If you’ve been through the Neuro Therapy process, you’re well accustomed to the following send-off after sessions (perhaps even as you’re walking out the door).
“Don’t forget your protein, water, and sleep!”
Whether you are recovering from a sport/exercise related injury or doing what you can to put years of persistent pain behind you, all 3 play a vital role in the recovery process.
Out of these 3 recovery factors (protein, water, sleep), the protein is the one we get the most questions about.
“Do I have to eat protein?” (Yes!)
“It makes me so full!” (That’s a good thing!)
“Won’t I gain weight?” (No!)
We know – Optimizing your lifestyle to increase the body’s ability to repair isn’t easy. But as anyone who’s experienced it knows, the point of Neuro Therapy isn’t to be easy.
It’s to get better.
So why do we constantly preach protein when clients offer so much resistance to the idea?
Here’s 4 reasons hitting your protein target is crucial to reaching your Neuro Therapy goals:
1) Protein is the essential building block required to repair muscles, bones, and nerves. If you’re injured, your body is damaged, or suffer from nerve pain, your body literally cannot repair itself without sufficient amounts of protein. Hoping that Neuro Therapy can help you recover without hitting your protein targets is like trying to build a house without wood or brick (ask the 3 Little Pigs how that worked out…). It just won’t happen!
After writing this, I’m starting to think just this reason alone should be sufficient to convince you protein is needed…but we’ll continue with the other 3.
2) Protein helps to prevent muscle atrophy associated with injury. Injuries often cause a state of anabolic resistance in the affected muscle, which decreases the ability of the muscle to create protein. This causes immediate losses (atrophy) in muscle size and strength, sometimes in as little as 5-7 days. Hitting your daily protein targets will decrease the effects of anabolic resistance, and thus decrease the chance of muscle atrophy in the affected area (boosting your ability to recover quickly).
3) Protein helps to decrease muscle soreness between Neuro Therapy sessions. One of the reasons Neuro Therapy is so effective is because it directly targets muscles and ranges of motion that the body is not accessing properly. Often times, re-introducing the body to correct muscle activation and movement patterns causes muscle soreness – something we keep an eye on throughout the Neuro Therapy process. While muscle soreness is expected (and generally is a good sign of progress), if the muscle soreness becomes too intense, it may limit our ability to be as effective in Neuro Therapy. So how can we prevent the onset of soreness and optimize the Neuro Therapy process? Hit your protein targets! Protein will help to repair and re-vitalize muscles between sessions so you can arrive at your next session ready to get to work!
4) Protein increases your capacity to do work during Neuro Therapy sessions. In order for Neuro Therapy to be the most effective, you must arrive every single day ready to get to work. If you’re coming in hungry or malnourished, your body will start to reserve energy for vital functions, meaning you won’t have as much energy to put into your session. There’s nothing worse than having to deal with a growling stomach and a max tolerance set of Neuro Therapy. Hunger will limit your ability to push yourself to higher output powers, meaning your results will be limited. Hit your protein targets, and I can promise you, hunger will not be on your mind during sessions, allowing you to put all of your energy into pushing yourself and driving results.
What is Neuropathy?
Neuropathy is characterized by decreased or improper neurological communication to the peripheral nerves.
The peripheral nerves are responsible for neurological communication throughout the body. The brain uses them to communicate with the muscles to make them move and also to receive sensory information from the environment, like the sense of touch. When these nerves are damaged, it can affect either (or both) functions of the peripheral nerves.
If communication with the muscles is disrupted, you may find it more difficult to move and experience decreased coordination, decreased balance, muscle weakness, and/or stiffness.
If neuropathy affects the nerves responsible for the sense of touch, you may also start to experience numbness, tingling, and/or burning.
When the brain senses it has lost communication with the peripheral nerves, neuropathy often starts to become painful.
Why does it occur?
Neuropathy occurs for a number of reasons, but the primary reason is that the brain has a lost the ability to communicate with the nerves in the affected area.
Whether it is because of a previous trauma to the area, head/neck injury, nutrition deficiency, or biochemical imbalance (like Diabetes Mellitus), the nervous system has a diminished ability to communicate effectively, resulting in the symptoms listed above.
In order for the problem to be addressed, the nerves need appropriate resources (oxygen, nutrients) to repair themselves and re-establish appropriate communication.
However, often times, the problem is compounded over time. Because neuropathy causes people to use the symptomatic area less, the brain starts sending less resources that way.
