Hi,
got a question for you on my brother. Thought I'd ask it here rather than through PM in case other people are interested.
Warning: tl;dr :/
One of the foremost strength trainers in Norway, Borge Fagerli (the guy AJ lubs), recommended a naprapath here in my city to deal with all kinds of injuries.
Naprapathy on Wiki.
Basically, my brother injured his knee pretty badly late October/early November. His knee was very noisy on the day in question, but didn't feel painful at all. He went ahead and did his squat session anyway (3x5~240 or so). The day after his knee was pretty massively swollen. It's way better now, but still not good. He did a very light squat session on Sunday, and his knee felt worse after.
He visited a PT after about a month, who said his knee had become "inflamed" (my brother didn't describe it better unfortunately). Given the length of time which has passed since the initial acute injury, I suspect it's
tendonisis rather than
tendinitis. The PT said he could try squatting again after a while to see how it felt. This same PT has said some dubious stuff about training before (novices shouldn't do 5 rep sets etc), so I'm a bit suspicious about how good he is at exercise-related injuries.
My brother had his first appointment with the naprapath this week. He basically didn't look at his knee much. He had my brother demonstrate an air squat. He noted the rather significant butt wink as a possible culprit, and said that other parts of the body need to take the stress once his back loses extension. Which sounds dubious (wouldn't the lower back just get increased stress), but butt wink tends to get way better with more weight on your back. Which is also the case with my brother - I wouldn't say his butt wink is very significant at work weight.
Now, he did basically do a bunch of myofascial release stuff, like you've described here - loosening muscle adhesions in his thighs. He also added like 5 mins of acupuncture on the end, which I think is pretty meh but w/e. He also recommended basically what you did, namely using a ball (small, hard rubber ball akin to a lacrosse ball) on himself.
So all in all, it sounded like the treatment is ok. I was a bit skeptical that he didn't touch the knee at all though - what do you think about that?
I basically advised my brother to get a few more appointments and see if it helps. I'm pretty much at a loss on what to recommend besides this kind of treatment, since I don't think there's much he can do besides just rest and not squat. Which obviously sucks big-time given that he's on SS, but what can you do.
Oh, extra info: my brother's always had pretty horrible posture. Got worse after he got fatter on SS (eating like a horse and not doing the program = lol). Got his **** together a bit after I pointed it out, but still prob slightly APTy.