Popliteal Fascia Treatment
ฝัง
- เผยแพร่เมื่อ 6 ม.ค. 2019
- My aim is to educate the therapists on a safe, ethical and effective treatment technique by providing education congruent with current evidence informed research and by developing the therapists skill, confidence and proficiency for the treatment of injured ligaments and the surrounding tissues.
LAST is a precise, principle based, mechanoreceptor specific manual therapy technique, supported by evidence-informed research, utilized in the treatment of peripheral joint tissue injuries to improve treatment outcomes and improve the quality of life of patients.
Robert is an International Speaker and Instructor.
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Robert is an RMT with over 25yrs of practice and experience. He is a National, International Speaker and Instructor and has been featured in BCRMT Massage Matters, CMTBC Touchstone and Massage Therapy Canada Magazines.
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My chiropractor is treating me with cold laser therapy. It’s not really helping so now I am seeing physical therapist. Knee pain is no fun.
Great video, thank you.
So well explained, thank you.
You're awesome!
Thanks for watching the video.
I hope it helps.
Very clear conversation and explanation please let me know about the L3,L4, disc release please
you're awesome!
Thanks for watching the video.
I hope it helps.
Great Video. I had a accident last month. I was driving and by the time i fell i got dragged along with the bike and seems like there's a tear in my left leg. I don't know whether its meniscus or not, but unable to lift / bend knee. Sometimes it feels sharp nerve pain from thigh to calf, mostly behind the knee
Thank you so much for showing this. I suddenly developed this problem 2 months ago on both knees. I have knee replacements on both which I've had 18 and 15yrs now and thought that was what the problem was. It's constantly uncomfortable and takes a while for my knees to straighten out when I stand from sitting down.
Hi,
Thanks for watching the video. I hope it helps.
Besides the Popliteus muscle, I've seen in the clinic that the big Gastrocs muscle also contributed to preventing the knee from extending fully as it crosses the joint to attach to the distal femoral condyles.
Have your rehab professional provide you with stretching for these and let me know how it goes.
Hi Robert, very informative video thanks, i have a runner with a gastroc issue, it's tight initially, loosens when runs then tightens post exercise. I was assuming that this is an issue with his popliteus? He also has tight hamstings and itb which watching the video you allude to? Would this technique help?
The same as I have...tightness and pain post training
Hi,
Sorry I'm getting to you late.
thanks so much for your question. I greatly appreciate it. It really depends on the MOI for the Gastroc. There are so many variables that I am unaware of with your patient that could be contributing to their issue. their popliteus could also be protective, but most likely is possibly responding as the gastric is.
Anyone have any resources to treat the external rotation of the tibia? Any strengthening / corrective exercises? THANKS!
Hi,
thanks so much for your question. I greatly appreciate it.
I do have a video included in my online Knee Course that deals with externally rotated tibias and their influences on the body.
www.lastsite.ca/online-courses/techniques-knee/
To be honest, general strengthening and stretching is recommended as isolating specific structures to target is not possible. Many times changing the activities and starting a graded exposure activity program that is different than what the patients has been doing, desensitized the nervous system, improving tolerance or the original activity that was causing the discomfort.
Hope that helps.
@@robertlibbeyrmt thanks for this
Where do you find knee doctor that does surgery on popliteus ? I've been suffering for quite some time. I had meniscus trim/repair and now my
popliteus is supposedly damaged. I have lateral soreness of knee and tons of clicking . Had no idea i would be stuck in this position after meniscus repair. Had a tendon sheath injection supposedly confirming that my problem is popliteus. It only felt better for like a day until my symptoms came back.
Hi,
Thanks for the comment.
Not knowing the particulars of the injury pre surgery, the surgery and post op re-assessment and follow up outcomes, I would suggest searching for a clinician to perform a thorough re-assessment. Based on that then you will need to decide your options both surgical and non-surgical.
Clicking can most times just be a clicking sound that isn't causing you harm or damage... it's not what you had previously, but it might be what you have going forwards... still it would be nice to understand why something is clicking.
Hopefully the lateral soreness will diminish over time. Most things take far longer to improve than we anticipate. I typically tell my patients to give it a year. Don't stop investigating but it will be different a year from now. Whether it's better, worse, no better, no worse needs to be determined.
Keep me informed as to how you are doing.
Robert Libbey, RMT
I noticed pain in the back of my knee from kickboxing and I narrowed it down to the torsion forces as you said with the model. I can only rub the muscle when my knee is bent and ankle is resting on my other leg, even then it's hard to find sometimes. I took four months off of training and still get the pain once I begin again so I'm not very hopeful of a resolution even with massage and ice. I began wearing a sleeve around the knee which has helped a bit and fortunately my pain is not constant or while doing normal activities.
