FROM THE KNEE TO THE NECK
A puzzling type of knee pain in teens was
the topic of a recent Canadian research study. The knee appeared normal on physical exam
and x-ray. However, nerve irritation was found in the low back. Spinal manipulation proved
effective in resolving the knee pain in these young patients.1
A Massachusetts doctor of chiropractic
recently published the case of a 54-year-old woman who had suffered from knee pain for 5
years. Medication did not help. The chiropractic exam revealed nerve irritation at one of
the pelvic joints (the sacroiliac). Chiropractic adjustments to both the knee and the
pelvis resolved 5 years of knee pain in 2 weeks.2
Perhaps the most interesting knee case in
the chiropractic literature was reported by a Georgia research team. A 25-year-old man was
involved in a whiplash accident. Six months later, an old knee injury began to bother him
again. The knee pain was resolved after seven chiropractic adjustments to the upper neck.
This case may be explained by whiplash-related irritation to the spinal cord. Just as
severe neck injury can paralyze the legs, milder neck injury may cause more subtle
problems, such as knee pain.3
In examining the knee, a diligent doctor
of chiropractic considers the nerve pathways from the knee right up to the neck.
1 Sweating RC, et al. Anterior Knee Pain
and Spinal Dysfunction in Adolescence. Journal of Manual Medicine, 1989; 4: 65 - 68.
2 De Franca GG. Proximal Tibio-fibular
Joint Dysfunction and Chronic Knee Pain and Low Back Pain. Journal of Manipulative and
Physiological Therapeutics, 1992;
15: 382 - 387.
3 Brown M, Vaillancourt P. Case Report:
Upper Cervical Adjusting for Knee Pain. Chiropractic Research Journal, 1993; 2: 6 - 9.
© 1996, All Rights
Marion Todres, M.A., D.C. and Charles Masarsky, D.C.