Sometimes the best decisions that we make in life are the decisions that we don’t get to make.
Do you have knee pain, a low back problem, or perhaps a shin problem? Chances are the problem isn’t related to the site of pain. The cause of the pain is deeply simple. It’s how you move and what you’ve been exposed to – that includes your posture, your diet, and your activity levels.
Unfortunately many therapies target the site of pain, never venturing to identify the cause of the problem. The cause of pain usually develops over time at a site distant to the site of pain. Let’s explore some great examples that will help shed some light into this important concept and some possible areas to address that are culprits of these common problems.
Dynamic Valgus and Knee Injuries – Non Contact ACL injuries and Patellofemoral Pain
The main movement risk factor for non-contact ACL injuries is dynamic valgus – this is the inward movement of the knee in response to a load1 This commonly occurs with jumping and changing directions. If you’re familiar with our blog you’ll appreciate that we’ve spoken about this important relationship before, including our research with Alpine Ontario where over 92 percent of athletes tested displayed dynamic knee valgus. The consequence of dynamic valgus also includes: patella femoral knee pain, meniscal problems and jumper’s knee.
You’re probably asking what causes dynamic valgus? The main cause of dynamic valgus is Here weak hip abductors and external hip rotators.
Neuromuscular training aimed at addressing landing and jumping mechanics, such as the Sportsmetric program have dramatically reduced the incidence of non-contact ACL injuries by 1.5 to 3.5 times compared to individuals who do not train2-4. This research is further enhanced by the work by Cholewicki5 who in a prospective study identified that delayed onset of […]
While this question appears easy. It’s not. This simple concept has many layers that requires methods to operationalize concepts such as:
neutral spine position – if we can define it we can’t test for it!
stability – this term is used all the time, but let’s define it!
“the CORE” – what is the CORE (does it involve the pelvis???)
Our interns will post their responses below. I look forward to their response.
Here is a great post about fascia by Patrick Ward, a strength and conditioning coach and licensed massage therapist out of Arizona. In this post he shares various tidbits of lesser known information about fascia. It’s a great read and it’s well referenced and researched for anyone whose heard about fascia and wants to learn more. Check it out!!! On a similar note, I’ll be attending a great talk about fascia this weekend! I’m very excited and I’ll share my highlights of the course early next week – so stay tuned. I’ll be sure to make the blog post practical!