JJ Back

How it is given: Knee, Leg, Foot
What it is used for: Each Point in Use

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knee and muscle pain

Given by a therapist

Knee Muscles TF

शरीर की प्रतिरोधक क्षमता को बढ़ाएं, और मांसपेशियों के दर्द को कम करें By BK Dr. Diwakar Shukla

Given by a therapist

Muscles Shukla Lymph and immunity

From Knee, Leg, Foot

JJ GROIN and JJ BACK — for the pain that is left over

Inner side of the knee → Groin; outer side → Back. Two words decide

THE WORDS WE USE

JJ — one sign, two different families

This must be got straight the first time, because the codes look alike on a card and the treatments have almost nothing in common.

JJ⁺¹ and JJ⁺² were taught in The Low Back. They are the segmental pair, chosen by the spinal level written on the card: JJ⁺¹ for L1–L2–L3, walked waist to knee with a pillow under the thigh; JJ⁺² for L4–L5–S1, walked below the knee to the ankle with a pillow under the calf; three graded rounds each — slight, a little more, full body weight — and both based on dermatome charts.

JJ Groin and JJ Back are a different family altogether. They are not chosen by a spinal level, they are not walked, they have no graded rounds, and they carry no dermatome reasoning. They are chosen by where a leftover pain sits at the knee — inner side or outer — and are given as a line of separate stations two inches apart, pressed upward and released, from six inches below the hip up to the hip bone.

What the four share is only the sign — two hooked strokes turning upward beneath a row of dots — which in this atlas marks a series of stations worked from below upward. That is the whole family resemblance. The plus signs mark the segmental pair; the words groin and back mark these two.

From Knee, Leg, Foot

JJ BACK — given face down

This treatment is given with the patient laid face down. It is for those who, even after all the other treatments, still have pain at one single point on the outer side of the knee. Prone

In this, the muscles and tissues that have descended at the side of the buttocks, outside the pelvic bone, and at the upper part of the femur, are to be carried from below upward. Beginning about 6 inches from the hip, as in the figure, at two-inch intervals going upward, press somewhat firmly and release. Carry on like this up to the hip bone. Give it with the heel, or the soles of the hands may also be used. Treat only the knee that is troublesome. Its sign is ⇃⇃ back.

	JJ Groin	JJ Back
Patient's position	Laid straight (supine) only Supine	Laid face down, 1½ pillows under the chest Prone
Surface worked	The muscles and tissue on the upper front part of the femur, sent from below upward	The muscles and tissues that have descended at the side of the buttocks, outside the pelvic bone, and at the upper part of the femur, carried from below upward
Where it starts	About 6 inches away from the hip	About 6 inches from the hip
Stations	Every two inches, upward, to the hip bone
Action and tool	Press the thigh muscles somewhat firmly upward and release — the heel, or the soles of the hands	Press somewhat firmly and release — the heel, or the soles of the hands
Indication	Pain at one single point on the inner side of the knee, even after the other treatments	Pain at one single point on the outer side of the knee, even after all the other treatments
Sides treated	As the pain indicates	Only the knee that is troublesome
Sign	⇃⇃ groin	⇃⇃ back

The condition of use is written into both entries and is not decoration. Even after the other treatments, still have pain at one single point. These are not openers; they come after the sequence has been given long enough to show what it can do, and they are for one single point, not a knee that aches all over. A patient who cannot put a fingertip on the spot is not the patient this treatment is for. (Figure 23.4)

The inner–outer rule is the whole of the choosing. Inner side → JJ Groin, supine, front of thigh. Outer side → JJ Back, prone, back and outer thigh and side of the buttock. Two words, and they cannot be swapped. Neither treatment touches the knee — both work the top of the thigh for a pain felt at the knee, which is the logic running through this whole wiki and is worth saying to a patient in those words.

TAKE CARE

The last two inches of JJ Groin

The line of JJ Groin ends at the hip bone, so its final stations lie high in the front of the thigh, in the soft triangle just below the crease of the groin. The great artery of the leg, the vein beside it, the nerve to the whole front of the thigh and a cluster of lymph nodes all lie there, close to the surface — it is where a doctor takes a pulse in an emergency and where a cardiac catheter goes in.

The action is press-and-release, exactly as written — a short firm upward press that lifts off, not a sustained hold and not a lean. Feel for the pulse before you place a heel; if it is beating under your foot, move off it and keep the highest station light. And stop and send rather than treat if you find a pulsating lump in the groin, a hard fixed swelling there, a leg that is cold with no pulse at the ankle, or a recent puncture site from a hospital procedure.

