Mike Julian LMT, CAMTC
Hi, welcome to Wednesday and other tissue talk fabulous day here in San Diego, California, 

The Body’s Middleman

Mike Julian LMT, CAMTC
Here’s why knees are so important. 

These are very close to me. Here’s why, because I started this business because of my knees. Like that is the inception of protocol sports systems because if anybody knows who I am, I have a lot of knee injuries. 

I have bad knees. My knees hurt the whole entire time. That’s why I’m such an expert because I’ve had every injury in the book. 

Mike Julian LMT, CAMTC
And me system. And. 

Julie Pitois LMT, CAMTC
Yes, that’s kind of what it was. Knees hold a real special place in my heart. Right. 

I was supposed to have, I was, I don’t know if you guys know that I was a volleyball player, played volleyball. 

My whole life in college. I hurt myself, had a cyst in my knee, a ganglion cyst from bad tracking. 

What happens with assist is if there’s too much pressure inside the joint, you will actually get like a sack of snowmobile fluid that will get inflamed. 

Mike Julian LMT, CAMTC
Kind of capsulate it. So, 

Julie Pitois LMT, CAMTC
Yeah. Yeah. What happened is every time I would bend my knee, like I would go into deflection. 

The cyst would pop out of my knee and it was super painful. Instead of doing other things that they probably could have done, they decided to do surgery and cut out part of my patella, which is my kneecap and created an injury that didn’t necessarily need to have happened. 

When I played in Spain, I played professional volleyball in Spain and ended up hurting myself from bad tracking, bad positioning, bad posture, being six foot, four inches tall. It happens that wasn’t the thing in the nineties, In the nineties to do because I’m an old lady apparently. 

What had happened is that I had another knee injury. I came home, they thought I had torn some of the ligaments, which we’re going to get into my knee. And it was actually a tracking issue. 

The lateral retinaculum and knee stability

Julie Pitois LMT, CAMTC
Because they couldn’t find anything, the big trend in surgery of the day was to do a lateral retina baculum they cut out that well, we’ll get to it. 

The way they did it was they did, they took out the lateral retinaculum, which basically holds the stability of my. 

Mike Julian LMT, CAMTC

Julie Pitois LMT, CAMTC
They cut it and took it out, I have no knee stability anymore. And it’s basically ruined my career. 

It wasn’t really knee injury that got me into it. It was bad tracking, bad posture and then surgery that ended my career. 

This holds a real special place in my heart because knees are that important. Sometimes what’s presenting as knee pain isn’t necessarily from the actual knee itself. 

Yeah. We’ve all known somebody with a knee injury, right? 

Mike Julian LMT, CAMTC

Julie Pitois LMT, CAMTC
Yeah. I mean, I know tons of people who’ve had knee injuries, myself included, but what does that really mean? Does it surgery maybe, or maybe not? 

Mike Julian LMT, CAMTC
I just remember my own personal thing back in off season baseball, high school, back in the forties. 

Anyway, the, I remember looking down at my knee, I was, I felt I was pressuring him and he, all of a sudden out of nowhere, I had not really hadn’t done anything that I was aware of looked down and my knee was swollen. 

The size of it was like huge. I’m like coach go. And he looked down going, what happened? I just looked down and there it was, I really, it was just like that. 

So, but it was something that happened maybe the week before that now all of a sudden it just blew up. 

Julie Pitois LMT, CAMTC
Yeah. Yeah. The knee, the knee takes a lot of impact from the body. 

And, and so it’s going to take an impact from the base coming up and from the top going down. 

That’s why they call it the dumbest joint in the body because it just, I mean, it just bends and extends it just flexes and extends and it moves a little. 

We need to we’re going to address what’s. 

Mike Julian LMT, CAMTC
Going on. It’s got one job, 

Julie Pitois LMT, CAMTC

The knee is a really complex structure 

It’s one of the most stress joints in the body, the most stressed, because it’s the largest joint it’s vital for movement. 