Hi your pain is gone or not please update
Hi. I wanted to tell u that after watching your video I tried it on mine and it has worked so well. I had knee surgery and after going to therapy i am still at 102 and couldn't straightened my leg. I now can straighten but my rom still really bad. Please is there something I could do for it. I hope u can please reply. Im 3 month post op. Thanks 🙏🏻
Hi,
Thanks so much for your comment. I'm really pleased that the technique has helped.
Acquiring near normal AROM may take some time with some patients. Some return to near normal very soon after surgery and others never achieve it. Consistency in daily stretching and maintaining activity is key, along with finding either a physio or active rehab specialist who has experience with rehabbing your type of surgery.
Keep going! You're doing great!
Robert Libbey RMT thanks son much for replying!!!
How will you knee feels when you get the injury?
Hi, thanks so much for the comment, sorry for getting to you late.
typically my patients have described intense pain and tension in the lower hamstring and upper calf areas when attempting to straighten their knees.
Post treatment their discomfort decreases and we start active rehab to retrain their tolerance for straight leg activities.
I could not understand finger position. I seems like this is my situation
Hi,Watch the video, is this.something that can sure Is surgically corrected.
Hi, thanks so much for the comment, sorry for getting to you late.
Surgery would imply a severe type of injury to the area.
This technique can be utilized post surgery, depending on the surgery performed.
Is it normal to have divets in this area?
Hi, thanks so much for the comment, sorry for getting to you late.
I can be. Divets are anchors of tissues. Totally normal, but in cases where they develop post injury/condition and cause decreased function and discomfort, they may need to be addressed.
I've sharp muscle pain back of my knee (not in the knee) coming and going for 1 or 2 minutes. It's like some cramps. I can't put my leg down for the particular time. It happens for 4/5 times a day, whether I'm walking, standing or sleeping. Kindly advise
Hi,
thanks for your comment.
Concerning muscles, there are a few muscles that cross the joint space that can contribute to muscle cramps, Gastrocs, hamstrings, popliteus. These would need to be investigated with your trusted healthcare therapist or clinician. There are many underlying factors (instability, degeneration, previous injuries sprain/strains/fractures) that can contribute to the muscular protection presenting as cramps. These also need to be addressed clinically.
Robert Libbey, RMT
How would someone do this on there self
Hi, Sorry for getting back to you late.
It's pretty difficult to Self Treat this area.
👍👍
At 1:00 what is that muscle, tendon or ligament that your left thumb is directly under? Whenever I kneel down and get back up there is a sharp pain from that exact muscle, tendon or ligament and I can't fully extend my leg for awhile.
LCL, however the model is simplified.
Who can perform this treatment ?
Hi, thanks so much for the comment, sorry for getting to you late.
Any manual therapist (MT, PT, DO, DC, MD) can perform this technique.
I am badminton player my age 50 years I Hard work strat knee pain some excersize are Dr treatment
10Q
Thank you sir 🙏🙏🙏🙏🙏🙏🙏🌷🌷🌷🌷🌷🇳🇪🇳🇪🇳🇪🇳🇪
My Rear knee hurts when I use the squatting toilet, it dosnt hurt while squatting, it hurts only when I get up from that position, stretching my leg.
Hi, thanks for your comment.
There are many possibilities for causing discomfort in the back of the knee when rising from a squatting position. It would be very difficult for me to specify which one is causing you your discomfort, therefore I would suggest you seek out a trusted physical medicine rehab clinician to help out. Look for either a Physio, or active rehab specialist who has a lot of experience assessing and treating knee issues.
Hi Balaji
I too suffer from the same pain. If you have identified the issue, please let me know the diagnosis.
I'm actually having the same issue and it's like only on the toilet. How weird?
Dude, could you speak normal to us instead of like you're talking to someone who is interested in going to school for this. .!!!
I believe it is a video for physio therapists
I feel asleep after 30 seconds. This seemed to be aimed at physiotherapy buffs.
You didn't read the video description. Video aim is to educate the therapists.
I would recommend that you title your video for physical therapist because if you don’t know the anatomy, it’s like Chinese.
Too much technical terms. Otherwise good
You didn't read the video description. Video aim is to educate the therapists.
Is this for medical students or normal people. Simplify your language…
You didn't read the video description. Video aim is to educate the therapists.