Acute Knee Pain Resolved With Hip Flexor Release
25 May 2016 by Graham Nelson
Mr M’s main goals: (self rated as 10/10 being pain free and full function)
- To walk without restriction (5/10)
- To move form sit-stand and in/out of the car without pain and restriction (currently 5/10)
- To return to Jiu Jitsu unrestricted (currently 0/10)
- No signs of structural dysfunction within the left knee
- Significant restriction in hip flexion range of movement bilaterally: Left – 85 degrees; right – 80 degrees.
- Widespread lower limb muscle tension and guarding, particularly of right gluteals, psoas, Iliacus, quads and hamstrings and left psoas, Iliacus and gluteals.
- Stiffness in the anterior portion of the disc at left L2, 3 and 5 and L3 and 4 on the right.
- Stiff thoracic segments at T7-10.
- Significant upper limb muscle tension/guarding at infrapsinatus and subscapularis bilaterally.
- Restricted to a double leg, ½ squat.
Mr M was given postural strategies and home exercises to help decrease the load placed on his hip flexor and subsequently prevent the likelihood of a flare up in his condition. He has been managing well with this and has continued with his training over the past 2 months without any restrictions.
This is another example which demonstrates the primary contributing factor to a client’s condition is not always in the same area as the presenting pain. In this particular presentation, we were able to completely treat the condition without any local treatment to the knee itself. This gives further indication that without a thorough assessment, we can’t be sure we are treating the main driver of the condition.