膝　内側側副靭帯

Ligaments in the knee pain

膝の靭帯は、筋肉より伸縮性がないため、無理な外力や、ひねりが加わると、損傷や断裂がおきやすいです。膝内側側副靭帯損傷は 膝靭帯損傷の中で最も頻度が多い損傷です。接触型タイプは膝に直接強い衝撃を受け、膝が不自然な方向に曲がり損傷します、非接触型ですと、無理な体勢からの方向転換やジャンプ後の着地の瞬間に損傷することがあります。症状としては、損傷の程度によりますが、膝関節の疼痛や歩行困難なケースもあります。膝の「可動域制限、曲げ伸ばしが困難や、腫脹が目立ってしまうこともあります。受傷後２－３週間くらいを過ぎると痛みや腫脹・可動域制限が徐々に軽減されていきます。鍼灸治療としては、疼痛時の痛みの緩和、関節が固くならないように、血行を促進して運動療法も行います。大腿や膝周りの関節の筋力低下を予防するため、血流を改善して、筋に栄養を与えていきます。症状の軽減に合わせて可動域訓練、筋力訓練も行います。その後、可動域と筋力が健側と同等レベルまで改善したら、怪我前と同じようにスポーツなどができるようになります。鍼灸治療は、再発予防のため膝周りの筋力訓練や、膝の再損傷を防ぐための筋の靭帯の柔軟性を維持のサポートにも適しています

Ligaments in the knee are less elastic than muscles, so they are easily damaged or torn when subjected to excessive external force or twisting. Medial collateral ligament injuries are the most common type of knee ligament injury. The contact type of injury occurs when the knee is subjected to a strong direct impact, causing the knee to bend in an unnatural direction. The non-contact type of injury may occur when the knee changes direction from an impossible position or at the moment of landing after a jump. Symptoms include knee joint pain and difficulty walking, depending on the degree of injury. Knee "range of motion limitation, difficulty bending and stretching, and swelling may also be noticeable. After about 2-3 weeks after the injury, pain, swelling and limited range of motion will gradually decrease. Acupuncture treatment includes pain relief at the time of pain, to prevent the joint from stiffening, and to promote blood circulation and exercise therapy. To prevent muscle weakness in the joints around the thighs and knees, blood flow is improved and muscles are nourished. Range of motion and strength training will also be performed as symptoms decrease. Once the range of motion and muscle strength improve to the same level as the healthy side, the patient is able to play sports and other activities as before the injury. Acupuncture and moxibustion treatment is also suitable for strength training around the knee to prevent recurrence and to help maintain the flexibility of the muscles and ligaments to prevent re-injury to the knee.