Getting Fitter? A perennial New Year resolution?
Help and advice is at hand.
If your New Year’s resolution is to get fitter, faster, stronger or to be more active then hopefully this advice will help you achieve your goals.
Normally in January and February my Sports Clinic starts to see a steady rise of people who have taken up an activity, sports or increased the frequency of their chosen activity as they achieve New Year’s resolutions or may be just a promise to themselves to get fitter.
The most common is a recurring pain or old injury that has flared up or new aches and pain in neck, shoulder upper or lower back. Read More
Almost all my patients that have lower back pain also have a tight Psoas. There is quite a lot written about this muscle and its close neighbour the iliacus but most of my patients are unaware of its role in their posture and how it can play a role in their back pain.
Where is it and what does it do? Read More
A female patient, 26yrs old, recently came to the practice with pain underneath her left knee cap. It also clicked occasionally and was much worse after the gym or running and walking up the stairs. It had been getting progressively worse for the last 6 months.
On examination the patient’s knee had no obvious mechanical injury to her ligaments. There were signs of a little wear and tear. However what was obvious was that the patient significantly pronated on her left foot and her left pelvis was anteriorly rotated.
The diagnosis was patella femoral syndrome.
TREATMENT – OSTEOPATHY, SPORTS MASSAGE AND THERAPEUTIC EXERCISE
This involved articulation and manipulation to the foot , the fibula head and the SIJ and lumbars to address the rotation. Sports massage to the muscles inserting at the knee including gastrocnemius, hamstrings, tfl, itb and quads and a recommendation to purchase orthotics to help her pronation.
The patient was also given therapeutic exercises to strengthen her core stability, relax and stretch her ilio-psoas and so reduce her pelvic tilt.
After two treatments the patient reported a complete cessation of pain. She had also ordered the orthotics.
LONG TERM SOLUTION
Now I recognise that not every patient will respond in the same way but this global approach to the patient’s knee pain, combining osteopathy with remedial and sports massage and therapeutic exercise is a typical example of how I treat. And for this patient it was very effective at addressing her problem. Long term she will need to use her orthotics and maintain her therapeutic exercises. But now the management of her pronation and potential future knee trouble is within her own control.