This can be a common area of knee pain as the 3 muscles that attach there can produce pain there as they sit close to the pivot point of the knee.

Pain occurring here can be due to overuse of the pes anserine and hip adductor muscle groups excessively pulling on the tibia during the single leg stance phase of the gait cycle, and often caused by poor kinetic chain control and muscle activation from the foot/ankle and lateral hip complex.

In order to get a better understanding of which joints and muscles are not contributing to better control of single leg balance during running, we can use a form of self assessment to help our clients become better self aware of possible contributors.

This is just one example of a type of pain syndrome people can experience when they are not physically prepared or strong enough to run safely.

Plantar fasciitis, achilles tendonitis, PFPS, patellar tendonitis, trochanteric bursitis, low back pain etc, whatever the issue is this approach can be applied across nearly all running issues as the pain or “over used” tissue is often the result of poor energy transfer across the body and is getting “misused.”

When you look at the body as a system first, then break down to see which parts are not moving or not stabilizing effectively, this often results in misdirected forces into parts that are moving well creating pain signals to pay attention to the body.

Remember, just because pain is in a specific location is rarely the culprit, but the victim screaming for help.

In this 6 part series we will cover an active movement assessment to see what's not moving and what is moving but feels “tight”, ALTER some INPUTS, INTEGRATE control in local areas, then REINTEGRATE the PARTS back into the PATTERNS.

Parts 1 and 2 we will look at self assessment, input alterations around the hips and knees then creating control around the spine, hips and shoulders to “lock in” the new range created before moving up into the spine stacked position and standing positions.
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