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Trevor FranckDefinitely go after your quads and hamstrings that may be creating abnormal pull at the patellar tendon causing the patella to grind. Also assess your hip IR/ER because it may be that the “track” (femoral condyles) may be malaligned under the “train” (patella) and causing it to slide/glide abnormally. Don’t forget the quads up at the hip either and check tibial rotation as well. IF those are all normal then travel to the feet because most times that can cause all kinds of knee issues if your ROM doesn’t fall within the norms necessary for performance in and out of the archetypes. Today’s dailyrx would be a good start btw.
Trevor FranckThat’s a tough area to mobilize but I use manual therapy exclusively in clinic to apply constant pressure through trigger points in that area because it can be severely tender to patients. So I haven’t used any other methods that I can say are effective. You are your own N of 1 so try anything that you may think to be effective and of course let us know.
Trevor FranckMr. Keisler,
Have you explored your upper trapezius or you triceps on that side for trigger points? I commonly have patients that come in with radicular pain that is caused by trigger points or myofascial pain which can be mistaken for nerve pain. Start there and see. Keep us updated.