The nerves become inflamed, scar tissue can develop, and blood supply is restricted, meaning the nerves receive less oxygen and nutrients to repair themselves. Additionally, muscles in the area become weaker, so the nerve becomes likely to become even more damaged.
How can Neuro Therapy be a part of the solution?
Neuro Therapy was designed to re-establish proper neurological communication throughout the body. When proper communication is established, the brain can start to communicate with the damaged nerves appropriately again and symptoms may start to decrease.
Through its unique, targeted approach, Neuro Therapy also helps to bring needed resources (blood flow, nutrients, oxygen, etc). back to the affected area, so the nerves can begin to repair themselves.
During the process, clients also work to re-educate the nervous system and muscles around the affected area to work properly, to improve movement patterns, increase range of motion, and limit the chances of future damage to the nerve.
If you or a friend are experiencing symptoms consistent with Neuropathy, it's possible Neuro Therapy can help.
We've designed a 3 step assessment process to determine whether or not Neuro Therapy can help relieve your Neuropathy symptoms... and for a limited time, it's 100% free.
If you're interested, just click the blue button below to apply for the free assessment. Once you've completed the form, a member of our team will reach out to learn more about your problem and determine if you are a good candidate for the assessment:
This week’s post is short, but sweet, and may be one of the most valuable techniques I can share with you.
It’s about re-programming the script that runs through your head.
When the script is tuned improperly, it drives negativity and unhappiness. It turns stress into anxiety, opportunity into dread, and gratitude into apathy.
I call it the “I have to” script.
It’s when we think things like “Today, I have to do x” or “Why do I have to do y?”.
Because when we tell ourselves we HAVE to do something… we’re telling ourselves we have no control over our lives. We’re telling ourselves that we don’t have a choice to do what we want to do.
In some ways, we’re training ourselves to be victims in our own lives.
But life is about creation! And we get to choose every single minute who we want to become and what life we want to live.
You literally don’t “have to” do anything, as long as you understand the consequences of your actions. You get to educate yourself enough to weigh the pros and cons of every decision in your life before taking action – a liberating thought.
So how do we re-program the script?
We’ve got to be guardians of our mind and teach it discipline. Every time you think of all the things you “have to” do, simply pause….
And re-frame it.
Let’s take a look at a common one. I have to go to work on a Monday morning.
I choose to go to work this morning. It’s not always the easiest to get out of bed, but work gives me a sense of pride. It gives me the ability to make a difference every day (no matter how big or small), provide for my family, who I am very lucky to have, and do many of the things I enjoy doing outside of work. If this job was affecting my life negatively more than it does positively, I would make the choice to find a different opportunity.
That’s just one example, but I’m sure if you pay attention to how you speak to yourself throughout the day, you’ll find many more opportunities to start the re-programming process.
It will feel extremely forced at first, and it’s not easy, but given time, commitment, and discipline, you’ll start to see your mind naturally starts thinking this way.
When the mind naturally starts thinking this way, you’ll find yourself feeling more fulfilled, gracious, and ready to take on the opportunities that come your way.
A lot has been made over the last decade about the hazards of concussions (and rightfully so). When the brain smacks into the skull with force, it should be obvious that this isn’t a good thing and it needs to be taken seriously.
Most of the attention around concussions has been dedicated to chronic traumatic encephalopathy (CTE). If you’ve watched Will Smith’s movie “Concussion” or followed the NFL over the past few years, you’ve definitely heard of it, (that's not what this article is about).
In CTE a protein called Tau slowly builds clusters in the brain, killing brain cells. It’s been linked to cognitive problems, personality changes, and behavioral changes like aggression and depression.
But the development of CTE is a long term process. And for us human beings, it’s harder to make decisions that are best for our long term health and well-being (just think about how much discipline it takes to routinely put money aside in retirement savings, knowing you could go on a tropical vacation with it instead…)
So let’s talk about the short term risks with concussions - the ones that haven’t been featured in a movie or talked about on Sportscenter. If you’re only focused on the here and now versus what your brain looks like 30 years from now (what’s wrong with you anyways?? Take your brain health seriously!), these are the risks that will matter to you.
Even though they can completely DERAIL an athletic career or workout regimen, they aren’t getting the same attention as CTE.
So what is it?
Those who suffer a concussion are at least 38% more likely to suffer a lower extremity injury within the next year .
And some studies have concluded the risk is even higher (up to nearly 3x more likely to suffer a lower extremity injury! [2,3]).
