ACL

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.


ACL Scars and Weak Hamstrings


A young athletic footballer came in after being referred by a friend. They had been dealing with leg “weakness” and “heaviness” in their right leg for about 18months after having an ACL reconstruction on their right knee. We did some investigation around the knee and hip. We found that the scar below his knee that the surgeons used to pull his new ACL through was facilitated and neurologically over-active. This facilitation made the same side glute max and medial hamstrings, painful, inhibited and neurologically under-active. Using NKT protocols we released the scar and activated the Glute and Hamstrings. We then retested. The glute and hamstrings were now functional and pain free. This client will need to back off the loading for 2 weeks whilst they work on the scar and gain motor control back into the leg. Once this dysfunction has been reprogrammed they’ll be back to 100% once again.

A tip for anyone that has had ACL surgery. If your the scar on your leg below your knee feels “weird” or  “awkward” then you’ll probably (100% chance) have some sort of dysfunction. Its very likely that the hamstrings they grafted will be inhibited. If you have constant hamstring tension in that one leg or it feels heaps weaker then the other, try doing some light friction massage on the scar for 30sec followed by light activation of the hamstring. Do this twice a day for 2 weeks and watch the difference it’ll make! Just don’t do it before exercise or training as you need to earn the right to use your hamstring again. If you overload a weak hamstring it will tear.

If you have any concerns about your post ACL leg / hamstring please feel free to book in for an NKT assessment.