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July 15, 2006

Hip And Leg Pain

Two people presented with sciatica symptoms yesterday. Both had pain down into the leg and one actually had numbness down into the bottom of the foot.

I learned from my client who came to me almost unable to walk (see Fingertips sciatic pain case) that much of the treatment requires working along the soft tissue region between the ischial tuberosity and the sacrum where the sacrotuberal ligament lives.

I explain to my clients my plan of action because some people are cautious about getting work in the hips especially when the work is more medial. My goal is to engage the fascia and stretch upward. This usually creates a burning sensation that I compare to a hamstring stretch. My thinking is that if I can loosen the fascia around the affected structures then there is more freedom of movement and less impingement of the sciatic nerve.

Most people recognize the truth of these words when working in this region. I usually work my "right onto" their greatest source of discomfort (remember to work the whole track and not just where they hurt the most). I also work any associated muscle groups (usually the deep hip rotators). Clients feel sensations or abatement of discomfort down their leg. Sometimes they describe a sense of more blood flowing down the leg.

I advise stretches and send them on their way in hopes that they do their homework and find lasting relief.


Posted by linda at July 15, 2006 8:03 AM

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