
Q Pesces tendinitis has recurred during exercise. Which movements cause the most irritation?
A Squats, stair climbing, and running that involve deep knee bending place significant tension on the pes anserinus attachment, making them major causes of recurrence. Particular caution should be exercised regarding movements where the knee leans inward relative to the toes, as well as impacts when descending inclines. The general rule is to gradually increase exercise intensity only after the pain has completely subsided.
Detailed Answer
Biomechanical studies show that the shear force on the pes anserinus attachment during stair descent is 2 to 3 times higher than during walking on flat ground. If valgus collapse occurs during running, eccentric overload is applied to the sartorius and gracilis muscles. Swimming (excluding breaststroke) and cycling (excluding low-saddle cycling) are recommended as relatively low-stimulation aerobic exercises. Perspective of a Korean Medicine Clinic Exercises involving repetitive, vigorous bending and straightening deplete the energy that governs muscles and joints in Korean medicine, creating a flow where stagnant blood accumulates at attachment points. At Dongjedang, we combine acupuncture treatment to open blocked pathways and cleanse stagnant blood remaining after exercise; furthermore, during the treatment period, we provide specific guidance on a list of stimulating movements to manage the risk of recurrence.
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