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Jan 20, 2023

A client’s knee surgery seemed to go OK, but now he has a problem: his knee is stuck in 60 degrees of flexion. His doctors don’t seem interested in his diagnosis, leading him to wonder if anything will ever change.

What’s going on? Is this unusual? Turns out, it might happen a lot. But massage therapy might be helpful, according to one of the world’s leading experts on the subject. Join us as we explore arthrofibrosis in this edition of “I Have a Client Who . . . ”




Books of Discovery:  


Host Bio:        


Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist’s Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP’s partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner’s books are available at And more information about her is available at   



Recent Articles by Ruth:       


“Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36,


“Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35,


“Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33,


“Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32,    




Pocket Pathology:


Arthrofibosis | International Arthrofibrosis Association (no date) IAA. Available at: (Accessed: 16 January 2023).


Arthrofibrosis - an overview | ScienceDirect Topics (no date). Available at: (Accessed: 16 January 2023).


Martinez-Lozano, E. et al. (2022) ‘Management of arthrofibrosis in neuromuscular disorders: a review’, BMC Musculoskeletal Disorders, 23(1), p. 725. Available at:


Usher, K.M. et al. (2019) ‘Pathological mechanisms and therapeutic outlooks for arthrofibrosis’, Bone Research, 7, p. 9. Available at: