The Joint by Joint Approach
Each Joint’s Primary Need through the lens of Mobility & Stability according to Boyle and Cook:
Gleno-humeral– Mobility
Scapula – Stability
Thoracic Spine–Mobility
Lumbar Spine – Stability
Hip – Mobility (multi-planar)
Knee – Stability
Ankle –Mobility (sagittal)
Mike Boyle & Gray Cook’s Joint by Joint Approach further argues that wherever pain is located in the body, the answer to the problem is usually found in either the joint above or below the area of pain.
According to Cook and Boyle and their Joint by Joint Approach, the answer to:
Lower back pain is often found below the lumbar, in the hip, which is typically insufficiently mobile, thereby demanding the typically stable lumbar joint to develop mobility that is was not designed for.
Shoulder pain can usually be traced back to an insufficiently mobile thoracic spine, which in turn causes pain in the shoulders due to their need to forgo their stability in place of mobility.
Knee pain typically is a combination of a lack of both ankle mobility and stability, alongside hip immobility. The stress of an unstable and immobile ankle, coupled with an immobile hip causes the knees to lose their necessary bio-mechanical stability, thereby causing pain.
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