A 57-year-old patient came to our clinic. A year earlier, he had undergone a right knee replacement. Despite his surgeon assuring him that the operation was successful, his knee pain remained the same as before. He consulted an orthopedist and neurologist, underwent vascular exams, took medication, and received pain-relief injections, but the relief was always short-lived. Even minimal exertion or squatting brought the pain back.
On recommendation, he contacted our Department of Rehabilitation and Sports Medicine. He arrived shyly, without a referral, asking if we could take a look.
We managed to eliminate his pain during the first examination. Although he complained of knee pain and specialists had examined the knee itself, no one had assessed other parts of the limb that could have caused the pain. We understand why—specialized examination of soft tissue at the level of fascia and micro-chains is not standard practice even in orthopedic or trauma clinics worldwide. However, it is standard in our outpatient care.
The patient had damaged muscle attachments and fascia in the calf area. We eliminated this pain in about 20 minutes and instructed him on how to prevent recurrence. Since then, he has been pain-free.