is worth a try.  Good Luck