Reply To: Knee pain conundrum
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.