Why Derrick Rose Keeps Getting Hurt – From a Postural Standpoint
BY DR. VALENTINO R. BOTTI, D.C.www.bottichiropractic.com
After years of studying human anatomy, spending 12 hours a day educating patients on their posture and biomechanics, watching people walk at Target, the Mall, ect, and being the fan I am of basketball – there has always been something glaringly obvious to me about #DerrickRose
. Aside from being a ridiculous athlete, freakishly fast, and one hell of a competitor – he has an aweful anterior pelvic tilt. The analogy I use with my patients is that if your pelvis is a bucket of water, you want to keep that water in the center of that bucket during your activities of daily living and especially during physical activity. Derrick Rose is spilling all of his water out of the front of the bucket most likely for the same reasons that make him freakishly fast, his hip flexors. Google any picture of this and you will see that he holds this type of position with his body...
Aside from creating a facet syndrome and chronic lower back pain this position also causes abnormal stress on the ANTERIOR portion of the lower extremity, and in this case the anterior portion of the knee. ACL tears occur due to anterior stress of the tibia on the femoral head. This additional anterior stress will also increase how the femoral head articulates with the meniscus and increase intrajoint pressure. The increase in pressure coupled with rotation WILL causes tears in the meniscus. Im not saying that knee rehabilitation is not a vital part of knee injury rehabilitation but sometimes, especially when we are dealing with reoccurring issues, it might be a good idea to take a higher level approach to therapy and look at the patient more than condition. Also in clinical practice I find that more than 90% of the time, the origin of pain and injury is not source of the dysfunction. In this particular case, while the knee is the primary area of concern, it is somewhat obvious that lower extremity muscle imbalance does exist.
Additionally, I believe that the training staff should evaluate the shoes that Derrick is wearing. Most who watch basketball are aware that Derrick has an enormous contract with Adidas. I have never analyzed or worn the shoe but I believe that it is possible that the shoe itself may not be an ideal choice given that pes planus or flat feet can also contribute to or exacerbate an anterior pelvic tilt. While this is all speculation, I believe that given the circumstances – Derrick Roses management should be looking for more answers as to why this fantastic athlete continues to injury himself.