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Medial Knee Pain⚡️--Pes Anserine Bursitis--Part 3

 

Strengthening the muscles of the hip and knee 🏋️ is an important part of rehabilitation from pes anserine bursitis. As mentioned several posts ago, excessive foot pronation and knee valgus can contribute to inflammation of the bursa. These two exercises improve hip and knee strength and strengthen the muscles necessary to avoid excessive foot pronation and knee valgus (knees caving in) with activity. 1️⃣Gliders 🔸Place band around ankles 🔸Place towel (if on hardwood floor) or paper plate (if on carpet) under foot 🔸In a squat position, glide the leg out to the side, back/diagonal, and straight to the back 🔸Keep the standing leg in a squat the entire time and keep toes pointed forward 🔸You should feel both legs working 🔸Perform 2 sets of 10 on each leg 2️⃣Side steps with band around arches 🔸Place band around arches 🔸Pull arches up without rolling to the outsides of the feet 🔸Side step across floor 🔸Keep toes pointed forward, arches pulled up, knees slightly bent, and trunk still 🔸Do 2 laps 🔸If you want to really work the glutes, add another band around the knees or ankles

Online Booking Now Available!

 

Do you like to look at ALL of your options before you book an appointment?  Is it 11pm before you actually get a minute to think about taking care of things for yourself?  Or maybe you just hate talking to people on the phone?

We feel you!

That's why we hooked up with Jane App to introduce online booking :)

Do yourself a favor and set yourself up with an appointment asap.

Best PREHAB Exercises For Your Low Back

 
This blog post discusses the best exercises to prevent low back pain from industry leaders in sports therapy

Side note:  Each of these authors wrote their own articles without knowing what the others were writing.  Do you see a common thread???

Shout out to The Prehab Guys for making this happen, and the rest of the authors: Zach Long, DPT, SCS, PES; Jarod Hall, PT, DPT, CSCS; Michael Mash, DPT, Cert. TMM, CSCS, FMS; Dr. Joel Seedman, PhD, CSCS, ACSM, FMS; Perry Nickelston, DC, NKT, SFMA; MoveU |The Back Pain Guys – Dr. Mike Wasilisin and Andrew Dettelbach; Mitch Babcock, PT, DPT, SFMA

The Butt Wink

 
This is an image of the lumbar spine with its disks and sacrum and pelvis. Do you butt wink?

The Butt Wink🍑😉 

We've been spending a lot of time on instagram talking about hip mobility, but haven't talked too much about disorders and movement faults that can happen as a result of limited mobility.  Mobility is a prerequisite for moving well, but having mobility doesn't mean that you automatically can or will move well😕  For example, let say your pelvis tilts posteriorly (butt winks) before you get to the bottom of your squat.  This MAY be because of limited glute or posterior capsule mobility.  BUT, maybe not!  What, you say?!? Listen up - you might butt wink before you run out of your actual hip range because your nervous system doesn't know how to effectively move through your available motion with a neutral spine.  Got it🤔 
 
Anyways, we'll get more into the strength and motor control demands in some different posts. Promise.

Your spine attaches directly to your pelvis. Whatever your pelvis does, your spine follows. What's happening when you see the dreaded "butt wink" during a squat or deadlift, is the pelvis rotating posteriorly. Your spine follows suit, going into flexion and putting compressive pressure onto the anterior part of the disc, vertebrae and facet joints. Now add whatever weight you are squatting/deadlifting and those forces grow exponentially. This is the most common mechanism for disc herniations😱☠️😱 
 
You can fix this by working on the flexibility and joint mobility in the hips and ankles as well as spending some time on the actual movement mechanics. 
 
Stay tuned to our instagram account for 🎥  of techniques to mobilize the hip and get deeper into your squats without destroying your back. 

 

🤗 New Year And A New Space 🤗

 
 
Our New Location At Kinesis Movement Studio for Victory Performance and Physical Therapy

A new year always brings a lot of changes and uncertainty - this one especially for a lot of people.

We're not big on New Year's resolutions or any of that, because if you truly want to change something, why wait?  But this year's New Year coincides with a big change for us and a new partnership and friendship with the Kinesis Movement Studio.  

Come visit us at our new location at 12528 West Washington Boulevard, LA CA 90066.

 

Stiff Ankles = PROBLEMS (Ankle Motor Control)

 

Movement starts from the 👟 up!  We’ve posted a few videos on how to improve your ankle ROM over the past few weeks.  This final video in the series shows you how to own that new range of motion.  Without teaching your body how to effectively use the new range, it will continue to fall into the same restricted movement patterns, and all of that stretching will go to 💩!

Eccentric strength through ankle dorsiflexion ROM is essential.  In fact, EMG studies show that the gastrocs soleus complex (our calves) are most active in the gait cycle when slowing down our tibias as they move over our feet in the stance phase.    Translation- our calf muscles need to be the strongest when controlling and slowing down our bodies during walking (during ankle dorsiflexion), and not actuallywhen we would think they are pushing us forward (ankle plantar flexion)🤔  We’ll save that though for another post though.

Stiff Ankles = PROBLEMS (2/3)

 
Ankle joint capusle mobilizations

If you are lacking ankle range of motion, specifically dorsiflexion, you need to look at soft tissue mobility as well as joint capsule mobility.  A previous video we posted showed you how a few ways to address soft tissue restrictions.  Here's some techniques to get at the joint.  The last video of this series will go over turning your new range of motion gains into functional, usable gains that stick.    

Stiff Ankles = PROBLEMS (1/3)

 
How to increase ankle mobility in stiff ankles with soft tissue mobilization and active tri-planar stretching.

If your lacking ankle dorsiflexion (shin moving over your foot), your body will compensate.  Sometimes this manifests as flat feet, or externally rotating at your femur (duck walking).  This limitation also wreaks havoc on squats = less #gainz 😉

This video shows a soft tissue mobilization technique using the handle of the @mostfitworkouts #corehammer followed by an active tri-planar stretch.  If you don't have a core hammer, use your foam roller, pvc pipe, oly bar, or even a beer bottle. 

While the gastrocs/soleus complex primarily functions in the saggital plane (front to back), there are fibers that also work in the frontal and transverse plane.  Do this mobilization and stretch complex before your workout.

Note - these techniques won’t help you if your problem is primarily joint stiffness.  Follow us for that post coming up later this week.

Hip Strength Series - Clams

 

Hip strengthening is the 🔑 to preventing injuries in the active population. Whether you're walking, going up and down stairs, squatting, running, or jumping, good glute strength will help to keep your joints protected. Strong glute muscles help to maintain proper trunk, knee, and foot alignment to prevent you from putting unnecessary stress on your joints. A strong 🍑 can help to prevent low back pain, patellofemoral pain, and IT band syndrome. Here are some of our favorite simple glute strengthening exercises to target the glute med, glute max, and hip external rotators

Physical Therapy Can Prevent Opioid Addiction!

 

Drug addiction affects the lives of users and their loved ones in ways that no words can really express.  Victory Performance and Physical Therapy dreams of a world where pain can be addressed holistically and drug free with PT being a major component of the management team.   

If you agree, please share this post.  #GetPT1st