AboutJ. Shawn Leatherman, DC, CCST, CCSP Expertise I can answer questions on general chiropractic care, sports injury, whiplash and auto crash, mild traumatic brain injury, structural and functional rehabilitation of the spine, nutrition for inflammation and repair, fitness training, nutrition for sports performance and other general health and nutrition related inquiries. I currently lecture on automobile trauma, occupant kinematics, and forensic risk analysis to local EMS, Fire and Police, as well as nutrition and sports injury to community groups. Rest assured all answers are generated from my clinical experience, and scientific research.
Experience I have accumulated over 1000 hours of post-doctoral training to include; Certifications in Spinal Trauma and Mild Traumatic Brain Injury from the Spine Research Institute of San Diego and the International Chiropractic Association, Certification in Low Speed Auto Crash Reconstruction and Certification in Forensic Risk Analysis from The Center for Research Into Automotive Safety and Health, Certified Proficiency in spinal and extremity diagnostic proceedures from The Motion Palpation Institute, Certified in Sports Injury and Rehabilitation from the National University of Health Sciences and The American Chiropractic Board of Sports Physicians, Nationally Certified Fellow of Structural Rehabilitation from The Chiropractic Biophysics Organization, and I have advanced training in manipulation under anesthesia and nutrition. Feel free to check out my website: www.suncoasthealthcare.net
Organizations International Chiropractic Association, Florida Chiropractic Association, American Academy of Pain Management, Chiropractic Biophysics, Spine Research Institute of San Diego, Center for Research Into Automotive Safety and Health, Motion Palpation Organization, American Academy of Manual and Physical Medicine, Fort Walton Beach Chamber of Commerce, The Better Business Bureau
Education/Credentials B.A. (Psychology) from The University of Cincinnati, B.S. (Human Biology)& D.C. (Doctor of Chiropractic) from Cleveland Chiropractic College, C.C.S.T. (Certification in Chiropractic Spinal Trauma) from The International Chiropractic Association, C.C.S.P. (Certified Chiropractic Sports Physician) from The American Chiropractic Board of Sports Physicians.
Question hi when i was doing goakeeper training my right knee got a sharp pain and i could not put any weight on it. The pain was to the side just below the knee cap. i cant run on my knee as it is to week. Other issues are that it clicks out of place sometimes and after i sit down for long periods it is very painful.
I want to ask what could possibly be wrong and whether i need surgery? Also is there any exercises i could do to help the process?
Thank you for your time
Answer Dear Brad,
It would be premature to suggest any exercises for you at this point. The knee needs to be examined with functional orthopedic tests to determine the future course of care. Pain in the knee from soccer training is very common, however, many times this is an overuse injury or deconditioning injury rather than and internal derangement of the anatomical structures. The only way to determine the actual anatomical structure responsible for pain is with a functional examination. With soccer, the most common injuries are to the ligaments of the knee...Anterior cruciate ligament, posterior cruciate ligament, lateral collateral ligament, and medial collateral ligament, as well as the meniscus. Often the ACL, MCL and medial meniscus are damaged at the same time.
Now, that being said, let me expand a bit: popping and clicking noises form the knee can be either due to ligamentous laxity, cartilage damage, or meniscus damage. If the knee "locks" and you have a hard time bending it back to walk, this is highly suspect of meniscus tearing and will need to be evaluated by MRI. There are specific tests to perform to try to recreate the locking/of the knee that the doctor can perform as well such as the McMurrays test...all orthopedic docs and chiropractic docs will know how to perform this test with accuracy, however, many general practitioners are not well versed in these examination techniques.
If soreness is the most prominent issue without swelling, it is more likely muscular, myofascial or dysfunctional motion as the cause...however, this should not result in locking of the knee. You really need to have it examined which will lead to further diagnostic imaging depending of the findings, and that will determine the need for surgery or rehab.
Respectfully,
Dr. J. Shawn Leatherman
www.suncoasthealthcare.net
