The AAO Journal, 2023/06, 33(2):14. doi: 10.53702/2375-5717-33.2.10, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://meridian.allenpress.com/aaoj/article/33/2/10/493538/LBORC-NUFA-Poster-Abstracts-2023-Residents)

Keywords:

case report [736]
female [654]
knee [117]
marathon [2]
OMT [3924]
osteopathic manipulative treatment [3945]
running [19]
sports [158]
women [607]

Abstract:

Running is a popular sport worldwide and includes up to 40 million people who run regularly in the U.S. It is also a sport that is prone to injury of the lower extremity, with a wide range in incidence ranging from twenty percent to up to eighty percent of all runners sustaining an injury each year. Injuries vary in the lower extremity, but frequently occur in the knee due to overuse. Subsequently knee pain is a common complaint among long-distance runners. Numerous causes have been linked to the source of runner’s knee pain, however the most common include overuse, malalignment, and trauma. A characteristic pain pattern includes patellofemoral pain, which is anterior knee pain that encompasses the patellar region. Knee pain is assessed in active patients in various specialties including primary care, orthopedics, and sports medicine. The imaging and treatment of knee pain is highly diverse, including imaging, medication, injections, physical therapy, and adjunctive therapies such as ice or wearing a brace. The role of osteopathic manipulative treatment (OMT) in runners requires a closer inspection of a possible role of OMT for marathon running and its distinct training preparation and recovery methods since literature is limited. A 40-year old female presented with a 2-month history of bilateral knee pain while preparing for the New York City marathon. Prior to OMT, the patient was evaluated by an Orthopedic physician, including imaging of both knees, showing mild degenerative joint disease. After 10 applications of OMT, utilizing various treatment modalities, the patient expressed resolution in bilateral knee pain despite continuing her training for both a half marathon and full marathon.