03/10/2025
Here's a good case study from a recent client which is a useful consideration for any jumpers or runners with knee injuries.
When a specific joint hurts then it's quite easy to develop tunnel vision for that area of the body. But in reality, in the absence of a direct trauma it's quite rare for the site of pain and the site of causation to be the same, and this is especially the case with the knee π¦΅
A recent client had been training for a running event and was developing knee pain. There wasn't really anything wrong with the knee itself, but a significant factor in the causation was that the foot wasn't moving properly. Whilst the calves had good range of motion, allowing the basic forward and back movement of the ankle, it was the lower of the two ankle joints; the subtalar joint, which was restricted, as the foot was not being allowed to pronate (roll in) on landing. This was likely due to wearing worn out trainers which over time gradually locked the foot into a more supinated (rolled out) position π
When you strike the floor when jumping or running, (and even walking), the force of impact has to go somewhere π₯ Hence, without the shock-absorbing effect that comes from the foot being able to pronate on landing, the force has to be absorbed elsewhere - yes, you guessed it! Dry needling the shins soon restored the pronation movement back to normal! β
But this effect can also come from higher up as well as lower down and the poor knees often get caught in the middle. I've had so many clients where knee pain has been caused by tightness in the hips and abdomen/visceral areas, and dysfunctional movement is then passed down π
Hence, you should always look at the full picture - simply resting does not necessarily solve the underlying issue. Likewise, simply doing a lot of something doesn't necessarily cause issues either π€ - it's the quality of movement that counts and my services can help you to reduce dysfunction and improve efficiency in your day to day movements to minimise wear and tear! π