Knee pain conundrum
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I have a patient who is in his sixties and overweight. His main challenges are back pain and knee pain with anterior instability in both knees that responded favourably when I placed the scanners on the L/T and pelvic region during assessment.
I have treated him 4 times so far. Over the course of treatment, his back pain improved, then resolved. However his knees have gotten substantially worse. He feels like his legs are now misaligned and knee joints causing a lot of pain.
I have treated and continue refining treatment to long axis leg bones, cranial base/c1c2, LT and pelvis, sacral base (not the anterior pelvis yet) and tib/fem plateau and patella’s. Each time, after treatment, I re-check my work and it had all released successfully and so when he comes in each time with more and more pain in his knees and strong PRs back in his knees again. I am surprised as I haven’t encountered this in my 6 years of practice.
This man endured a childhood of severe sexual abuse and I do wonder about that … some how energetically/emotionally playing a part in the body not fully releasing these patterns, energies, traumas and getting stuck in his knees, which in some fields of thought are connected with fear.
Thoughts, anyone on how to proceed?
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Hi Genie!
my name is Elsie and I’ve been practicing Matrix for 12.5 years. My first recommendation is exactly what you put in brackets (not the anterior pelvis). Here are some tests you can do.
Joint ROM at knee: Supine, knees bent; pick up one leg as if to do int/ext hip ROM, but instead do int/ext rotation of the knee. If the knee can rotate Ext, that is a structural weakness in the pubic/pelvis (and possibly along the leg but you’ve been there already). If it can rotate medial, that’s a structural issues in the rest of the ilium/ischium also possibly inclusive of pelvis. There will be tenderness on the opposite side of where there was a weakness in rotation of knee (eg. ability to rotate knee externally means medial weakness so there will be weakness and tone changes in the medial aspect of adductors.)
Demonstrative deduction: putting Mag in specific areas of pelvis should cause strengthening of the rotation of the knee (doesn’t move).Structural Test
Supine, legs flat, bend one leg into flexion + adduction, careful not to force too much but enough to find out where it hurts/tension/or decreased ROM. RESULT: any symptom showing up locally (eg. groin area, is structural issue in ACT and FEM; or pain in FMP is an issue with the GT and inferior being too big; or symptoms along side and or back is post hip structures inlusive of Low Lumbar and Sacrum)Size Testing:
Supine, legs flat: compare left and right size of ASIS to AIIS. Larger size gets treated first if Mag test agrees.
: compare size of GT’s, FEMP-FEMmid-FEMD. Larger size gets treated first.Next Steps:
Be aware that even if the first size testing may show one side is larger that doesn’t mean the opposite size isn’t larger than normal. Re-test all those tests until clear. Sometimes you have to go back and forth and all the way around the hips-SAC-LUMB to get a complete change.Always come back to the knees to check rotational stability. (I don’t think we’ve actually talked about that a lot in sessions).
More pain generally means we are getting closer to the actually issue, as well as we are missing something.
Feel free to connect if you need to see this all VIA over live stream. 🙂 matrixofleamington@outlook.com.
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Wow Elsie, thanks so much for this detailed and thoughtful response!
I will put it all into practice. Am also about to check to link you provided. Hope to get to meet you at the symposium- been seeing you on all the videos for years! -
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Yes, I hope to grill you a bit on your knowledge regarding knee testing.
I saw my client again, practiced the technique of rotational stability and the scan revealed that his anterior pelvis and a very specific and stubborn PR medial and inferior to his patella showed up really strong this time. This is where the pain manifested when the knee pain worsened previous and so I went after it. When I saw him the next time, his knee pain was resolved. He told me that he felt like a new born giraffe for 4 days and has never in his life felt so profoundly relaxed in his body. Interestingly, when I re tested his knee rotation, it had rotation both medically and laterally, where initially (before treatment of anterior pelvis and specific knee injury), it was rotating only medially. If I gather correctly, the rotation is a sign of instability, so it isn’t what I expected to find, but his anterior instability was corrected. More for me to explore on this topic and these techniques. So exciting!
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