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    • #1799999
      Paul WheelerPaul Wheeler

      I have a client who had surgery when she was 13 where they cut the facia up by her R hip near TFL and another little spot on the distal portion of her vastus lateralis. She is now 70 and her R leg/facia and skin is very taught. I do a manual pin and stretch which seems to help but she can’t seem to make anything happen with a ball, Kettle bell or roller on her own. The hip spin up seems to help but there is still a lot of stiffness in the leg. The stiffness goes from her R lateral hip down her R quad. Any other suggestions would be great!

    • #1812828
      Kaitlin LyonsKaitlin Lyons

      Are you working up/downstream of where you are seeing the issue?
      Is what you are addressing the root cause of the situation or a symptom of the situation?

    • #1817585
      Paul WheelerPaul Wheeler

      Below is a summary of what I have been doing. Not sure this is above what we can discuss in this forum, but either way if you have any other thoughts feel free to let me know. Thank you!

      We have been working on soft tissue restrictions around the hips and lower back (upstream and downstream). This has shown improvement, but has not allowed pain free movement long term. Our next step is to decrease pain and increase exposure. Here is what we discovered through our assessment and movements.
      Right sacral-iliac joint or lower back is moving too much causing discomfort
      Right sacral-iliac joint or lower back is moving too much due to scar tissue on right hip/leg pulling on that area when in different positions
      Spinal flexion, pelvic tilts seem to aggravate this area
      Spinal extension and lateral flexion does not seem to aggravate this area
      When doing a deep squat using an assist lower right side is painful
      Massage and Pilates:
      After releasing right hip/leg scar tissue this pain goes away temporarily
      Pin and stretch hip/leg scar tissue (Myofacial release of the tissue) seems to help
      Hip spin up seems to help
      After creating stability (engaging the pelvic floor, abdominals and glutes) this seems to prevent pain because the engagement is not allowing the scar tissue to pull.
      Questions and thoughts:
      Can we use this desensitization techniques combined with exposing the tissue to stability and strength to retrain the hips/lower back to work without pain.
      Is is possible that by continuing to release the scar tissue that there may be more neurological symptoms going on down right leg?

    • #1820830
      Kaitlin LyonsKaitlin Lyons

      You are doing work, however not seeing lasting change.
      Have you thought about taking a different approach?

      Pro Episode # 21 – Pro-User Request Friday: Not Seeing The Change? You Need a Systems Approach.

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