Hip Pain

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.

Jaw Problems Turn Into Hip Problems

A young swimmer came into the clinic complaining about their stroke being erratic and their turns being off balanced. During our screening I noticed that thee was an obvious lateral rib shift and global imbalance. Generally when I see and postural shifts I always like to see what the muscles around the hips and thorax are doing. We continued with our NKT assessment.

I had found the left QL inhibited and neurologically underachieve and right QL very tight and overactive. I also checked is TFL’s, the left was also inhibited. Its apparent that we have a lateral sub-system relationship here, but my question was, why?

After further investigation I found a nasty L medial Pterygoid tender to touch. Using my NKT protocols I tested the QLs in relation with the left Pterygoid, there was an obvious relationship here. 

I released the left Pterygoid, R QL and activated the L QL. This reset made a big improvement within the QLs and TMJ but I still had a weak TFL. There was something else contributing to the TFL’s inhibition. 

When testing the TFL I noticed the same side foot would turn in as we did the test. Using palpation I found a nasty Tibialis Posterior. Again using NKT protocols I checked to see if there was a dysfunctional relationship at play, and surprise surprise there was. We released the tib post and activated the TFL. This brought function back to the TFL and to the hips. 

We rechecked posture. We made a solid improvement in just 60mins. With some corrective exercise this young swimmer will be back to their best once again. 

Hip Pain

A client came in with left hip pain. This pain usually came on when they started to ride their bike. When describing the discomfort they would be pointing around the hip pocket area. I started using my NKT assessment to see what dysfunctional relationships we could find. Using NKT protocols I found that the R QL was inhibited and the L QL was facilitated. Due to the R QL being inhibited and neurologically under-active the contralateral TFL had to compensate to support the body during gait and when cycling. This compensation had caused the TFL to effectively “burn out”. To reset this dysfunction I had to treat the cause not the symptom, this meant releasing the L QL. I used dry needling therapy to released the L QL. I also needled the L TFL to down regulate its compensatory behaviour. We then activated the R QL. After this reset the TFL had become more functional and the pain had reduced from a 7/10 to a 2/10. With a little bit of corrective homework this client will be back up and riding pain free very soon.