What’s this mean? That a concussion can have lingering effects LONG AFTER the initial symptoms are gone and you’ve been cleared by your physician or athletic training staff for return to activity.
And that these effects can keep you off the field or out of the gym for significant lengths of time.
In many cases, those who return to activity after concussions continue to have decreased dynamic postural control, motor control, balance, and ability to effectively coordinate movement .
The differences are so subtle that often times it’s not even noticeable, but they are there, and pose a risk for future injury.
We see this retrospectively all the time at Premier. A client comes in reporting an extensive history of injuries (they just keep getting hurt time and time again…) or chronic pain that won’t go away no matter what they do.
After thoroughly talking through the client's injury history, this question is eventually asked:
“Have you ever experienced a head or neck injury?”
In many cases, the answer is something along the lines of:
“Well, there was this one time that caused a lot of concussion symptoms, but it wasn’t that serious and went away after a few days.”
When the client compares the date of the concussion with when the string of injuries or chronic pain started, it becomes clear that the concussion may have been much more significant than originally thought.
From there, our unique neurological communication assessments reveal that the significance of the concussion is even more apparent – those who have suffered a concussion often fail to pass the most basic assessments.
So what does all this mean?
1. Take concussions seriously! They not only impact your long term brain health, but short term ability to stay on the field and in the gym.
2. A proper concussion rehabilitation program needs to go beyond just rest and passing a cognitive test. It should incorporate functional movement and dynamic postural control testing as well.
3. If you’re someone who keeps getting hurt, has an injury that won’t go away, or suffers from chronic pain AND have a history of head/neck trauma, it’s likely neurological communication issues will need to be addressed to put an end to your cycle of frustration.
If you have questions regarding concussion rehabilitation protocol or how a previous head/neck injury may be affecting your life, feel free to shoot me an email at:
There’s a common misconception out there that a person experiencing lower back pain must have a core that is “unstable.” It’s a thought process that intuitively makes a little bit of sense, but if you dig a bit deeper below the surface, you’ll find it’s rarely the case.
Study after study has shown that core exercises are no more effective than general exercise when it comes to addressing lower back pain.
Before we get into several reasons why lower back pain doesn’t always equal an unstable core, let’s look at the theory behind it.
When most people refer to “core stability,” they are referring to the muscles that lie deep within the torso (think the muscles around the abdomen). Muscles generally accepted in this group are: the diaphragm, lumbar mutlifidus, transverse abdominis and the muscles of the pelvic floor, which link most closely to the spine.
Because these muscles act most immediately on the spine, the surface level thought is that they must not be working properly in people with lower back pain… or they must not be providing the proper stability to the spine.
This is a far too oversimplified way of thinking about the body, and would be similar to assuming the wheels on your car don’t turn because the axel isn’t strong enough.
Yes, it’s possible, but there are hundreds or even thousands of other variables that may be going on that contribute to the wheels on the car not turning.
The same can be said about lower back pain and core stability.
Pain is complex. Movement is complex – we need to go deeper than the surface to find meaningful (and productive) solutions.
Unfortunately, this means that we can’t just point to the simplest possible answer (core instability) and say it’s why you’re having lower back issues.
Let’s look at the assumption a little more closely, and we’ll see how wrong it can be…
The core stabilizers are meant to do just that, provide stability. In a general sense, they’re meant to absorb tiny forces around the spine to maintain balance. Just think about the exercises and tools we use to isolate these muscles… bosu balls, physioballs, and balance boards.
We’re not moving tremendous amounts of weight or moving with high velocities when we’re isolating these muscles, because that’s not what they’re designed to do.
Now, let’s think about the muscles that we DO train with heavy weight and high velocities. These would be ‘mover’ muscles like the calves, hamstrings, quads, and glutes.
They help to create and absorb tremendous amounts of force – not only in the gym, but in our day to day lives. They are the main drivers for movements like bending over to pick something up, walking, jumping, and climbing the stairs.
Looking at it this way, if either of these types of muscles (the smaller core muscles or larger ‘mover’ muscles) were unable to absorb force properly throughout the day, which do you think would contribute more to additional stresses on the spine (and possibly lower back pain).
I think the answer’s obvious – you would expect any dysfunction in the larger ‘mover’ muscles to play a much larger role in keeping stresses off the spine.. and it matches what we find with nearly all of our clients with lower back pain. Rarely does our assessment process indicate any need to improve core strength.
This is just one great example of the many myths out there about lower back pain (and rehabilitation in general).
