Knee Pain - Vastus Medialis Trigger Points
Patellofemoral Pain Syndrome (Runner's Knee) is often associated with trigger points in the quadriceps muscles
Pain in the patella (kneecap), especially after sitting for a long time or running downhill, may result from incorrect movement of the patella over the femur or tight tendons.
The articular cartilage under the patella may become inflamed as well, leading to another condition called chondromalacia patellae which is found more commonly in women.
The angle formed between the two lines of pull of the quadriceps muscle and the patellar (tendon) ligament is known as the Q-angle.
If the patella moves out of its normal path, even slightly, it can cause irritation and pain.
Tight tendons also place pressure on the patella causing inflammation.
Cause of Injury
Incorrect running form or improper shoes. Weak or tight quadriceps. Chronic patella dislocations.
Commonly overlooked are trigger points in popliteus and the patellar ligament.
Signs and Symptoms
Pain on and under the patella which worsens after sitting for extended periods or walking down stairs.
Clicking or grinding may be felt when flexing the knee. Dull, aching pain in the centre of the knee.
Complications if Left Unattended
The inflammation from this condition if left unattended can worsen and cause more permanent damage to the surrounding structures.
If the tendon becomes inflamed it could eventually rupture. The cartilage under the patella may also become inflamed.
Rest and reducing exercise intensity and duration. Ice and anti-inflammatory medication.
Rehabilitation and Prevention
Rehabilitation starts with restoring the strength and flexibility of the quadriceps.
When returning to activity after pain has subsided, gradual increases in intensity, limiting repetitive stresses on the knee and proper warm-up techniques will ensure that the pain does not return.
Strong, flexible quadriceps and hamstrings and avoiding overuse will help prevent patellofemoral pain syndrome.
A good warm- up before training will also help.
With complete treatment there are seldom any long-lasting effects. If the condition does not respond to treatment surgical intervention may be necessary.
About NAT Courses
As a manual therapist or exercise professional, there is only one way to expand your business - education!
Learning more skills increases the services that you offer and provides more opportunity for specialization.
Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.
About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).
We are honored to have received the "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.
There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
Most of our courses are available as either "Printed" or 'Download" editions, wherever you live. Internet connection is required to access online and downloadable material.
When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required.
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We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.
Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.
Trigger Point Therapy Course
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