Treating a Case of Osteoarthritis Knee with Adductor Release and Abductor Strengthening

Background: Management of a case of chronic Back and knee pain with Obturator Nerve Block. Case Presentation: A 52 years old female presented with complaint of low back pain with stiffness and bilateral (B/L) knee pain. Her pain started 6 years back when she was 46 years old. Initially she complained of low-grade pain & stiffness around hip & knee. After evaluation we plan to target her adductor muscle because she is finding very difficult to straighten her knees and doing abduction at the hip joint. Under Nerve stimulator guidance, we did neurolysis of anterior division of Obturator nerve with 5 ml 6% Phenol. She responded miraculously and started walking almost pain free during initial 72 hours and even after 6 months, she is living pain free. Conclusion: Adductor muscle tightness refers to the condition where the muscles located on the inside of the thigh, called the adductor muscles, are tense or contracted. This tightness may cause pain in the inner thigh or groin area, as well as discomfort and restricted range of motion. Several factors, such as overuse, imbalanced muscles, insufficient stretching, or injury, can cause it. Balancing the activity of hip adductors have profound effect on pain and stiffness of back & knee joint. Tight adductors didn’t allow a good amount of abduction movement, and it is very difficult to perform routing abductor strengthening.