Feature Case Study - Delayed Knee Surgery

Patient 
56 year old male presents for low back pain and inquires as to the possibility of addressing his left greater than right bilateral knee pain, swelling and severe restricted range of motion  (ROM). Additional upper thoracic stabbing pain was stated.

Presentation
He is active and he has a history of repeat trauma and stress to the knees from college football and construction related activities.
His knee ROM is marginal and painful both passively and actively. His left is more severe.

SRA Evaluation
The primary ASR related to the back complaint was S1 right. The compound pattern consisted of Primary S1 Rt affecting Secondary T5 and 6. The Secondary ASR in turn was flattening the cervical curve and inducing chronic C3-4 and C4-5 facet joint instability.

C3 and C4 facet instability (ASR's) is known to adversely affect tibia and patellar (knee) motion.

Treatment
SRA CMT and APT procedures for this condition eliminated the thoracic and lumbar complaints. The knee pain and swelling was drastically reduced and 60 to 75% increase in knee ROM was noted with the greatest gain evident in the right knee. His care plan was administered 2X/week over 6 weeks

Recommendations
Based on his progress and improved function, and his orthopedists wish to postpone, this patient cancelled a scheduled bilateral artificial knee replacement surgery indefinitely.