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Knee Cap Free

Also called: Cap Free

Supine or seated; palms above and below the knee, on edge either side of the cap, then round its four corners

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

From Knee, Leg, Foot

b. KNEE CAP FREE — given laid straight, or seated

Tell the patient to let the knee go completely loose and to lie or sit relaxed. Do the more troublesome knee first; the other can be done afterwards. Supine Seated

  1. 1. Place the palms so that the thumbs are near each other and the fingers are on both sides of the thigh. With light pressure, knead the muscles right and left, in the direction of the arrows. Do this at two or three places on the thigh, from the hip down to the knee.
  2. 2. Do the same at 2–3 places on the skin below the knee.
  3. 3. Stand the palms on edge on both sides of the knee-cap and, from the borders, knead the muscles at the sides of the knee up-down and down-up, to relax them.
  4. 4. Then, with the sole of the palm, rub at the four corners of the knee-cap, and move the hand round and round on all sides, to free the cap from the muscles beneath it.

Doing all this makes the knee-cap completely loose, which reduces the stiffness of the knee — and that is exactly why it is called cap free.

Patient's positionLaid straight, or seated; the knee completely loose, the patient relaxed. Do the more troublesome knee first Supine Seated
Where the hands are placedPalms with thumbs near each other and fingers on both sides of the thigh, at two or three places from the hip down to the knee; then at 2–3 places on the skin below the knee; then the palms standing on edge on both sides of the knee-cap; then the sole of the palm at the four corners of the knee-cap, moving round and round on all sides
Duration and repetitionsKneading with light pressure, right and left, in the direction of the arrows; at the sides of the knee up-down and down-up. No count is given
What it is forMaking the knee-cap completely loose and freeing the cap from the muscles beneath it, which reduces the stiffness of the knee

"Let the knee go completely loose" is a technical precondition, not a pleasantry. The cap sits inside the tendon of the big thigh muscle, and when that muscle tightens — as it does the instant a patient braces, lifts the heel an inch, or holds the leg "helpfully" straight — the tendon pulls tight over the cap and clamps it into its groove. All four stages are then working against a locked bone. Hands off until the leg is heavy: lift the heel two inches and let it drop; a loose leg drops like a sandbag.

"Do the more troublesome knee first" runs against instinct, and it is written. The troublesome knee gets your freshest hands, before the session runs long — and it gets treated before the patient has decided, from ten comfortable minutes on a knee that was never the problem, how much she will let you do to the one that is.

"In the direction of the arrows" sends you to the figure, which shows zig-zag arrows running side to side at two or three levels above the knee and two or three below. The kneading is cross-wise, not along the length of the leg. Stage 3 turns the hands: the palms come up on edge, like two knife blades, one each side of the cap, and the sides of the knee are kneaded up-down and down-up. And stage 4 is the treatment the name is about — the sole of the palm, the soft pad at the base of the thumb, at the four corners first and then round and round on all sides. Do not shorten it to the circle.

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