The VMO Connection
Remember the VMO? The small little muscle in your thigh that can cause a huge problem in the knee. Ah, the Vastus Medialis Obliques brings back memories from anatomy class. But how many of you evaluate it with knee complaints? Trigger points in the VMO can cause a myriad of signs and symptoms. Most notably patellar pain and deep aching in the knee. Particularly when in a seated position. When evaluating chronic knee pain, ensure you check the VMO for active/latent trigger points. Perfrom MFR, ultrasound, or my preferrd modality (laser therapy) I recommend 600Joules of energy into the entire VMO muscle. Laser first and then perform soft tissue work and manipulate last. You may find an internal/external tibia. Oh and don’t forget to check the hip. Takes anywhere from 4-6 visits for resolution of chronic problems.
Perry Nickelston, DC
973-800-6570
www.painlasercenter.com