Knee Injury Cases - (4)
Two unnecessary surgeries

Scott is my very first adult patient, the one whose whiplash I treated while still in pediatrics
residency.  I was confused about my amazing results with him and it led me to look further
into osteopathy.   After cleaning up his neck, I did not hear from him for two years.  One day
he calls me up and says, "Remember my knee?"  I responded, "Yeah, the one you wouldn't
let me touch?"  He called to ask me if I could help him with his knee, the one that had been
operated on x 3.  The first surgery was to repair a tear.  The second and third were to
scrape off "inflammation" after he continued to have pain despite physical therapy.

When he came in he was a completely different person.  He lost weight, looked slim and
healthy.  He felt so good after I treated him, he was able to return to soccer, his favorite
sport.  He had injured his knee and waited for the strain to settle down.  It did not.  He came
in limping and the knee was swollen.  I treated the knee, it was only somewhat better.  I
examined the ankle and stabilized the ankle mortise. Lo and behold, after treatment, the
knee swelling resolved.  He was able to walk out of my office without limping.
Total visits: 1


Knee Strain shows up 2 yrs after surgery
David is 40yrs old and he is very active in basketball.  After several strains from jumping
and "landing wrong," in one final injury, he tore a meniscus.  He had surgery to repair it.
One year later, he landed and heard a pop.  He saw me once prior to his scheduled appt
with his surgeon and got only 10% relief. After evaluation, the surgeon did not agree to get
an MRI, and certainly declined to surgically explore.  He continues to walk with pain.  He
comes back for a second treatment.  As he lays down for his exam, he says, "I read your
brochure while I was in the waiting room and I forgot to tell you that I was in a car accident
2yrs ago."  I decided to treat his chest first. Once I determined that the chest strain was
resolved, I asked him to get up and test the knee.  His knee pain was better.  How much of it
was resolved?  He stated 50%.  I then proceeded to treat him below the knee.  Once the
strain was resolved, how much was the knee improved?  10%.  I proceeded to treat his
thigh; the thigh strain contributed 20% to the knee pain.  I finally get to the knee and treated
it.  He gets up and tests the leg.  The knee still feels strained by 10%.  This case is a great
lesson in the layered physical strains that contribute to problems.  Total visit: 2


Treating a knee to prove OMT
Francisco is a 32yo.  He comes for After Hours care for a bronchitis.  He has been coughing
for 2wks.  As we review his other symptoms, I learn that he has had shortness of breath
(SOB) x 2yrs and knee pain for several years.  He was seen by his PCP when the SOB  first
started.  Meds did not help so he was sent to a pulmonologist.  He had pulmonary function
tests done and they were all negative.  He was sent home with a prescription for Advaire,
which he stopped taking because it did not help. I told him that he had an acute chest
infection on top of a chronic chest strain.  He sat quietly thinking this through. I told him that
he needed medications to treat the bronchitis first and then with OMT we could resolve his
SOB.  There was no way for me to prove this.  But if he let me, I would treat a knee. I
proceeded to treat one knee.  He got up and tested it.  It was completely better.  I asked
him, has anyone ever been able to help him with his knees? No.  I told him that in my book,
whoever gets results, gets to tell him what the problem is.  After his bronchitis clears, he
returns for OMT.  Despite a sedentary job, with exercise, his SOB is resolved by 80% .  
Total visits: 5
Knees are fairly easy
to assess.   A tear
needs to be repaired.  
A knee that has strain
that requires OMT are
those that don't hurt all
the time, they feel
"wierd" or "funny" with
specific motions.

When I find knees with
strain, even if the
patient does not know
it, I still can treat it and
prove to the patient it
needs to be treated.  

One patient says that
the only way she can
describe it  is if you
walk around with
weights, after you take
them off,  that light
feeling is what it feels
like after a treatment.
This is Carla. She came to me for knee pain.  Two years ago she fell on the left knee x2.  As time went on, the knee
started to angle out.  We call this a valgus deformity.  More info - she had a previous surgery to that big toe on the
left side and the skin is partially numb.  When she comes in she fails to tell me that she has a scoliosis, an old
diagnosis.  The before picture is hers in her home.  The after picture is in my office after her second visit.  She has
more feeling in the big toe, it feels better.  The knee feels better and her scoliosis is much better although she is
feeling pain in her back as it is correcting.