And it is really vulnerable to injury. It is the most commonly injured joint by adolescent athletes with almost two and a half million dollar, two and a half million injuries, sports related injuries, annually two and a half million knee sports related injuries. Every year, 

Mike Julian LMT, CAMTC
Most of them might said, do not need surgery, right? 

Julie Pitois LMT, CAMTC
The knee anatomy of the knee joints together with this big thighbone right here. If you come downstairs you’ve got the big tibia and the fibula, I know it’s this way. It’s backwards. 

You’ve got the shinbone, which is your tibia and the side of it, which is your fibula. They call it the big tip, a little fib. The little fibula is the one of the most broken bones that you’ll ever get in the body. 

People break this all the time. The knee is also comprised of this cool little patella or kneecap and that glides over and back. 

Because if you notice there’s a lot of space in this knee, there’s a lot of ligaments that hold it together and we want to protect it. The kneecap sits on top to slide, to help tracking, but also to help protect the knee.

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A synovial joint means it’s a real fluid filled capsule 

Julie Pitois LMT, CAMTC
That whole fluid on the knee, there’s a lot of fluid hanging out in the kneecap because it gets a lot of grinding. 

There needs to be a lot of synovial fluid so that it helps with the friction because the knee’s job is to bend and extend, amend, and extend, and to take the impact of the body. It’s got to have a lot of lubrication. 

Otherwise it would grind to down and it would be a very short life for us to have, we’d be like knees, walk, walk, done. That would be it because we’d be ground down already, a direct blow to the knee is a really serious injury. 

Sometimes it requires immediate medical attention, but today we’re going to work on all of the areas around the knee, what it is, what it out, what it isn’t and how sometimes the smallest movements of the knee and the hip and the ankle can change the structure of the knee to present as knee pain. 

Julie Pitois LMT, CAMTC
So we’ll get into that. 

So the knee is a hinge joint. What a hinge joint is it, it’s just a window that it opens and closes. It’s a hinge. So the knee flexes and extends. 

If I hear with Scala here, the knee bends and it extends it bends and it extends, but in bending it also medially and laterally rotates, slightly inflection because that’s where our hamstrings come into play to kind of move back and forth. 

We kind of need that’s where the problems come up. Yeah. So we’re, yeah. The tracking is a big part of the knee. What it does is it consists of bones, meniscus, ligaments, and tendons. 

So there’s a lot of booth. It is, it’s not a mobile joint. It is a stable joint because if we’ve got recall, the hip joint super mobile, right. Moves all over the place. It’s a, it’s a ball and socket joint. 

Julie Pitois LMT, CAMTC
If we come down here to this guy, our ankle joint, the ankle joints, a real mobile joint too, because it’s moving all over the place, right? 

Remember a mobile joint moves more than one plane. So it’s going up, down in out. The foot in our ankle is so mobile, this has to be stable because you can’t have three mobile joints in the, in row. 

Otherwise you’d be like the scarecrow from wizard of Oz. We want to be able to like control our movement. Right. That’s really important. Come on slowly. All right. The knee is designed to fulfill a number of functions, right? 

It supports the body in an upright position without the need for muscles to work, it helps to lower and raise the body. 

That’s what the knee does. It provides stability. It’s a shock absorber. It allows the twisting of movements of the leg. 

Julie Pitois LMT, CAMTC
It allows walking to be really efficient. 

Mike Julian LMT, CAMTC
Not just walking in an, on a normal level surface, but in a very uneven surfaces that allows you to have that stability through this. 

Julie Pitois LMT, CAMTC
Sure. It helps to propel the body forward. That’s the knee without the knee. If anybody’s ever hurt their knee and had to walk with a straight leg, you’ll know how actually hard it is. Look at the toy soldiers. They have a really hard time walking. 

Mike Julian LMT, CAMTC
I would hate to be a toy, 

Julie Pitois LMT, CAMTC
Right. Or a Nutcracker because they don’t have any joints either. So. 

Mike Julian LMT, CAMTC
I don’t like it. Bringing up my past. 