A CASE FROM PRACTICE

The farmer with one fingertip of pain

A composite, assembled to teach the inner–outer rule and the condition of use.

Devidas Bhosale · 47 · farmer · Latur district · came with right knee pain of eight months, already partly treated elsewhere

What he said. "Full knee was paining. Now only here." And he put one fingertip on the outer side of his right knee, a little above the joint line, and left it there. Asked to show it with his whole palm, he went back to the same fingertip. The pain had a location, and he could give it.

What was observed and palpated. Prone Supine Knee-cap moving freely in all four directions — somebody had done that work and done it well. Both calves equal and cool. No swelling, no locking, no giving way. Tender to a fingertip on the outer side, and nowhere else on the knee. The outer thigh and the side of the buttock on that side noticeably tighter than the left under the palm.

How it was read. The general knee work had been done and had delivered what it was going to deliver. What was left was one single point, on the outer side — which is the sentence the atlas writes at JJ Back, almost word for word, and it decided the treatment.

The choice, and why. JJ Back, prone, on the right side only, because the entry says treat only the knee that is troublesome. Heel, six inches below the hip, stations every two inches upward to the hip bone, pressed firmly upward and released at each. Back of knees and Knee Cap Free continued alongside, because the sequence they belong to had not stopped being useful.

What happened, and the mistake in it. For two sessions the therapist gave JJ Groin instead, having read the card in a hurry. Nothing worsened; nothing improved either. The error was caught not by the patient but by the record, where two sessions of a treatment stood written down with no change beside them. From the third session, given correctly, the fingertip pain was two-thirds gone in four sessions and absent in eight.

What went wrong because something was withheld. He had not mentioned that in week three he had begun walking two miles to his field again, uphill. He thought it was good news that would please the therapist, not information. It was both.

What this case teaches

JJ Groin and JJ Back are chosen by which side of the knee the leftover pain sits on. Inner is front and supine; outer is back and prone.

They are late treatments. Even after the other treatments is part of the indication, not a preamble.

A pain a patient can cover with one fingertip is a different clinical object from a knee that aches. Ask for the fingertip.

A written record catches a therapist's own error faster than a patient will.

JJ Groin and JJ Back — for the pain that is left over. The two late treatments side by side — supine on the front of the thigh for a single point on the inner side of the knee, prone on the buttock and upper femur for a single point on the outer side — with the stations they share, the sign they share, and the reason neither belongs to the family of JJ⁺¹ and JJ⁺².

BOF — Bottom of Feet, and its four sides. A leg in section with its four quarters — behind, the two sides and, after a sprain, the front — beside the face-down position drawn in full, and the reason the atlas blocks the shortcut of angling the leg instead of turning the patient.

Also explained in

The knee sequence, said aloud Knee, Leg, Foot
ine separable treatments, their counts and their sides, in one order THE METHOD, STEP BY STEP The order, with its counts — to be learnt by heart · Treatment · Position · Tool · Count · Which side 0 · The chemical points
Introduction Knee, Leg, Foot
Tell JJ Groin from JJ Back by position, surface, indication and sign — and say plainly why neither is the same family as JJ⁺¹ and JJ⁺².
Why the chemical points come first Knee, Leg, Foot
Where the therapist stands or sits Named in Beside the patient, the usual way, weight on the palms through the chairs Back of knees, BOF Prone Hands only, no chairs Knee Cap Free, Giriraj, calf muscle ghisai Supine
Questions students ask Knee, Leg, Foot
Write which you gave, on which side, and which variant of Pradeep — and if you gave JJ Groin or JJ Back, write which and why.
The line that closes the chemical half Each Point in Use
Once you know the word, three entries fall into place at once: J groin lifts the tissue that has descended on the inner side of the kaṭorī, J back the outer, and Pradip pulls the muscles and nerves of both sides away fro
The knee and the lower limb Each Point in Use
J back Prone With this treatment we pull upward the tissue on the outer side of the knee that has descended, and bring it back to its own place.
Every symbol, and how to say it in words The Shorthand
Table 11 — The written symbols and their names (second plate) Symbol (described) Code Full name A ring atop a line forking into two limbs, each ending in a dot, above a ground line Hydrocele point — Left and right arro

Language

JJ Back

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JJ GROIN and JJ BACK — for the pain that is left over

JJ BACK — given face down

Also explained in

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