Hip, Thigh, Knee

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Clinical Anatomy, Kinesiology, and the Jing-Jin ("Sinew meridians" or Myofascial Tracts)

  • Bones, joints, muscles, tendons, and neurology
  • Posture and motion dysfunctions
  • The arthritic progression: strain/sprain, derangement, degeneration

History-taking for the hip, thigh, and knee: key diagnostic questions

  • "Red flag" signs and symptoms of urgent/serious medical conditions potentially warranting referral to physician care: spinal neuropathy; fractures; joint infection, hemarthrosis and derangement; arterial compression, venous thromboses, and avascular necrosis; pediatric/developmental conditions
  • Differentiating symptoms of joint, muscles, tendon, ligament, meniscus and nerve injuries
  • Neural hypersensitization and psycho-social factors
  • Functional capacity questionnaires for reporting to managed care insurance

Physical exam of the hip, thigh, and knee: how findings can guide treatment with acupuncture modalities

  • Observation of gait dysfunctions
  • Surface anatomy, inspection and palpation
  • Hip and knee joint active range-of-motion, tracking and functional tests: measurements, diagnostic significance
  • Hip and knee passive range-of-motion and joint-play/end-feel stress tests
  • Buttock and thigh manual strength and length testing for over 20 key muscles
  • Special orthopedic tests for the hip, thigh, and knee
  • Documentation of physical exam findings
  • Measuring and reporting functional capacity baselines and treatment outcomes
  • Clinical flow charts to facilitate efficiency and accuracy in examination

 

Diagnosis, Pattern Identification, and Treatment

Hip joint

  • Hip tendinitis/apophysitis
  • TFL, rectus femoris and sartorius strains
  • Bursitis: greater trochanter, ischial tuberosity, iliopsoas
  • Femoral acetabular impingement and hip joint labral tears
  • Hip degenerative joint disease/osteoarthrosis

Thigh and knee joint

  • Acute strains and chronic myofascial pain: quadriceps, hamstrings, adductors, popliteus
  • Patello-femoral and pes anserine tendinitis and bursitis
  • Iliotibial band friction and chondromalacia patella syndromes
  • Sprains and chronic hypermobility: ACL, MCL, LCL, PCL, superior tibio-fibular joint
  • Meniscal and coronary ligament tears and degeneration
  • Knee degenerative joint disease/osteoarthrosis

Peripheral compression neuropathies

  • Sciatic nerve entrapment: hamstrings
  • Lateral femoral cutaneous nerve entrapment

Treatment modalities include:

Build on your skills with the Review/Practicum Lab

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