Effect of mobilization with movement on lateral knee pain due to proximal tibiofibular joint hypomobility

Abstract

This case report describes a 45-year-old female who presented with lateral knee pain over the right proximal tibiofibular joint (PTFJ) managed unsuccessfully with rest, medications, bracing, injection, and physiotherapy. Clinical diagnosis of PTFJ hypomobility was based on concordant symptom reproduction with palpatory tenderness, accessory motion testing, and restricted anterior glide of the fibula. Intervention consisted of Mulligan's mobilization with movement and taping over the right PTFJ with immediate improvements noticed in pain, range of motion, and function. The patient was seen twice a week and was discharged after four treatment sessions. A follow-up after 6 months revealed that the patient was pain free and fully functional.

Lateral Knee Pain Favors the Diagnosis of Anterior Cruciate Ligament Injury and its Postoperative Assessment Potentially Contributes in Treatment Follow- Up; A Pilot Study

“…Also, they reported that the patient was discharged after four treatment sessions of Mulligan's mobilization with movement and taping over the right PTFJ, and nally the patient was pain free and fully functional at the 6th month of her follow-up. However, the case reports of both Kawaguchi et al [30] and Anandkumar et al [21] do not assist us to provide any additional evidences to support the idea of the correlation between lateral knee pain and ACL injury, but a relatively rapid disappearance of lateral knee pain in response to a successful treatment poses the potential use of lateral knee pain in ACLR follow-up.…”

“…Also, the case report of Anandkumar et al (2018) described a 45-year-old Canadian female with lateral knee pain over the right proximal tibio bular joint (PTFJ) managed unsuccessfully with rest, medications, bracing, injection, and physiotherapy. Finally, she was clinically diagnosed with PTFJ hypomobility [21]. Also, they reported that the patient was discharged after four treatment sessions of Mulligan's mobilization with movement and taping over the right PTFJ, and nally the patient was pain free and fully functional at the 6th month of her follow-up.…”

“…The underlying reason could be the fact that anterior knee pain and kneeling pain may develop during 1 to 2 years after reconstruction of ACL [18]. Further, there are several common causes for lateral knee pain mentioned as follows: iliotibial band syndrome, sprains of anterior cruciate ligament, injury of lateral meniscus, patellofemoral pain syndrome (PFPS), osteoarthritis (OA), biceps femoris tendinopathy or tendonitis, synovitis, and sprain of superior (proximal) tibio bular joint [19][20][21][22]. Nonetheless, lateral knee pain has been commonly associated with anterior cruciate ligament tear based on our clinical observations, it is pertinent to point out that this association has remained so far unnoticed in the literature.…”