If we look at problems within the body at the surface, you’ll get surface level solutions. I encourage you to take a step back, whether you’re dealing with back pain or another issue, and dig at least 1 level deeper to find more meaningful (and hopefully productive) solutions.
This week's post highlights the story of a Premier Family member, Kelly. I share these stories with hopes that you can relate - it's likely that you know someone who's living with pain and would jump at the opportunity to find out if Neuro Therapy can help live life without limitation. (Click here to refer a friend or family member).
Kelly came to us after hearing about her husband's positive experience working with Premier Neuro Therapy.
She had lived with chronic sciatic pain for all of her adult life, over 20 years. Secondary to the sciatic pain, she was experiencing 1-3 migraine headaches/week.
The sciatic problem was bothering her throughout everyday life, including when she sat for long periods of time at work, in the car, or in restaurants.
Like many people who come to Premier, she had tried a number of other options first, including seeing multiple specialists, chiropractors, and physical therapists. No one was able to offer her a direct solution.
Her goal was to have pain free days, and we're happy to say that through several weeks of hard work (as you'll see in the video below) and dedication, Kelly has achieved that goal!
If you're interested in finding out if there's a chance Neuro Therapy can help you, click the blue button below to schedule a time to chat with a member of our team.
For a sneak peek of one of Kelly's Neuro Therapy sessions, check out the video below:
There are between 150,000 – 200,000 ACL tears every year in the US, and nearly 100,000 ACL reconstruction surgeries performed.
Out of all the data available with regards to these surgeries, there is one piece of information that is most telling about the future health of the affected knee.
This data point is so telling that one group of researchers drew the conclusion that people who don’t hit this target would have been better off if they hadn't gone through the ACL reconstruction surgery at all.
So what is it?
After ACL reconstruction surgery, one of the primary focuses of rehabilitation is restoring full extension of the knee (or being able to completely straighten the knee).
If full extension is not restored to within 5 degrees of being straight, those who undergo ACL reconstruction surgery will be 2x more likely to develop osteoarthritis in the knee.
A loss of 5 degrees of extension is also tied to:
All of these consequences make it very unlikely that the patient will be able to return to a high activity lifestyle. Without full extension, even every day activities like walking, climbing the stairs, and bending over to pick things up can become difficult.
It goes without saying that restoring full knee extension range of motion after surgery must be one of the top priorities in a successful ACL reconstruction rehabilitation.
And the sooner the better. One research group found that range of motion in the knee at 4 weeks was strongly correlated with range of motion in the knee at 12 weeks.
In other words, if you’re behind in restoring range of motion 4 weeks after surgery, it’s likely you will still be behind 8 weeks later. When you hit the 12 week mark, the likelihood of restoring ROM becomes less and less.
In a recent case study with one of our clients, Bobbie, she started Neuro Therapy protocols 4 weeks after surgery. At the time she started, her knee lacked 5 degrees in extension, which could have been problematic if it remained that way.
In many cases, it takes months to restore the range of motion with traditional therapy. However, within just 1 week of work, Bobbie’s knee extension range of motion was restored, drastically decreasing her chances of developing osteoarthritis in the affected knee.
Neuro Therapy protocols have consistently delivered these types of results for ACL Reconstruction Rehab, as is evidenced by Cameron and Naja’s words on the rehab process below (both returned to their sports at a high level).
Neuro Therapy can yield these types for a variety of ACL reconstruction clients, including the following:
Just click the link below, fill out the form, and we’ll have someone get in touch as soon as we can.
Noll S, Garrison JC, Bothwell J, Conway JE. Knee Extension Range of Motion at 4 Weeks Is Related to Knee Extension Loss at 12 Weeks After Anterior Cruciate Ligament Reconstruction. Orthop J Sports Med. 2015;3(5):2325967115583632. Published 2015 May 4. doi:10.1177/2325967115583632
Shelbourne KD, Urch SE, Gray T, Freeman H. Loss of normal knee motion after anterior cruciate ligament reconstruction is associated with radiographic arthritic changes after surgery. Am J Sports Med. 2012;40:108–113
Joints can experience a lot of wear and tear, particularly if you’ve managed to stay active through the majority of your life.
Due to this break down, total knee replacement is one of the highest volume orthopedic surgeries in the US. It’s likely you know someone who has undergone the procedure or is getting ready to.
There were nearly 700,000 total knee replacement surgeries in 2018. Due to increases in population, activity levels, and average weight, that number is expected to increase to more than 3 million by 2030.
