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  • 10/21/2014 at 5:09 am in reply to: Hip – Internal rotation #75391
    AvatarDustin Weber
    Participant

    Robyblee – in your instance it may be an incidence of tibial anteversion that has resulted in your femoral retrotorsion not presenting at your feet. Its rare but not out of the question

    Id suggest everyone assess tfl glut med extensibility. Whilst both internal rotators post g.med fibers), dont discount the anterior/superior joint reaction force they cause. Essentially this results in a reduced level of congruency between the femoral head and acetebulum and can significantly reduced hip internal rotation.

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    10/21/2014 at 4:54 am in reply to: Valgus right knee when squatting with load #75390
    AvatarDustin Weber
    Participant

    Mate look up postural restoration Right AFIR. It basically explains the assymetrical plevic alignment we take on due to favourance for one side of the body.

    Use the adductor magnus strength test they suggest to ID anybimbalances and use the associated exercises in your warm up to reset the pelvis.

    Head to eric cressey’s site for some more info to.
    As Mike Reinold would say – account for alignment and stability and mobility isdues tend to resolves themselves

    08/04/2014 at 8:00 am in reply to: Hip – Internal rotation #75042
    AvatarDustin Weber
    Participant

    Increase lateral trunk stability and it will free up in due time. Address the cause of the stifness rather than treating the symptoms

    Don’t disregard possible structural limitations. Look up hip retrotorsion. It can be assessed using the craigs test

    08/28/2013 at 8:08 pm in reply to: Heal/Achilles Spur & Pain #72682
    AvatarDustin Weber
    Participant

    The spurring isn’t from the plantar fascia, that has recently been disproved based on anatomical examination.it’s hard to definitively say without seeing your first hand in a clinic setting but I find that heel spurs often aren’t the cause of the issue and rather an enthesopathy at the medial tubercle of the calc where the plantar fascia inserts could very well be implicated.. Self myofascial release will assist in treating symptoms but I’d suggest jumping in some supportive shoes or even an orthotic depending on your foot type simply over the short term to alleviate symptoms and allow tissue stress to reduce to a point where healing can occur. Assess your hip to determine if an anteriorly deviated pelvis is putting additional strain on post leg compartment to maintain upright position. If this is the case smash glute bridges post SMFR and mobility work of hip flexors. This however is simply only addressing saggital plane deficits. The problem may be occurring at a variety of different levels from 1st MTPJ motion, to weak/poor timing of tib post in midstance, structural deformity at foot (of which orthotic is really your only answer), weak/timing issue with post fibres of gluteus medius during gait etc

    As you can see unless thoroughly assessed in a clinical setting you can’t really pin point the cause of your problem. I’d suggest that’s why Kelly doesn’t really provide treatment advice but rather maintenance strategies to alleviate niggles and hopefully prevent injury. You can either empower yourself with as much on the topic as possible or alternatively safe yourself the time and frustration and get to an experienced therapist. Using a lot of Kelly’s stuff in conjunction with physical therapy will give you a great chance of recovery so I’m certainly not disvaluing his product/advice (cause its great and I’m very thankful for it)

    Good luck

    08/26/2013 at 10:43 pm in reply to: Tight Heel Cord #72664
    AvatarDustin Weber
    Participant

    You need to address the reason for the stiffness. Kelly’s stuff is great but you need to recognises why you have a pathological level of tension occurring at your ankle in the first place. Mobility exercises are a form of adjunct therapy. Simply foam rolling and mobilising won’t solve the issue.

    Search the joint by joint approach by Boyle and Cook. Based on their anatomical structure some joints are designed to remain generally stable whilst others generally mobile. If we don’t have appropriate stiffness in one area we gain it proximally and distally. Equally if we don’t have appropriate mobility at a joint we gain it proximally and distally. If you don’t address stability deficits in conjunction with mobility deficits and vice versa you are simply treating the symptoms and the problems come back.

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