Thanks Nigel for your reply.
I have already used butlers neural mobes, with neck flexion off the
end of the bed, so I really wound him up, to no avail.
I do agree that he has some muscle imbalances particularly
ITB and VL, and am addressing those. His hip flexors aren't too bad
a little tight, so I'm doing that also. I've tried taping his feet cause
he slightly overpronates, but this didn't help.
He does have a history of hyperchondriac type behaviour after talking
with his doctor.
Scott.
--
On Sun, 27 Feb 2000 20:47:18 Nigel Biggs wrote:
>Dear Scott,
> Meralgia Parasthetica is the term you are looking for.
> In his book "Mobilisation of the Nervous System",Butler advocates knee
>flexion and hip extension in prone as a test of this nerve's mobility[or
>should I say mechanosensitivity,as this seems to be the latest in vogue
>expression-whatever happened to good old adverse neural tension!].This can
>of course be used as a mobilisation technique.
> I can't really see a rationale behind the use of ultrasound
>here,particularly if chronic.I've had occasional success with soft tissue
>techniques over the inguinal area combined with mobilisation as above.
> I've also had a few referals labelled as MP which presented more as
>anterior hip inpingements.They often respond to muscle balancing at the hip
>and pelvis.
>
> Best Wishes,
> Nigel Biggs
>
>Physiotherapist
> Newcastle on
>Tyne
>
>
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