Despite how often the procedure is performed, a number of patients (about 1 out of 12) need to be readmitted to the hospital due to complications after surgery. These complications range from infection to wound healing, cardiovascular problems, venous thrombosis, pain, and arthrofibrosis (scar tissue development that limits knee function).
If a total knee replacement is in your future (or someone you know), here are 5 ways you can increase your chances of a successful recovery from surgery.
Prehabilitation is the concept of developing as much strength and range of motion around the knee (and in the legs in general) as possible before surgery. You “pre-hab” by working with a qualified therapist or strength trainer.
By doing so, the theory is that you will have a better surgical outcome, and the research indicates this theory is true. Pre-hab has been shown to:
2. Lose Weight
Weight plays a significant role in your total knee replacement outcome, so much so that certain hospitals have stopped providing the surgery for patients who are extremely overweight. Obsese patients nearly double their odds from infection after surgery. Those who go through surgery at a healthy weight decrease the risk for:
As an added bonus, weight loss should also help those knees feel a little better before surgery.
3. Start rehab early
…And this could mean really early. Ask your doctor how soon they plan to start mobilizing the knee after surgery. Some studies have shown that mobilization within 4 hours of surgery can decrease risks for venous thrombosis (one of the most common causes of hospital readmission).
It can also contribute to a shorter length of stay at the hospital, higher functional scores after surgery, and improved pain control.
Whether your doctor clears you for mobilization after 4 hours or 4 weeks, make sure you adhere to their schedule. Don’t blow off your rehab, as it will significantly affect your chances of a successful recovery.
4. Be Prepared For Setbacks
Expect the unexpected. Even if you’ve done everything right, there’s still a chance there may be setbacks along the recovery process. Make sure your physician and his/her team are educating you on any potential setbacks that may occur after surgery.
By being well educated, you can prepare psychologically for any obstacles in your way during the recovery process and tell yourself that no matter the setback, you WILL make a full recovery.
5. Eat Healthy
If you’re not already well versed on the basics of a healthy diet, now is the time to seek help. Not only will eating healthy help you to lose weight before surgery, but it will also optimize your recovery.
A healthy diet will give you all the nutrients your body needs to make that knee feel brand new. After surgery, your diet might need to be a little higher in protein, fruits, and vegetables. You’ll also want to avoid foods that are likely to cause an inflammatory response.
If you need help in this area, let me know – I’d be happy to connect you with a few of the experts in my network.
If you've already had a total knee replacement and still aren't back to 100%, you'll want to reach out to a member of our team.
We may be able to point you in the right direction to help you restore range of motion, decrease pain levels, build strength, and get back to an active lifestyle.
Click to request a call with a member of our team
1. Wang L, Lee M, Zhang Z, Moodie J, Cheng D, Martin J. Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2016;6(2):e009857. Published 2016 Feb 2. doi:10.1136/bmjopen-2015-009857
2. O'Neill SC, Butler JS, Daly A, Lui DF, Kenny P. Effect of body mass index on functional outcome in primary total knee arthroplasty - a single institution analysis of 2180 primary total knee replacements. World J Orthop. 2016;7(10):664-669. Published 2016 Oct 18. doi:10.5312/wjo.v7.i10.664
3. Same-day Mobilization following Total Hip and Total Knee Arthroplasty. Alberta Bone & Joint Institute. Published 2009 Oct 1.
This week's blog was written by our Clinical Director of Neuro Therapy, Leah Zinnert. It's a really fascinating piece!
National Geographic recently came out with a documentary called “Free Solo,” about how Alex Honnold became the only person in the world to climb the 3,000 ft wall El Capitan without a rope or other safety gear.
An article written about the climb stated that:
“Elite climbers have pointed to Honnold’s unique ability to remain calm and analytical in such dangerous situations, a skill that Honnold has slowly developed over the 20 years he has been climbing… There are other climbers in Honnold’s league physically, but no one else has matched his mental ability to control fear.”
His ability to remain calm in these high-risk situations intrigued scientists. So much so, that they actually conducted a functional MRI of his brain.
This type of imaging shows changes of blood flow that occur in the brain when a person is performing a certain task or exposed to a certain stimulus. Essentially, what is activated (or not activated) will light up during the scan.
The amygdala, the part of the brain they were especially interested in studying in Alex, is a part of the limbic system. It helps us to interpret and process emotions. It helps us to identify threatening stimuli and regulate our fear response.
