If you have lower back or knee pain, there’s a likelihood that the injury wasn’t actually caused by the joint itself but rather by a restriction in the joint either above or below. Therefore the long term treatment for the injury should be focussed on addressing the cause of the issue rather than just looking at the symptom. In the words of the renowned Czech physiotherapist Dr. Karel Lewit “he who treats the site of symptoms is lost”.
American physiotherapist Gray Cook has a great way of explaining this and came up with the joint-by-joint approach. Through his eyes, the body is a stack of joints with alternating qualities of either stability or mobility. If one joint loses its relevant qualities through overuse or injury then a knock-on affect will occur:
- Lose ankle mobility, get knee pain.
- Lose hip mobility, get low back pain.
- Lose upper back mobility, get neck and shoulder pain, or low back pain.
Looking at the body on a joint-by-joint basis beginning with the ankle, this makes sense.
This is what’s in my mind at all times when either assessing or coaching a client.
If you’re battling a long term injury and would like to address the cause, not just the symptoms, then please feel free to give me a call.
Tel: 01432 271 576
Ady Watts is head coach and corrective exercise specialist at Ady Watts Personal Training, Strength and Conditioning. Ady specialises in back disorders, injuries and pre- and post-operative rehabilitation.