Shoulder Compression and Rotator Cuff Problems

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Tis that time of the year where contact sports come back into competition. 

A rugby league athlete had recently come in with a panful R shoulder. This pain started after a heavy contact session at training. 

With repeated tackling in this session we had found that his R shoulder was compressed. This compression was exacerbated by a neurologically over active Subscapularis and a down regulated Infraspinatus. 

We decompressed their R shoulder whilst releasing the Subscapularis. We then activated the inhibited Infraspinatus.

After retesting all dysfunction structures became strong and were no longer affected by compression or decompression. 

This athlete has some easy preventative maintenance to do if these symptoms arise agin after another big session of contact. 

Sometimes Planta Fasciitis type symptoms aren't actually Planta Fasciitis.

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I had an industrial worker come in recently with foot pain. After doing an in-depth intake we decided to investigate how well he could produce force through his left Glute Max. When testing the glute he could not created a neural lock (strong test) without compensation of the FDB muscle. 

I used NKT protocol to identify a couple dysfunctional relationships around the ankle that had been caused by old ankle sprains. After clearing ligament dysfunction we found a strong relationship between the FDB and the Gmax. The FDB was facilitated and neurologically overactive for the Gmax. 

We released the FDB and activated the Gmax. The pain / feeling in their foot had changed dramatically. 

This client has some correctives to do over the next 2 weeks however we have made a great start towards managing his foot pain. 

Concussion Contributing To Lower Back Pain

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Concussions don’t just directly affect the head, neck and brain they can also have long lasting effects that can contribute to motor control dysfunction later on in life. 

A young rugby league athlete came in with lower back pain recently. After doing a in-depth intake we found that they had sustained a had a server concussion last season. Using NKT I found two sections on the sagittal suture that were dysfunctional. These to sections contributed to bilateral sacral multifidus inhibition in the lower back. 

There was also diaphragm compensation for a down regulated TVA as well. 

Using level 3 protocol we cleared the dysfunctional areas on the skull and retrained breath optimisation. This allowed the young athlete to regain trunk stability. 

Following up we referred the young athlete out to ensure that there was no occipital subluxation contributing to ongoing Dysfunction. 

Toes To Bar Shutting Down TVA

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Do you struggle with linking toes to bar in Crossfit? 

Maybe your problem doesn’t lie within you “weak core” but in your feet!

I had a Crossfit athlete come in to see me recently with dramatic core weakness. There was certainly no trunk stability or inter abdominal being generated or maintained. 

After doing an in-depth intake we decided to investigate a niggling L big toe that was injured 2 years prior doing handstand walks at a Crossfit comp. 

Testing the clients TVA and L quad we found a very down regulated TVA and L VIM and Rectus Femoris. 

This down regulation was all brought back to full strength after we decompressed their L big toe. 

Using NKT protocol to identify the dysfunctional structures that were keeping the big toe compression, I used Dry Needling to release the facilitated tissue. We then did a sustained decompression on the joint. 

This immediately brought neural connectivity back to the TVA, VIM and Rec Fem.

This athlete as some simple correcting to do however they should make a massive improvement as long as they don’t jam their big toe into the bar every time they do T2B again. 

Cranial Related Psoas Inhibition

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Athletes that deal with a lot of contact can have lower back issue that start don’t in the lower back. 

Yet again I have seen another athlete with cranial suture issues. 

This athlete had walked in with very restricted lumbar flexion and extension. After doing some manual muscle testing we found bilateral psoas inhibition. Generally when I see this I look for either scars or I go straight to the sub occipitals. Using NKT testing I didn’t find any occiput compression or decompression issues however I did find some cranial fascia dysfunction. 

Using NKT Level 3 protocols I did a reset between two dysfunction sutures on the skull. After the reset we retested the psoas, they were both strong. 

Sometime field position can dictate potential cranial issues. If someone only plays one the right and generally tackles with their Left shoulder you could suspect that the fascia on the left side of the skull could be holding a lot of neruolgirally tension. 

