HI Adam -
I would use the six-channel system of Wang to determine sinew involvement. THen - treat what you see, that is, supplement blood, boost qi and nourish the sinews with medicinals such as di zhong.
Will
Anyway, I have a patient now that I think may have a similar issue
(lax tendons, ligaments) and I am curious to hear a little more on the
subject (pathomechanism, treatment, etc) - from both Biomedical and
Oriental medical perspectives. Without going into too many details,
my patient is a long-time dancer/dance teacher who primarily shows qi
xu and blood xu signs/symps. She has a history of frequent sprains
and strains (and not from dancing but from simple things like walking
and having her ankle turn over) and her legs are VERY loose and
flexible - almost floppy. I was testing her ROM the other day and in
prone position, flexing her knee caused her fibula to move/pop away
from her tibia - she says it happens all the time.
Thanks in advance,
Adam