Julie Pitois LMT, CAMTC

So let’s talk about knee anatomy

We have bones, the bones of the knee. Again, we’ve got this big femur, the thigh bone, we’ve got this cool tibia, the shinbone we’ve got this cool little fibula, the side of the shinbone remember this also comes down and makes the ankle joint. 

This is all really important as much as we don’t think that’s important that’s a pretty important guy to the knee. We have this patella to make sure everything stays in place. 

The knee joint keeps all these bones in place. We have different types of cartilage that hangs out in the knee. In between the knee, you’re going to find the bottom of the femur and the top of the tibia, right? 

The shinbone top of the shinbone and the bottom of the thigh bone. There’s a little spot in between here. There’s a little divots and there actually lies a meniscus in there. 

Julie Pitois LMT, CAMTC
I’m sure everybody has heard of meniscus at one point in time, because meniscus is a pretty common injury for people. 

Mike Julian LMT, CAMTC
To diagnose with a meniscus tear, 

Julie Pitois LMT, CAMTC
Have torn their meniscus. So a meniscus is actually just cartilage. That’s laid on there. It’s like a Crescent shape and it’s a disc. 

And it acts as acts. It acts as a cushion or a shock absorber. That’s like when you’re going in and you’re doing a lot of lunges, a lot of jumps, a lot of stairs, and you’re coming down with the top of your knee, into the top of your femur, into the top of your tibia. 

It’s co cushioning it. It acts as a cool shock absorber so that the knee can move through its range of motion without rubbing directly onto it. 

Because if this rubbed over and over again, like I said, the top of the bones would be ground down and we wouldn’t have a lot of efficient movement. It would be, 

Mike Julian LMT, CAMTC
Yeah, it would be. 

Julie Pitois LMT, CAMTC
Yeah. Super lots of pain. Anybody who knows that, that may have a knee replacement or has had any replacement, usually has no cartilage left in these areas. 

That’s why they’re where their pain is coming from. These have been, they’re grinding against one another because the meniscus and or the cartilage, the place that provides the shock absorption goes away. It’s been ground down. 

Okay. So the meniscus also contains nerves. The reason why it hurts is everything has some nerves that are attached that go up and tell the brain like, Hey, we’re in pain. 

What also the meniscus does is as it’s laying here, it’s also distributing the impact and distributing your weight hopefully easily. 

Because remember, you’ve got these guys that are really mobile and the hip joint that’s really mobile. 

This has to be stable, but it also has to move back and forth in order to help weight, distribution, and movement so that you can get of movement in the knee because otherwise we wouldn’t be very efficient in our movement. 

The Meniscus

Julie Pitois LMT, CAMTC
We have two different meniscii, which are attached, but you have the inside, which is your medial side and the lateral side, which is your outside. 

The one that usually gets torn is the inside because of people coming in, a lot of football injuries happen when people get hit from the outside of the knee to the inside. 

And then he does this a lot. What it’ll do is it’ll tear that little part of this meniscus. If you tear it enough, what it’ll do is pull it up. That catching, popping snapping locking pain with rotation will come from tearing of this meniscus. 

A lot of times people will have a small tear in their meniscus and they won’t need surgery at all, because it’s just the current religious job of trying to put it back into place. 

Once it’s in place, there’s no pain. The other thing with cartilage too, there’s this thing called articular cartilage, which is the cartilage that’s laying on the edges of all the bones. 

Julie Pitois LMT, CAMTC
All of the bones have this cool little, like it’s called articular cartilage. It’s kind of a smoother, like a helmet. 

If you are wearing a bike helmet and you put a bike helmet on all of the edges of all of your bones, that’s what it looks like. It also, if you’ve ever had chicken and you go in and you get a chicken bone and you pop the top, that white thing that you pop off at the very edge of the bone, that’s the cartilage. 

So that’s what it actually is. We have that on the edge of our bones so that it keeps the friction down. Now, ligaments are something that people get confused with, right? Because the knee has a ton of ligaments in it. 

