SI Joint and knee problems combined

Yoga Discussion General Yoga
#1

I have a client c/o severe knee problems that (medial pain, shooting at times up inner thighs to pelvis. Some c/o of low back pain, at times shooting up one side of the back.

I immediately went to assessing her SI joints, and found a large difference between left and right (about 1 inch higher on the left). I worked with her on the SI Joint balancing format from Mukunda, and then did psoas release work. I left her with some information regarding the gracilis muscle, and the need to lengthening and release.

One week later, she has been doing the SI balancing work daily, and the psoas release work 4 times. The SI joints are now more evenly balanced (about 1/4 inch difference), the shooting pain up the back is gone, but the knee pain (although subsided for 2 days) is back. She has a hard time walking and doing any sort of forward bending.

She had some cranial sacral work done, and saw a chiropractor, no further results.

Any suggestions.

Maria

#2

maria -

Sounds like you have done excellent work with this client. I would suggest you more carefully diagnose the tripod tendons. These are three muscles attaching into the same tendon at the medial knee. The muscles are the sartorius (to outer iliac crest), gracilis (to pubic bone) and semitendonosis (to ischial tuberosity, sitz bone). By gently doing bodywork on these three where they separate from each other just suprior to the knee often the pelvis will release. Probably you are on the right track by working the gracilis, but need to more diligently assess its insertion point connective tissue. I have also found that just persisting and looking more carefully at what occurs during the SI mobilization exercise you will uncover the territory that needs attention. namaste mukunda