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  • in reply to: Hip – Internal rotation #75370
    AvatarStacey Cromer
    Participant

    Michael, it is interesting that I too walk with my feet straight so nobody suspected significant femoral retroversion.  As it turns out my sockets are anteverted and I guess I found a way to compensate in gait… but I have always had large ROM in external rotation (i.e.: can sit lotus no problem – even stand on head and get into that posture).  The one thing that did occur though was my most retroverted leg developed a pronation on that foot.  K-Star would say that’s a compensatory issue too — so instead of walking duck footed I medially rotate at the ankle.  I do agree with you that gradual and consistent strengthening of the internal rotators is probably the way to go.  Even if they are activated in an isometric way I think that will go a long way toward balancing us out so the deep laterals don’t always have the upper-hand!

    in reply to: Hip – Internal rotation #75203
    AvatarStacey Cromer
    Participant

    Yes Yes yes  – the issue of femoral retroversion is real.  I for one was measured by 3D CT scan and found that my left femur is 20 degrees more retroverted than what is deemed normal.  This will cause boney restriction against internal rotation and increased range in external rotation.  The opposite is true for femoral ante version that is a boney block.  I understand one should not try to force past a boney/structural block as this will likely result in damaging the soft tissue/laburm etc.  If someone has extreme range in one direction and nearly no range in the other, there is a good chance you are dealing with a boney/sturctual issue and not strictly muscular one.  

    I do wonder if we can still activate the muscles that oppose our given “version” angles… may need to be revised strategy like muscle energy techniques and isometric training vs aggressive mobilizations though… but there must be a way to get balance without causing damage.  
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