Last month I worked on a woman who came in complaining of persistent medial knee pain. She had undergone a full knee replacement two years prior with the discomfort having been present ever since.
Originally thinking this was just an immediate result of the surgery, she assumed that time and proper rehabilitation would take care of the issue. She followed physical therapy exercises to the letter and got plenty of soft tissue work done to address any potential scar tissue.
She felt plenty strong, but yet, the pain remained.
The ultimate issue? Entrapment of the Saphenous nerve.
Originating from the nerve roots of L2-L4, the Saphenous n. is the sole cutaneous branch off of the larger Femoral n.
The Saphenous n. is responsible for providing cutaneous innervation to the anteromedial thigh as well as over the knee itself.
The subpatellar branch in particular is often dysfunctional following surgery and may result in numbness, tingling, or burning right below the patella.
Upon testing, we found that this woman was experiencing compression of the Saphenous n. through the adductors.
Using P-DTR, we treated the site of entrapment and she experienced an immediate 50% improvement, with the remaining 50% resolving in the coming month.
By having a thorough understanding of multiple body systems, a good practitioner is able to quickly overlay these anatomical maps in their mind to allow them to address a given issue from multiple different angles.