Hi friends,
With a client supine on the table I have noticed one foot turned out away from the medial line more than the other. I would understand that this could be the result of tight rotator muscles at the hip joint ie. piriformis, quadratus femoris, internus and exterus, or weak adductor ie pectineus.
What I'd like to know is how do I identify which it is thats causing this problem and what is the treatment, or should I work on all muscles involved ?
While we are thinking on these lines what if the opposite is happening and the clients foot is inwardly rotated ie. pigeon toed?
Thanks for a reply
Robert (Brisbane Australia)
RE: hip rotators
Look at the knee. It could be the ankle joint, not the hip.
RE: hip rotators
Hi Robert
You might get a better response to this if you post it in the Sports Therapies forum...
Basically, there are individual muscle tests for the hip rotators; and you can tell whether the muscles are tight or weak... rather difficult to describe in text!
I would suggest that if the client is just resting, it is more likely to be a tight muscle causing a mis-alignment rather than a weak muscle.
Also, you need to look bothtwo joints above, so as Spinal Music says, it could be the knee or the ankle, and it could also be the pelvis that's out, causing the foot to be out of alignment. A posture assessment should show you where the problem is, along with the muscle tests.
Hope that helps, but I would advise asking the same question in the Sports Therapy forum.
good luck.
RE: hip rotators
Hi Robert
with lateral rotation of hip at rest I go straight to satoriustriggerpoints located medial to the vastus medialis muscle.
The Satorius muscle is very often overlookedbut when short has huge potentialto compromise the mechanics of the affected limbleading tomany painfull conditions.
Regards steve
RE: hip rotators
Hi Robert
There is a good discussion of this problem on the video 'Deep Tissue and Neuromuscular Therapy' by the American therapist Sean Riehl - a bit expensive but well worth it.
Regards
Alan
RE: hip rotators
Thanks to all for the replies, I am new to this site, therefor Ive re-asked this question in Sports therapy as suggested.
thanks Robert