Cranial Related Psoas Inhibition

cranial to psoas .png

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

Belly Button and Glutes .png

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!

Eye Movement Creating Hinge Pattern Weakness (AKA Hamstrings)

A state-level rugby league player came after noticing that they were struggling with their hinging patterns in the gym. We had cleared a lot of scar dysfunction in the past and they have progressed well, however, there was something still not right. Every time this client would hinge they would feel the backlight up and not their hamstrings. I decided to investigate further.

Using some standard level 2 assessments, this client was pretty strong and we couldn’t fault them. As soon as I tested them in their hinge posture though they went weak! Going off a hunch I decided to see if I could get a neural lock in the hinge pattern by using eye movement. After doing some eye movement assessment I found that when the client looked up and right we would get a neural lock in his hinge.

We progressed onto the table, I tested the long head of Biceps Femoris unilaterally and there were both strong. However, when I checked them bilaterally, they went weak. I then retested the hamstrings bilaterally with the eyes up and right. We had a lock.

Using my Level 3 NKT skills, I found that this client had a right superior rectus to left inferior oblique dysfunction that was creating global inhibition in the hinge pattern.

I cleared up the eye movement pattern. We then proceeded to test the hamstrings and hinge again. We had a massive lock on both tests.

This client has some correctives to do but they should notice a significant difference in their hinge once this eye movement dysfunction clears.

Popliteus Creating Glute Max and Rec Fem Inhibition

A mine worker came in after a round out west. In their last shift, they did a lot of walking up and down rocky surfaces. After this, they had started to get some swelling around the right knee with an awareness around the back of the knee.

Using NKT protocols I started to test muscles around the R knee. We found a weak Rectus Femoris and Glute Max. I tested these muscles against the R Popliteus. We found that the Popliteus was facilitated, which was inhibiting the Rec Fem and G Max. We released the Popliteus and activated the Rec Fem. All became strong.

To help integrated movement back into the reset I decided to use some RockTaping to manage the swelling around the knee, then we did some walking. Their gait was significantly better and pain-free.

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.

C-Section Scars, Crossfit and Knee Pain

A client came in after getting a sore knee from doing a big WOD at Crossfit the day before. They described the knee pain as an overall ache and heaviness. After some palpation and discussion, I decided to use NKT to test the quads. We found a VMO neurologically under-active and a VL hypertonic.

We continued to do some further investigation. During the workout, the client was doing box step-ups in a single arm kettlebell front rack. This unilateral loading could have certainly contributed to the knee pain. I decided to test the IAO and EAO (obliques) to see what they were like as they are major players in force transfer. I found the R Internal Abdominal Oblique weak. 

During our discussion, prior to the assessment, this client had mentioned that they had a c-section scar. Remembering this I tested the R IAO against the scar. There was certainly a relationship there. I then tested the L VMO against the scar as well, and lone behold there was another relationship present.

Using NKT protocols I released the scar and activated the R IAO and L VMO.

I then retested the IAO and VMO. All tested strong. The VL tone has reduced now that the VMO came back online. I then RockTaped the knee for support. Their pain had reduced significantly and with some corrective strategies, they will improve the overall function of the body, IAO and VMO. 

Jaw Pain and Numb Hands

A train driver came in complaining of bilateral numbness in the hands. After some discussion and understanding their history I decided to use NKT to see if we can find any neuromuscular contributors.

I started off testing their grip. We had a bilateral weakness. We continued up towards the head and neck. I tested the neck flexors and extensors, both were strong. I then tested both sets of scalenes, they were both weak. Whilst looking for another structure in the body that may be in relation to these tests I found a tender R masseter. I tested the grip and scalenes in relation to the masseter, we had a significant response.

I released the R masseter and activated both scalenes. We then retested the grip and scalenes, all became strong.

My thoughts are that the scalenes have become inhibited due to a possible head or neck injury a few years ago. This inhibition of the scalenes has lead to compression of the brachial plexus, which is the never group that travels from the neck, down the arms and into the hands. If we bring function back to the scalenes we might be able to reduce the compression on this never group and thus reduce the numbness.

We will continue to work on our corrective strategy and monitor the symptoms, as we progress.