Chiropractic: Case Study 1 | Case Study 2 | Case Study 3
Physical Therapy: Case Study 1 | Case Study 2
Massage Therapy: Case Study 1

Pati ent: 63 year old female, highly active in skiing, biking, tennis, and other outdoor activities. Client suffered a meniscus tear in the right knee as a result of a collision with another skier two years prior. Client had subsequent arthroscopic repair of medial meniscus and partial removal and repair of the lateral meniscus. Initially, she was in therapy with some success focusing on exercises to rebuild hip and leg musculature. Her current therapist is addressing long-term muscular imbalances in the lower extremities.

Presentation: Prior to skiing: slight limp with a hesitation to weight the leg and continuous low-grade pain while climbing stairs. Post-skiing: stiffness and decreased ROM leading to increased pain with activity and climbing steps. ROM in flexion was fifteen degrees less than the left knee. Knee pain was sufficient enough to affect sleep. CC’s post skiing lasted for 3-5 days.

SRA Evaluation: Axial spinal reflex at C3 Rt. with psoas compression of L4

Treatment: Client was treated after skiing, on the same evening. Treatment consisted of approximately twenty minutes of AP therapy for a C3 right soft tissue pattern. Extremity emphasis included the ipsalateral side of reflex sartorius and tibialis anterior muscles. ROM post-treatment was equal to left knee, without pain and restriction. Stair climbing and general motion was pain-free and the prior favoring of the right knee in ambulation was resolved. Prior sleep disruption from the knee condition for the two nights following treatment was resolved.

Recommendations: Continue to develop leg strength and right/left balance of musculature. Begin AP therapy 1-2 times weekly for 6 weeks to reduce underlying axial spinal reflex syndrome.