Fascia: The Missing Link in Knee Pain Treatment
One commonly overlooked component of knee pain is fascia — the tough thin network of collagenous tissue that encases and connects structures throughout the body. Muscles and fascia work together to create tensegrity – a state of tensile integrity where individual body components are held in place by continuous elastic tension.
Tensegrity works to control and guide forces, facilitating muscle action during physical activity. It governs joint alignment and works together with ligaments to promote knee stability. Fascia is densely embedded with sensory nerves that send pain signals to the brain when tensegrity is compromised, and that is often the source of knee pain.
Fascia can become damaged by trauma, disuse, or overuse. Its slippery and elastic properties can be affected by poor nutrition, dehydration, and toxins, making it dense and sticky. Densified fascia can form adhesions that stick to other structures, entrapping nerves and blood vessels, and preventing them from gliding. Densified fascia can interfere with muscle action, undermining its role in knee mechanics and stabilization.
Fascial manipulation is a therapeutic approach that restores the slippery and elastic properties of fascia, freeing up entrapped nerves and optimizing muscle action. Dr. Kalika is certified in the Stecco method of fascial manipulation. He teams up with an injection specialist to perform fascial plane hydrodissection, a procedure that injects a neutral solution into densified fascia to liberate fascial layers and restore its gliding properties.
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