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April 22, 2005

More On My Sciatic Pain Case

My client who I have mentioned in several earlier blog entries (March 26, March 31, April 8) is improving nicely. With home care compliance, such as stretching, and applications of heat and ice, they are holding the improvements between sessions very well.

Today the muscles in the hip and tensor fascia lata were supple. They said that they felt "100 percent improved" and were sleeping pretty good. What I think this means is that they are not in constant pain anymore, and that is significant quality of life improvement.

For the first time I was able to use moderate elbow pressure in the less sensitive points of their hip muscles--I consider this a milestone in the application of pressure. A point in tensor fascia lata just caudal to the greater trochanter was too tender for deep work, as was the point at the upper border of the piraformis muscle as it attaches to the sacrum. Also too tender for deep work is a point deep in the hip between the greater trochanter and ischial tuberosity (or stiz bones) where, I believe, the primary region of impingement is located.

I performed passive stretches on the leg at three different locations to help ease the sensation of the ball of the hip tight in the socket. That allowed me access again to the deep musculature of the hip where the primary impingement is. Finally the muscle there began to soften. I do not think it will be too many more sessions before this client will be released from my care.

Posted by linda at April 22, 2005 11:55 AM

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