Her knees always get painful first and then the hips will start to hurt. This typically happens after 45 to 60 min. of playing tennis. She feels that it is a bit less painful and that it takes longer time to trigger the symptoms when playing on softer ground.
Examination indicated a compensatory pattern from the toes to the spine. Reproduced knee pain by testing and palpating the knee capsule, lateral meniscus and the insertion of the iliotibial band. Both feet were pronating. Stretching the external rotators of the hip showed restrictions and increase in pain. Adductors were sensitive and shortened. Decreased dorsal flexion of the ankle both side and decreased inversion of ankle joint. Squatting was difficult to perform. Poor activation of peroneus longus and brevis.
The ART Lower Extremity level 1 course in Moss – Norway was a great success. Participants from The Netherlands, USA, Canada and Norway worked together for 4 intensive days at HQ Europe seminar room. Participant backgrounds: Chiropractors, Physiotherapists and Osteopaths.
During the Lower Extremity course participants work hands on with clinical approaches for a variety of diagnoses and cumulative soft tissue problems. Accurate handling with our tools of preference (our fingers and hands) are demonstrated and reviewed throughout the entire course.
The Upper Extremity course and the Long tract nerve entrapment course were held at Vasala Sport Institute in Tampere – Finland. This was the 8. time Team Europe held a course in Finland. The group of ART providers is growing in Finland. And what a group of clinicians! Participants on this course were Chiropractors, Physiotherapists and Sport Massage therapists.
The Upper Extremity module is by far the most complicated and probably also the most difficult. Participants work together with the Instructors for 4 intensive days. Proper hands on techniques are demonstrated from the fingers to the shoulder during the course.