Have a feel and see if you have any hot spots on your head.

Belly Button Ring Inhibiting Glutes

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A client came in with slight lower back pain. When doing our intake they had mentioned that their lower back pain would increase after squatting type movement patterns. As apart of my assessments I like to start locally then look globally, so what I decided to do initially is test some of the main drivers in the squatting patterns.

I tested both glute max, they were both weak. When seeing bilateral (both sides of the body) dysfunction, I have to go and look centrally for example core, jaw, spine, scars, eye-movement, hyoid issues, cranial sutures, ligaments etc etc, basically anything that can create bilateral or global inhibition. 

In this case I notices a belly button ring. Piercings and tattoos can have just as big of affect on the brains motor control systems as scars do. 

I tested the TVA quickly to see what it was doing, it was also weak (no surprise). I then retested both glutes and the TVA individually against the belly button ring, they ALL became stronger. 

After using some NKT protocols I “reset” the scar. All previously weak tests were now strong. We then tested the clients squatting patterns again, there was no pain! 

The client has some correctives to do over the next couple weeks to ensure that their brain relearns how to utilise their glutes and core more effectively, but they should start to make some great progress in the gym again. 

11 Year Old Scar Creating Knee Pain

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An active client that loves to hit the blacks beach stairs had come in with right medial knee pain around the VMO after getting back into training after the new year festivities.

They had mentioned that their knee was cracking and popping again (something that hasn’t happened in a long time). I was pretty interested to see if the VMO was dysfunctional with something locally that could cause patella tracking problems.

I didn’t find another muscle that was affecting the VMO significantly, however, I found an 11-year-old scar on the medial calf that had recently become sore and sensitive.

After using some level 3 NKT protocols I found that the scar on the client's leg was dysfunction and was downregulating motor control to the VMO on the same leg. We did some specific release and activation work on the scar. After this we retested the right knee, there was no pain or crunchiness anymore.

This client will have some correctives to do for a short period of time but that should regain motor control and be able to dominate those nasty stairs again very soon!

Right ACL Scar Creating Left Shoulder Pain + Left Jaw Dysfunction Creating Left Hip Pain

A client came into the clinic with left shoulder and left hip pain. This pain had been bugging them for a while and they had enough. After some palpation and discussion, we continued with a neuromuscular assessment.

This client had both their knee reconstructed after injuries from sports. As soon as I see surgical scars I will always start there and see what dysfunction is present.

This client had done a lot of massages and scar care on their left knee so this scar was all good, however, the scars on their right knee seem a bit suspicious.

With a scar on the right leg I was interested to see if the right glute was dysfunctional, and if so what was the left lat doing as its connected to the right glute max via the posterior oblique sling.

When testing the scar against the glute max we found a dysfunctional relationship. I then proceeded to test the scar against the left lat, and sure enough, this was also creating weakness. I released the scar and activated the glute max as it was the weakest test. This posterior sling now was functional and firing well.

This proves the point the scars can and do create global dysfunction. A scar on the right knee was creating left shoulder pain, how cool!!!!

We now had to find out what was happing with the left hip. I tested the QL’s and I found a weak left QL. I tested this agains the left medial Pterygoid in the jaw as I see this pattern very often. There was a relationship here. It was clear that we had a lateral sub system dysfunction at play. The left Pterygoid was facilitated, the left QL was inhibited, the right QL was compensating for the left QL and the left TFL was inhibited because of the right QL. Sound confusing but it really isn’t when you see it in person.

Anyway, we released the left Pterygoid, right QL and activated the L QL and TFL. The hip pain dropped significantly. . This client has some correctives to do but they should be able to finally reduce the aching in the hip and shoulder.

And remember just because the pain in on the same side on the body doesn’t mean that they are directly connected to each other. Sometimes one dysfunctional relationship with create or affect another. Clear the highest level dysfunction first and you can possibly have trickle down effects into lower level issues.