Fitness and medicine are often viewed as two separate realms of health and wellness. We view exercise as a way to improve our body composition, strength, and/or endurance. But, if we have joint pain, then seek medical attention to get it fixed. Fixed usually means medical or surgical interventions to alleviate the pain. Once our joint pain is fixed, then we go back to our fitness training.
Often, joint pain and injuries are the final manifestation of chronic muscular-skeletal deficiencies and compensation. But, we never know if we have any deficiencies and compensation because movement proficiency is never assessed or even considered. What is movement proficiency? Movement proficiency is how we choose (or can) move. For example, how do you get up from a chair? Do you set your feet, balancing the pressure evenly through both feet, lean forward slightly, maintain your knees in line with your toes, and rise up with a smooth combination of hip and knee extension, and torso stability? Or, do you throw your torso forward, shift your weight to your toes, squeeze your thighs together, extend your knees prior to your hips fully extending? The first description is an efficient movement pattern and demonstrates adequate: mobility, stability, coordination, and strength. The second pattern demonstrates an inefficient movement pattern.
The inefficient movement pattern would more likely be associated with lower back, knee, and foot pain. If you displayed these inefficient movement patterns and have joint pain, what do you do? Do you seek medical intervention? Do you just work around it? What model do you fit into, a medical or fitness model?
Both models may fail to help you. They both view and address your problem from different perspectives. Although, a movement continuum model would help you detect inefficiencies and give you a starting point for intervening.