What they discovered in Honnold was interesting. When they exposed him to stimuli that, in you and I, would most likely cause a fearful response, it generated nearly no response in Alex’s amygdala. His brain remained in the parasympathetic (rest and digest) state instead of being driven into the sympathetic state that would occur in the typical person.
But how? One hypothesis could be genetics. Some people are just wired to be more ‘chill’ than others. Some of us are better at remaining calm in stressful or scary situations.
Or perhaps it’s a result of his training?
Has the repeated exposure to scary situations given him the ability to actually train and control his responses even at the deepest levels of the nervous system?
Maybe it’s a combination of both.
On the opposite end of the spectrum, what if your amygdala was the opposite of Alex Honnold’s? What if it was OVER active (which studies have suggested would cause the amygdala to be larger than normal)?
Could it signal a fear response in a situation that may not be appropriate, which would increase anxiety, fear, and even pain levels?
And what if we have the ability to train our brains to interpret stimuli differently?
Here are 5 tips that have been proven effective at training (and shrinking) your amygdala, so you can be more in control of your fear response.
1. Face your Fears
Avoid Avoidance. Is there something that your fearful of? Often, repeated or controlled exposure to these things can help decrease fear, help you to manage anxiety, and stress. If you’re unsure of how to do this, talking to a professional can help.
It all starts with the breath. Ever been stressed out, feel like you can’t control anything happening around you? One thing you can always control – your breath. Try this exercise to drive your brain in to chill mode:
The goal here is to increase focus and calm. There is a lot of information you can find online about best strategies to initiate a meditation practice if you are unsure. https://www.wikihow.com/Meditate or App’s such as Headspace or Calm can be helpful.
It has long been proven that regular aerobic exercise helps to release endorphins, which naturally stabilize mood, decrease anxiety, and decrease stress. Not sure where to start? Pick something simple that you know you’ll enjoy doing!
5. Why are you fearful?
Take some time to explore why you may react or be more sensitive to certain stimuli. Once you are more aware of the WHY behind certain behaviors, they are easier to manage.
Do you know someone who would benefit from training their amygdala?
Send them this article!
There's not much in the world that can be accomplished in 30 seconds. But there is a simple self check you can do to assess whether or not your knee pain has a strong correlation to the nervous system.
Around 40% of the clients we see have neurologoical communication issues in the quads and hip flexors that are contributing to their knee pain.
The quads and hip flexors play an extremely important role in everyday movement. When they aren't functioning properly, they don't absorb force properly, and can cause problems in the joints below the waist, including the knees.
So how can we tell if the quads and/or hip flexors are causing your knee pain?
It's as simple as laying on your back and rasing your leg. And grabbing a friend.
The self-check for the quads (see first picture below):
Lay on your back, keeping the back flat against the surface you are laying on. Raise your left leg off the ground. Once the leg is up, ask your friend to push down with moderate resistance on the leg. It's important to understand this isn't a strength test to see who is stronger. It's designed to see how quickly your quad can respond to a little bit of force going into it.
When your friend pushes down, resist and don't allow the leg to drop.
If you're able to resist, switch to the opposite leg and repeat.
If you're unable to resist or the leg drops for a moment before you're able to resist, it means that activation of the quad is not occuring efficiently.
This problem is almost definitely contributing to your knee pain, and needs to be examined further.
The self-check for the hip flexors (see picture below):
This test is very similar to the first test. The only difference is that in the previous test your back was flat on the table. In this test, you need to arch your lower back (think about lifting your ribcage to the ceiling).
Once you're in the correct position, raise your leg, have your friend push down on the leg, and see if you're able to resist.
If you're unable to resist or the leg drops for a moment before you're able to resist, it means that activation of the hip flexors is not occuring efficiently.
Similar to the quads, this is almost deifnitely contributing to you rknee pain and needs to be examined further.
These two assessments are two of the easiest tests we run to determine whether or not a neurological problem is contributing to your knee pain.
If you've passed both of these tests, but are still dealing with knee pain, we can run a host of other asssessments during your Initial Evaluation at Premier Neuro Therapy to get to the bottom of it.
The Initial Evaluation (or Discovery Session as we like to call it) is a free way to learn more about what's causing your knee pain and whether or not Neuro Therapy is a solution for you.
Just click the link below to apply:
About the Author
Evan Lewis is a nationwide leader in Neuro Therapy and founded the Baltimore area's only specialist Neuro Therapy facility.
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