We want to make sure because the one area where people ended up having a lot of different surgeries or tearing, you may be familiar with ACL PCL, LCL, MCL, and what those are, they are the ligaments that make up the structure of the knee, right? 

Julie Pitois LMT, CAMTC
Remember, the knee is a stable joint, but it’s only attached by this bone and this bone. 

This bone slides on top of it. It needs to have a stabilizing structure that holds everything together to help B to help all of the movement. What, one thing that ligaments do is there were normal tendons. 

The fibers of the tendons are sitting like this parallel ligaments are sitting like this, they’re cross that street, right? The reason they’re crossed that is because they need to be pulled and maintain their structure and their attention from all areas. 

If my ligaments or our ligaments look like this, they can be pulled the top. They can be pulled from the bottom. They can be pulled from the sides and they’ll maintain their stability in their attention. 

Does that make sense? Hopefully it does. With the knee, we have quite a few because this knee per helps propel us forward, we need ligaments that are sitting into the front, into the back and on both sides to help protect the knee. 

The ACL (anterior cruciate ligament)

Julie Pitois LMT, CAMTC
Right now we have the ACL, which is your anterior cruciate ligament, the ACL. What that does is it prevents the femur from sliding backwards on the tibia. 

Where you’re, when you’re walking, you need the tibia to kind of glide forward and back. What this does is it keeps this guy from sliding all the way back out. 

People stop short or get hit, that ACL anterior cruciate ligament will go and you’ll feel the, the, the leg you’ll be able to actually pull it backwards and forwards, pretty easy. You’ll feel really a lack of stability that goes on there. 

The PCL, which is the posterior cruciate ligament is back here. The ACL and the PCL they’re current they’re crossed like this. They are attached in a cross section to give more extra stability. 

The PCL back here is called your posterior cruciate ligament. It prevents the femur from sliding forward on the tibia or the tibia from sliding backwards on the femur. 

Julie Pitois LMT, CAMTC
If I was here and I had no ligament, my tibia would actually slide backwards. If you can’t, if you’re trying to slow down, you can’t slow down. 

If it’s trying to take off, you won’t be able to take off. Like it doesn’t give you any it’s not your break. You’re not able to break with it, if that makes any kind of sense. You’re doing a test and you’re laying there, let’s say that you’re hurting your knee and your knee hurts a lot. 

If you were sitting like this with your foot up, this thing would drop back. It was, yeah, it would just drop back. And you would have this like a. 

Mike Julian LMT, CAMTC
Shelf. Yeah. Yeah. 

Julie Pitois LMT, CAMTC
It’s, it’s called the drawer test, but it would drop back and you wouldn’t be able to actually hold the bone of your shin onto your femur. It’s not a good, it’s not a good look either. Good luck. Yeah. 

You have the medial, which is on the inside of the body, right? The one going towards the inside of the body, it’s called your medial, cruciate ligament, your MCL. 

And I’m sorry, medial, collateral, ligament, sorry. It’s a C the medial collateral ligament and the medial collateral ligament. It prevents side to side movement. 

If it would prevent this from happening, if you’re getting pulled and your whole lower leg wants to move away from your upper leg, the MCL, the medial collateral ligament would be over here. 

And it’s actually really thick. It’s like one of the thickest ligaments that you have in your body. And it’s giant. 

Julie Pitois LMT, CAMTC
It goes from down here, up to here. It’s really thick because this is a real common area that we go, right. 

When we, when we’re in any type of sport and we’re running, our knees tend to drop into valgus. It’s, it’s called Valdez where they drop in this way. They tend to drop in way more than they drop out. 

They drop in, you need extra ligament and like a mental structure on the inside to support that movement reinforcement. Right? This is why the majority of people have a tendency to get this guy, because it gets hit a lot more, but there’s more of it. 

Whereas the lateral collateral ligament, which is here, it prevents side to side movement of the femur on the outside. It’s a smaller one. 

It’s like, it’s a S it’s much smaller because it’s not a common movement for most people to sit with their knees going out more so than what their knees dropping in. 

