Mesotherapy treatment of knee : Tendinopathy 

Mesotherapy is a very useful tool in sports medicine, it helps to provide effective rapid drug response, and sustained to numerous common pathologies as long as it is used appropriately

Mésothérapie - Coupe du genouAnatomical reminder
The knee is composed of four main ligaments:
the medial collateral ligament (MCL), which prevents the knee from inside
the lateral collateral ligament (LCL), which prevents the knee from outside
the anterior cruciate ligament (ACL) that prevents the tibia from front
the posterior cruciate ligament (PCL), which prevents the tibia from behind

The knee stability is dependent on the integrity of its knee sprains ligaments.Les correspond to a more or less serious infringement of each ligament. We are talking about mild sprain when the two collateral ligaments presented an elongation that is to say a stretch of its fibers without breaking. Mesotherapy is a very good indication for trauma.
The pain is not a sign of gravity. In fact there is no relationship between pain intensity and severity of the sprain. Diagnoses of gravity faster, it being understood that knee sprain should suggest a ruptured anterior cruciate ligament until proven otherwise.


interview
It is to clarify the characteristics of the pain: - mode of appearance: usually progressive, sometimes brutal (micro-fracture). - Circumstances of appearance: pulses, deceleration, receptions - onset of symptoms, effectiveness of previous treatments. - Location (tip, body, TTA) - hourly rate and it allows to assess the functional impact of tendinopathy by CLASSIFICATION DE BLAZINA :
Stage 1 : pain at the end of effort
Stage 2 : Pain warming, disappearing effort and reappearance when physical fatigue
Stage 3 : a) permanent pain during exercise with decreased quantity and quality of sport
               b) permanent pain prohibiting sport
Stage 4: tendon rupture


Therapy with Mesotherapy patellar tendinopathy :

indicated if stage 1 and 2 (Blazina classification)

Mixed: FDI and IDP
Protocol: J0 J7 J15 J30 ....
First sessions of Mesotherapy Treatment analgesic and anti-inflammatory on the positive to the clinical examination and palpation treatment muscle relaxant next Q4.
Drugs used:
1 - Lidocaine, calcitonin and / or piroxicam
2 - Lidocaine + thiocolchicoside

From 2 or 3 rd session Mesotherapy In Treatment analgesic and food.
Drugs used: Calcitonin + Etamsylate + magnesium

To point to the 3rd session of Mesotherapy :
• Stop if target achieved
• Stop if no result (review diagnosis and indication)
• Continue with sessions spaced if the condition was improved without reaching the goal

Break: A rest on suitable pain. Landfilling on a pair of crutches, the strapping, a knee brace may possibly be recommended.

This document is for information purposes and can in no case be time to proceed with treatment.

Pistor Eliance Pistor 5 Pistor 4 Pistor Primim