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This illustration of the back of the knee shows the popliteus muscle and tendon from which the popliteal region derives its name. The space within the knee joint is lined by cells that secrete lubricating fluid (synovial fluid).
The popliteus tendon is sensitive to overuse activity and may become inflamed (tendinitis) causing pain at the back of the knee, aggravated during deep squats.
Another cause of popliteal pain is a disruption at the back of the lateral meniscus, in the region known as the 'posterior horn'.
If we consider just the bit at the back of the knee - the posterior horn - of the lateral meniscus, there may be a tear of the meniscus itself, or there may be a disruption in the fibres that frequently attach the rim of the posterior horn to the popliteus tendon as it sweeps along the back of the meniscus.
Inflammation of the biceps femoris tendon as it sweeps along the back of the knee may give rise to pain in this area. The other tendon inflammation that may cause pain at the back of the knee is gastrocnemius tendinitis. A popliteal aneurysm is a defect of the popliteal artery where the wall of the artery loses its elasticity and the artery bulges out into a spindle shape. The bulging of the aneurysm can cause local compression and pain, but more important symptoms may be the result of clots forming on the walls and shooting down to the lower leg, obstructing the blood supply initally causing claudication (pain in the calf and foot on walking) and later more advanced arterial obstruction and a cold white foot (a medical emergency).
The posterolateral corner is the region on the outer aspect of the back of the knee where several structures contribute to stability in the knee.
This site complies with the HONcode standard for trustworthy health information: verify here. And there you have it, the heretofore undiscovered connection between ITB syndrome, piriformis syndrome, and tight groin musclesa€“brought to light and put on the Internet by none other than a layman. Since as long as man has been around, some form of massage has probably been present.  For the caveman smacking his head in a cave it was probably second nature to immediately grab and rub the injured area just as it is today. Most famously, the great Greek Physican Hippocrates (know in the West as the Father of Medicine), was an advocate of rubbing and frictioning the body to help treat an assortment of conditions. Since massage and self-massage (especially during injury) seems to be a basic human action as long as can be recorded, I want to discuss specifically the boom in self-massage techinques have really taken off in the last 10 years or so. Having been in the massage industry for over 10 years now, I am as convinced as ever that healthy soft-tissues (including muscles, tendons, ligaments, and fasica, the glue which holds it all together) are of paramount importance to keeping our joints healthy as we age. Although the scientific research on massage therapy is in its infancy, there is too much evidence to ignore the benefits that carefully applied pressure to the body can have on this amazing machine we call the human body. The benefits of self-massage are really similar to the benefits from regular massage as done from one person to another.


No one knows for sure the exact mechanisms for how  massage or self-massage works, but there does seem to be both local and neurological (i.e. Autogenic Inhibition- One theory is that sustained pressure creates tension on muscle fibers which can eventually cause tension sensors called GTO’s (Golgi Tendon Organs) to fire which can theoretically then results in a relaxation of  the muscle(s) under tensile stress or strech. In the second intallment of this blog, I will give basic advice on the safest and most effective methods for performing self-massage techniques. This is a fluid-filled lump at the back of the knee caused by fluid which has built up under pressure within the knee cavity in response to an inflammatory problem within the knee and not directly related to the lump itself.
The illustration on the left shows a bird's-eye view of the menisci sitting on the top of the tibia.
This condition usually occurs in older people and the cause is usually age-related loss of elasticity and hardening of the artery wall. There is always a story of a significant injury followed by feelings of knee instability accompanying the pain.
The earliest recorded evidence of massage dates back to ancient cicilizations such as China, India, Greece, Rome, and Egypt.
With self-massage, people just need to understand  a little about how and why they are using self-massage techniques so that they don’t end up over-doing it and bruising or hurting themselves from the over-zealous application of pressure to various body parts! Last but not least, to use a little power of the Placebo Effect, which is part of any therapy or treatment! I’m not sure I really buy this theory with regards to self-massage but it is very popular and the primary explanation given by the NASM (National Academy of Sports Medicine), a certifying agency for personal trainers.
While I think this theory has some merit, the reality is probably more that the massage can irritate the tissue in quesiton and possibly help the body reorganize the scar-tissue in the direction of the original muscle fibers that it replaced. As disccused above, the placebo affect or even the expectation bias, can form a large part of the healing or therapeutic response to any therapy, including self-massage therapies. Behind the knees in the popliteal fossa- there are blood vessels and nerves here that are easily accesible and that can be injured through excessive pressure.
The femoral triangle in the groin area- the femoral artery and vein are easily accessible here.
The Sub-occipital Triangle- There are vulnerable neck structures and vertebral arteries exposed here so it should be obvious to push directly into this area.
Deep into the abdomen area- although massage can be safely applied to this region, one must really know there anatomy and whether or not there are any visceral health problems or pregnancy that could be affected by direct pressure into this region. There are many resources out there to help you with learning these techniques including a 2-disc DVD set that I created on the subject.


In the popliteal region of the knee there is an anatomical connection between the main joint cavity and a lubricating 'pocket' at the back of the knee (the gastrocnemio-semimembranous bursa).
Popliteus tendinitis pain can often be elicited by bending the knee and resting the ankle onto the shin of the other leg in a figure-of-4 position. You can see that the lateral meniscus is a different shape from the medial meniscus in being more 'O'-shaped rather than 'C'-shaped, and in having a recess at the point where the popliteal tendon passes up to the femur bone. It may become damaged via overuse during a repetitive activity such as running or cycling, where the tendon abrades over the bone of the femur at the back of the knee. Unforuntaley, the research on self-massage is really lacking and most of the beneftis and results reported are purely anecdotal.
Scar tissue is laid down in a haphazard format, rather than in the exact direction of the original tissue so this theory seems plausible. Simply put, the more you believe in any given type of therapy, the greater the chance that you will receive a benefit, however short-lived it might be. This are can be worked  by skilled and licensed therapists but self-treatment can be a good way to cut of blood supply to your brain by pressing on the carotid areas…bad idea jeans! When the fluid builds up under pressure, synovial fluid can leak into the popliteal bursa to form a cystic swelling known as a Baker's cyst (or popliteal cyst).
If you look at the second illustration, where the knee capsule has been sketched in, you can see that the popliteus tendon actually passes through the capsule of the knee and into the knee joint itself, where it attaches to the outer side of the femur.In doing so, it runs behind the lateral meniscus and in close proximity to it. Sitting on a table with the lower legs dangling, pain may also be elicited when an examiner rotates the foot and tibia outwards.
The presence of the popliteus means that the lateral meniscus is not tethered at its outer rim as well as the medial meniscus, and it is consequently more mobile.
But enough people appear to benefit from this type of treatment so clearly there is something good going on here.
The cyst may be obvious to the eye or it may be palpable as a tense 'balloon-like' swelling on the inner (medial) aspect of the back of the knee.



Gcs stands for
Le diab?te de type 2 est il h?r?ditaire mortelle




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