Julie Pitois LMT, CAMTC
Yeah. Those are the ligaments of the knee. What they do is they really protect the knee and create stability. 

That’s why when we sprain our knee, or we move too fast, or we have one injury after another injury, you can actually get the ligaments to be more overstretched. You’ll have of instability in the knee based around the ligaments, not being as strong and structured. 

With that, we need these big tendons to come through. The, the beauty of the knee is it’s really stable with, or it’s really layered with stability. You have these big ligaments, you’ve got the big cartilage. 

That’s helping the impact that you’ve got the big ligaments on the side. You’ve got these nice tendons that come through around the knee. They’re really these tough cable like bans, and they’re made soft tissue, right? 

Tendons come from the end of the muscle. There it’s like the end, when a balloon gets pulled taut, it’s like the very end of the balloon. 

Julie Pitois LMT, CAMTC
And they’re similar to ligaments, right? Instead of linking the bones to the bones, they connect the bones to the muscle. 

The very big muscles come in and then the tendons come down and they come across and attach to the bone because then when the muscles contract bloop, there you go. Yep. 

Every time the muscle contracts remember muscles, pull bone, the nerves, tell the muscle to pull the bone, and then the muscles pull the bone. Without the tendons can connecting to the opposite muscle or bone, then you won’t have any movement whatsoever. 

You’ve got these giant quadricep muscles, these four big muscles, long cylindrical type of muscles in the quadricep that make the front of the thigh. 

What they do is they come down on either side and then they actually attach in one common tendon, right down here, if anybody’s ever felt their bump that they have in their bone, it’s right at the base of her, right at the top of their tibia. 

The Tibial Tuberosity

Julie Pitois LMT, CAMTC
Right below it is called a tibial tuberosity. That’s actually where all the shin, the, all the quadricep tendons come in. And so what will happen? 

You guys, has anybody ever had Osgood, slaughters, Osgood, slaughters is actually from it’s like growing pains, right? When you grow really fast and or it doesn’t mean you’re tall, it just means you’re growing faster. 

Your muscles are ready for like, your bones are like whoop and your muscles are like, wait, wait, wait. So, because they’re attached down here, you’re using these quadricep muscles, these thigh muscles a whole lot. 

What’s happening is they’re pulling like this at the base of, or at the top of your tibia. When they do that, they actually are starting to increase bone production in here. 

It creates a, tendinosis like an irritation of the tendon, but it also creates more muscle build right here and muscle buildup or bone buildup. 

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Julie Pitois LMT, CAMTC
Sorry. What that does is it actually increases the size of that little bump on the top of your tibia. 

So it’s super uncomfortable. Yeah. If you’re growing for a long period of time, it’s painful if for a lot of people. We’ve got these big quadricep muscles that come in and attach to the front of the knee. 

What those guys do their job is to actually extend the knee into, to straighten the leg. That’s what it does the opposite. If you think of the upper leg, as a tripod comes down with three legs and creates stability right into the leg. 

It creates balance so that the tripod doesn’t fall over. Hopefully you’ve got the top part, which extends the knee. You’ve got the bottom part of those hamstrings, these big muscles that attach to the base of your butt. 

They come all the way down and they actually attached down into here. 

Julie Pitois LMT, CAMTC
One, the lateral one comes in attaches to that. Remember that little fib, that lateral one comes down here and attaches to the outside and what it does. 

Can you touch his head? If you can hear me? The side of the hamstring comes down and actually attaches to the bottom back part of the fibula. Remember that little fib and it’ll rotate that lower part of the leg a lot. 

It’ll actually give of pain, but those hamstrings come in as a whole and flex the knee. Remember quadriceps extend the leg and straighten the leg, the hamstrings, come in and bend the knee or flex the knee. Right? 

You got these big adductors on the inside that creates stability on the inside to hold the leg on. You got this big it band to hold the leg on the outside. 

You got these big muscles and the tendons that all come down and attach to the bottom part of the bone, the tibia from the femur. 

