| Pain in your knee?
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| | about orthotics, we need to check out the
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| Sometimes when you have knee pain and
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| | hips and pelvis.
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| you've been to see specialists and
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| | The first thing to do is to manage the
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| nothing seems to be the answer, you do
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| | cause. In other words we need to
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| wonder whether you'll end up needing
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| | re-orientate the pelvis to reduce the leg
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| divine intervention. With biomechanics
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| | length discrepancy. To do this we have
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| becoming more widely understood, we now
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| | to reduce the muscle spasm in the outside
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| know that by sorting out your
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| | of the hip (in a muscle called
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| biomechanics, we can often reduce the
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| | piriformis) to allow the joint to
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| need to get down on your knees and pray.
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| | re-orientate itself. The best way to do
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| The affects our biomechanics have on our
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| | this is by performing 'anti-spasm'
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| body and the vicious circle of injury and
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| | exercises for the muscle. Stretching or
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| pain it can cause is one of the main
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| | flexibility work just won't cut it. You
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| reasons knee pain can be recurrent.
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| | need to return the muscle to normal
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| A rotated pelvis for example can go
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| | function, not just stretch it. Once the
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| unnoticed for many years until the
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| | spasm is eradicated as much as possible,
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| compensations start to cause problems.
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| | then the leg length typically returns to
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| This abnormal pelvic position often
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| | normal length. Now you have a level
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| causes one leg to appear longer or
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| | playing field. If the symptoms have not
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| shorter and the body must compensate for
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| | subsided and if you still over pronate,
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| this. Typically one way it compensates
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| | now you can safely have orthotics
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| is to overly flatten (pronate) the foot
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| | prescribed, as any remaining foot
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| of the longer leg to shorten it, another
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| | biomechanical problem will be inherent to
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| way is to bend the knee more.
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| | the foot. Rehab on your knee will now
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| Unfortunately both of these options will
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| | have a better chance of working for you,
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| increase the load on the knee. If the
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| | if it's still necessary.
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| foot over pronates, it will cause the leg
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| | To fully complete your rehab talk to your
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| to internally rotate excessively. This
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| | local physio about exercises to stabilise
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| rotation force will often be absorbed at
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| | your knee and pelvis. In other words
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| the knee, which can result in pain. If
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| | exercises that allow your muscles to
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| the knee bends too much during mid-stance
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| | control your pelvis and knee without them
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| phase, this will de-stabilise the knee
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| | needing to go into spasm. Part of this
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| and it will naturally want to rotate
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| | process is achieved by so-called 'core
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| inwards. If this is combined with an
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| | stability exercises', but also you need
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| already over pronating foot, the problem
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| | to speak to your physio about plyometric
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| is exaggerated. Both of these situations
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| | exercises for pelvic and knee muscles
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| are likely to cause knee pain. Certainly
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| | that you can do in the gym.
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| if knee pain already exists this type of
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| | As a result of one of the largest studies
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| load will prevent it from settling down,
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| | in biomechanics by Galileo Active we can
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| even if it isn't the main cause of the
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| | all benefit from assessing our
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| problem.
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| | biomechanics, in the comfort of our home.
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| Managing these biomechanical issues is
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| | They have developed a CD ROM software
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| critical if your knee pain is to be
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| | program that helps you asses your
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| managed and allow you to return to long
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| | biomechanics with the software
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| term running. Bearing in mind that 60%
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| | prescribing the exercises needed to
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| of the biomechanical problems with your
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| | remove these biomechanical problems and
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| feet are due to compensations for faulty
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| | in turn help manage and prevent the types
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| hip or pelvic biomechanics, it is
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| | of knee injuries we're talking about in
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| important that before we start thinking
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| | this article.
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