『膝痛』を筋骨格系以外で治療するポイント

おはようございます。
日本整体協会インストラクターの宮野です。

今回は『膝痛』についての症例をシェアさせて頂きたいと思います。

膝の痛みを訴えて来院される患者さんは多いですよね。
特に私の治療院は接骨院なので膝痛で悩まれている方は以前からたくさん来られていました。

通常であればコンタクトスポーツなど膝に直接急激な外力が加わらない限り、膝自体を損傷することはなかなか無いと思います。

でも日常生活を送っているだけで膝が痛くなってきたり、
変形してきてしまったりというケースは多いですよね?

そんな患者さんを先生はどのように治療されていますか?
筋骨格系で考えたとしても膝が痛い人に対して膝だけを治療する先生は少ないと思います。

以前の私だったら…

・股関節や足関節の可動域は?
・殿筋群は機能してる?
・歩行時の骨盤のスラストは?
・荷重は足底のどこにかかってる?
・上肢帯・上肢の動きは?
・ディープフロントライン?スパイラルライン?
・H/Q比はどうなってる?

などなど他にもありますが、こんなところを診たりしていました。

運動学的に考えて膝関節はスタビリティの役割をしているので、
直接膝に原因があることは少ないですよね。

それが例え変形でも同じです。
膝や股関節のOAで人工関節置換のオペ後でも症状が消えない患者さんも多いですよね。

結局は、
「なぜその関節に負担がかかっているのか?」
この原因が改善されない限り症状が変わらないことは多々あります。

また、膝に水が溜まってしまう患者さんも多いですよね。
水が溜まったらどうしますか?

病院で抜きますか?

テーピングで吸収させるように促しますか?

パットを当てて包帯で圧迫しますか?

超音波や微弱電流で吸収を促進させますか?

いずれにしても、なぜ水が溜まったのか…?
体は必要だから水を集めたんですよね?
その理由を考える必要があります。

今回の症例の方は50代女性の患者さんでした。
捻ったわけでもないのに右膝が痛みで屈曲ができず、階段昇降が困難。水腫。

何か所か治療院に通われたそうですが、治療後は改善してもまたすぐに元に戻るのを繰り返していたそうです。
また、整形外科では水を抜いてヒアルロン酸を注射するしかないと言われ、当院に来院されました。

問診をした段階で、回復力が低下しているのでは?と考えました。

そこで身体をチェックしてみると

~~~~~~~~~~~~~~
・肝臓、右腎臓が異常に重い
・子宮の捻じれ
~~~~~~~~~~~~~~

この2点が特に気になりました。

本人に確認すると尿量が少なく生理痛もひどいとのこと。
そこで膝の痛みではなくまず環境を整えることが大切だと説明しました。

そして肝臓、腎臓、子宮の調整を行い施術は終了。

膝は少し軽くなった気がするとのことでした。

このときの私は内臓テクニックを覚えたてだったので
「あれ?足りなかったかな?今まで通り筋骨格系もアプローチしてみようかな?」
という気持ちも心の奥底にちょっぴりありました。

ですが、しっかりとした哲学があったため、考えは曲げずにそのままお帰り頂きました。

2回目の来院時は症状にまだ大きな変化はみられませんでした。

昔の自分だったら
「変わんなかったか…、次はどうやってアプローチしてみようか…」
などと考えていたと思います。

ですが、内臓をチェックしてみると明らかに前回より軽くなっているのが分かりました。
「大丈夫、順調だ」素直にそう感じました。同じように内臓を治療してその日も帰しました。

3回目来院時、痛みも水腫も消失していました。

あのとき考えがブレてアプローチの仕方を変更して症状を追いかけていたらこの結果は出なかったと思います。

今回のケースでは患者さんが色々な治療院に通ったということもあり、
筋骨格系のアプローチは今までの先生たちが一通りやってくれているだろうという仮説を立てていました。
それで改善しなかったのであれば他に原因があるはずだろうと。

内臓テクニックの取り入れ方が難しいという先生もいますが、
考え方としては筋骨格系の考え方とそんなに変わりません。
冒頭でお話した以前の私がチェックしていたポイントに、内臓の項目が増えただけです。

筋骨格系だけでなく内臓も重心や関節可動域、筋緊張などに関与しているという概念が加わるだけなので
今の治療法に付け加えて頂くだけで視野と可能性が広がります。

あとは仮説と検証を繰り返していくだけです。

例えば今回のケースでいくと、
肝臓・腎臓・子宮で
膝の痛みも水腫も取れて良かった~
で終わってしまっては意味がありません。

なぜ改善したのかということを考えることで似た症状の患者さんが次に来た時に視野が広がります。
そして、そんなことを繰り返しているうちに不思議と重い症状の方が来院するようになってきます。

私はこの患者さんの紹介でガンの患者さんを治療するようになりました。
もしかしたら明日、先生の治療院にも重い症状の患者さんが来院されるかもしれません。

こればっかりは絶対にないとは言い切れません。

本当に来院されたら先生ならどうしますか?

そこで大切なのが哲学と覚悟です。
少しでも多くの方を救えるように一緒に頑張りましょう!

本日も最後までお読み頂きありがとうございました。

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