Julie Pitois LMT, CAMTC
These two bones are pretty necessary for the knee joint that comes into play later. When we’re talking about posture and muscle firing the, as far as the firing of. 

Mike Julian LMT, CAMTC
How they fire and how they track, if they’re too tight and not pulling hard enough, or the two lacks enough, not giving enough, pull back pressure either way is going to cause an imbalance which is going to drive through the knee. 

Julie Pitois LMT, CAMTC
Exactly. So here’s the thing with the knee. 

You guys, if you have a direct injury, like an acute injury, like somebody hits you, a dog runs into you. You’re Blake play football. You fall down a hill. Something where your knee, all of a sudden gets torched really fast. 

You will have an issue with your ligament. You will have an issue with your tendon potentially, but let’s talk over you syndrome right now, over an overused, as far as stir strains or sprains. 

A lot of times what happens with that? Remember the knee again, stable joint its job is to provide stability for this guy and this guy, and take the impact of all of this up here. 

What happens if you have a knee or a hip joint that doesn’t really want to move? What happens if you’ve sprained your ankle? And it doesn’t move, right? 

Julie Pitois LMT, CAMTC
Because remember the ankle doesn’t like to move. If you’ve got pain associated with it, if you aren’t using this as, as mobile joint, it’s going to ask for mobility up here. 

This little tiny rotation of this tibia, the shinbone remember the muscles that are attached to it. The quadricep come down and attach here. The hamstrings come down and attach here that actor’s come down and attach into here. 

If you are not using this the right way, it’s going to require it here. What it’s going to do is it’s going to start rotating and shifting with the muscle structure is going to start being pulled one way or the other. 

Let’s say we get a of jujitsu athletes here. If anything about jujitsu, a lot of it is in a turnout. One leg is usually one hip is really turned out like this is a lot of their Movement. 

Julie Pitois LMT, CAMTC
This is a part of their work right here. Because their hip joint is rotated out so much. The capsule of the hip joint tends to not want to move back into internal rotation. 

What that does then is that puts a ton of pressure into their knee. 

We’ll get a lot of people who will have knee injuries based on the fact that their hip joint doesn’t move, because what they’re doing, when all of a sudden you’re in a turnout, and now you’re doing this kind of motion is you’re using this outside part of your hamstring and the outside part of your hamstring attaches to right here. 

What it does is it rotates your foot completely out like this. How many of you have walked around and seen somebody with a foot that’s turned out like that? The way that they stay up, a lot of them are not coming from the hip joint. 

Tibial Torsion

Julie Pitois LMT, CAMTC
They’re coming from the knee joint. Because the CA the patella, the kneecap is still. 

Mike Julian LMT, CAMTC
For the turnout to be coming from the hip. 

Julie Pitois LMT, CAMTC
Right? Right. The, but the actual turn is coming from the knee. It’s called a tibial torsion. 

If the torsion is happening like this, all of the ligaments that are attached into here that provide the stability are now getting pulled and squished. Everything’s getting pinched off. It may present as a meniscus tear. 

It may present as an MCL tear. It may present as a potential ACL issue. If you’ve done it enough, it could present some, 

Mike Julian LMT, CAMTC
Honestly, these present as that. If you leave this long enough, it can actually become that problem. 

It can become, it’s going to wear down the tenants, wear down the leg of it to a point where just a simple move of stepping off a curb or whatever finally gives you that terror. 

You actually now have a terror once you didn’t have one before. Right? 

Julie Pitois LMT, CAMTC
The other thing I want you guys to know is we have these hamstrings that might be way too tight on the outside. 

That’s creating this. We also have these muscles onto the backside of the knee. There’s a couple of in particular, there’s this one called a plan terrace. It’s the muscle. That’s about this long it’s right in the back of the knee. 

The tendon is the longest tendon that we have in our body. The tendon drops all the way down to the outside. People may have Achilles tendon issues could be coming from this plan terrace back here just as an aside. 

The thing with the planned terrace is its job is to flex the knee and to plant our flex, the ankle. Going into a toe point and or a knee bend. 

