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Treating patellar tendinopathy with Fascial Manipulation
Alessandro Pedrelli1, Carla Stecco, Julie Ann Day
1Corso U. Comandini, 12/B, 47023 Cesena, Italy.
Journal of Bodywork and Movement Therapies
|January 3, 2009
Summary
Fascial Manipulation therapy effectively reduced patellar tendon pain by addressing quadriceps muscle fascia dysfunction. This approach targets the root cause of pain, not just the symptom, leading to significant pain relief.
Area of Science:
- Biomedical Engineering
- Musculoskeletal Rehabilitation
- Sports Medicine
Background:
- Patellar tendon pain is often linked to quadriceps muscle incoordination.
- This incoordination may stem from abnormal fascial tension in the thigh, according to Fascial Manipulation theory.
- Current treatments may not always address the underlying fascial cause.
Purpose of the Study:
- To investigate the efficacy of Fascial Manipulation technique in treating patellar tendon pain.
- To determine if treating the quadriceps muscular fascia can alleviate patellar tendon pain.
- To assess pain reduction and short-term outcomes following the intervention.
Main Methods:
- Eighteen patients diagnosed with patellar tendon pain were enrolled.
- The Fascial Manipulation technique was applied to the quadriceps muscle fascia.
- Pain levels were measured using a Visual Analog Scale (VAS) before treatment, immediately after, and at a 1-month follow-up.
Main Results:
- Pre-treatment VAS score was 67.8/100, significantly decreasing to 26.5/100 immediately post-treatment (p<0.0001).
- At 1-month follow-up, pain scores further reduced to 17.2/100, indicating sustained or improved outcomes.
- The study demonstrated a substantial and statistically significant reduction in perceived pain.
Conclusions:
- The patellar tendon may serve as a perceived pain zone, with the actual cause originating elsewhere.
- Treating the muscular fascia of the quadriceps muscle can yield significant improvements in patellar tendon pain.
- Fascial Manipulation offers a promising therapeutic approach for conditions linked to muscular incoordination and fascial dysfunction.