However, the knee pain isn’t actually a knee problem. It’s a pelvis problem.
The position of the upper leg, the femur, is directed internally by the position of the pelvis above it that is stuck in the left AIC pattern.
The Left AIC pattern describes an asymmetrical position of the pelvis where the left side of the pelvis rotates forward and orients the entire pelvis to the right.
Due to this anterior rotation and rightward orientation of the pelvis, the left leg is positioned internally.
In order to keep the left foot straight, as a compensation for the internally positioned left femur, the lower leg rotates in the opposite direction.
So we have a situation where the femur is positioned internally and the tibia compensates by rotating externally.
This is the source of so much stubborn knee pain.
Importantly, you can’t treat the knee pain. You can only treat the position of the femur and tibia that is causing the pain.
What most typical rehab protocols miss is that it is the position of the pelvis that must be addressed, otherwise the source of the pain remains.
The Postural Restoration pelvic repositioning techniques move the pelvis into a symmetrical position and then train proper movement and strength of the left pelvic-femoral area. In this way, the stress off the knee is removed and the pain resolves.
All the treatment in the world won’t change a thing for knee pain unless the position of the pelvis is addressed first.
Neal, I am confused here.
In my understanding, the left AIC right BC pattern move the pelvis right (clockwise from an aerial view) and thus the left femur is relatively externally rotated; correct?
However, in this article you referred several times to the LEFT femur as being internally positioned.
Was this a typo, or is there something big that I’m missing?
The left AIC “orients” the left acetabulum into internal rotation as the left ilium flexes anteriorly. The femur follows the orientation of the acetabulum into internal rotation.
From there the left femur will *usually* externally rotate. But it may not.