Anybody who is a baseball catcher, anybody who does a lot of deep squats and has to pop back up, they may be having knee issues, but it may be coming from the plan terrorists. 

Julie Pitois LMT, CAMTC
Because if you get a strain here, it’ll come out of the front of the knee. That’s something to be aware of as well. 

The other thing too is right behind the knee at a diagonal at a blink angle is called a popliteal tenant. The popliteal and the pop Linnaeus is this tiny muscle that’s sitting right behind the knee. 

When people have issues, it tends to get a little angry. This is the nickname for the pop Lydia’s is the key that unlocks the knee. It’s, if you are straightened, like if you have your leg straight, the minute you start to bend, it actually will rotate you . 

It’s job is to be the first movement inflection. If you have an issue back here, if you’ve been sitting for it, with it straight for so long, and or you’re having an issue with the pop Lydia’s, you won’t be able to actually bend your leg. 

The Popliteal Tendon or Popliteal Muscle

Julie Pitois LMT, CAMTC
That pain that you’re getting when you’re bending is either from swelling, or it can be coming from the popliteal tendon or popliteal muscle. 

The other thing too is understanding that the hamstrings play a crucial role in a lot of our body’s movement. The hamstrings are back here and they don’t just bend the knee, but that’s how they bend the knee. 

If I’m sitting here in a knee flexion this way, that the hamstring has two separate muscles, right? It’s got semimembranosus and tendinosis that come onto the inside of our leg. 

When you bend with inflection, what it does is it actually medially, rotates the knee it’s. It brings the knee to the center of the body. It’s important because when people have hamstring issues, they lose that ability to do that into the knee. 

The other thing is this big lateral hamstring, that big lateral sweep that way I’ll see that lateral hamstring is called biceps femoris. 

Julie Pitois LMT, CAMTC
I’d actually laterally, rotates the need, like were talking about, which then again, biceps, femoris equals tibial torsion equals potential knee injury without being the injury. 

Just as an aside, the knee is an amazing thing, but is it truly the knee? 

Mike Julian LMT, CAMTC
It is typically what I’ve experienced is it’s not the knee. 

If we got to look above and below, we gotta look through the breast of the body, find out what is causing the movement. 

Poor movement patterns causing a lot of postural disorders is coming from above. That knee is just taking all the abuse from everybody else, not doing their job. Right, right, 

Julie Pitois LMT, CAMTC
Right. The body’s a huge team. If you’re not doing it right, something’s going to pay. 

It’s usually that Mo that stabilize our joint. That’s just trying. He’s just trying to get along with everybody. All he’s doing is taking the impact from everything, but nothing in the ankle or the hip past the playwright and the next thing.

Yeah. You are having any kind of a knee issue, make sure that you look above and below the joint, make sure that you check your hips, check your ankles. It may be coming from an old ankle injury. 

It may be coming from an old back. Remember, kinetic chain goes up and it goes down the body. The knee is usually the middleman that just gets caught with all the garbage in the center. 

Take a chance, take a check of your knee. Look at it. Feel what’s happening. 

Julie Pitois LMT, CAMTC
See about the hamstrings. See about the quadriceps. There’s so many areas of the knee that you can actually help to release and actually create a lack of, or help to relieve a lot of your knee pain. 

Yeah. You guys, I hope that you enjoyed today’s talk. It was a little off the hook all over the place, but then we ran a little long, but whatever I’m needy today. So, anyway, I hope you guys enjoyed the knee talk. 

If you guys really enjoyed it, please pass it along to some of your friends. If anybody has a knee injury that may want to hear about it, we’re all about educating you. 

Whatever helps next week, we are going down into the ankle. All of the lower leg, the ankle, and then going into the foot. I hope you guys enjoy the rest of your week. 

Mike Julian LMT, CAMTC
I’m looking for the rest of this week. All. 

Julie Pitois LMT, CAMTC
Right. Yay. And we will see you next Wednesday. Have a great one. Bye.