Pain in the left knee when starting movement after a fall.
symptom
The patient presented with left knee pain that developed after a fall. A week prior, the patient slipped and fell backward, and although there was no direct impact to the knee, pain occurred when starting movements such as standing up or turning over in bed. The pain was particularly severe when squatting or standing up, interfering with daily life. The patient had no prior medical history.
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Visitors
Female
40's
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Period
February 2025 - March 2025
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Visit Frequency per week
About 1
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Number of Visits
4
Treatment and progress
Upon initial examination, pain was observed in the medial side of the left knee during knee flexion while standing, but no pain occurred during flexion in a supine position, ruling out joint damage. Palpation revealed excessive muscle tension in the thigh. Acupuncture was performed on acupoints in the buttocks and lumbar acupoints related to the thigh muscles, which relieved the muscle tension in the thigh and eliminated pain during standing and squatting. Subsequently, symptoms recurred when excessive strain was placed on the knee, such as during night shifts, but these were addressed with careful evaluation and treatment each time, and ultimately the pain in the left knee completely disappeared.
Acupressure points used
Summary
This case illustrates a successful treatment approach for knee pain that developed after a fall, focusing on muscle tension rather than the joint itself. Acupuncture treatment on points in the buttocks and lower back improved hypertonicity in the thigh, eliminating pain during movement. The same approach was used when the pain recurred, yielding positive results. This case suggests the importance of appropriately evaluating and treating not only the local area but also the condition of related muscle groups in the treatment of knee pain.
