Knee pain is a common problem among the young and old alike. From athletes to middle-aged adults to seniors, knee pain can develop suddenly. There are many potential causes owing to the fact that there can be ligament involvement, cartilage tears, muscle strains, cysts, arthritis, and more. Most of the time, knee pain is felt in the front of the knee or along either side. Posteromedial pain (inside back corner) is less common and more puzzling -- especially when it lasts a long time. The authors of this article bring to our attention the possible causes of posteromedial knee pain. In particular, the focus is on one that is infrequent but should be considered: semimembranosus tendinopathy . The semimembranosus muscle is part of what you might know otherwise as the hamstring muscle. It is made up of three separate but conjoined parts. This portion starts at the base of your sit bone (called the ischial tuberosity ). It travels down from the pelvis to the knee and inserts right along the po...
No one would think of walking as a perishable skill. Without practice and repetition, walking can become a sloppy waddle. This skill involves multiple intricate components of muscle activation and nerve coordination. The foot and ankle need to be well synchronized to complete good heel-to-toe progression after the heel strikes the ground. The knee and hip must flex and extend at appropriate times. Finally, the pelvis must be able to hold the entire torso up during the precarious moment that a person is standing on one leg as the other leg swings forward. Normally, the individual does not have to consciously think about any of this movement. Sometimes walking is worth a second thought, especially when it hurts to walk.
Foot and ankle coordination can be simply improved by mindfully thinking about flexing the ankle so the toes don't drag on the ground as the leg swings through and mindfully thinking about pushing off after the foot has struck the ground. Many trips and fall...
Treating the cause often improves the gait. For example, gait abnormalities from trauma to part of the leg will improve as the leg heals.
Physical therapy almost always helps with short-term or long-term gait disorders. Therapy will reduce the risk of falls and other injuries.
For an abnormal gait that occurs with conversion disorder, counseling and support from family members are strongly recommended.
For a propulsive gait:
Encourage the person to be as independent as possible.
Allow plenty of time for daily activities, especially walking. People with this problem are likely to fall because they have poor balance and are always trying to catch up.
Provide walking assistance for safety reasons, especially on uneven ground.
See a physical therapist for exercise therapy and walking retraining.
For a scissors gait:
People with a scissors gait often lose skin sensation. Skin care ...
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