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Scott, I work alot with trigger points and from what you have stated, I would suggest you examine a few other trigger points which can also complicate her lateral hip pain: iliopsoas, Quad Lumb, TFL/ITB, peroneus, solues. It may sound strange, but anterior lumbar structures and muscles in the calf can refer pain or perpetuate other muscle trigger points. Also, have you tested nerve mobility and slump tests to see if it does elicit or worsen her symptoms? As well, posture is another that may be contributing to her symptoms. Hope this has helped. Henry*** ps- Where about is Northside Physiotherapy?? I am only asking because I work for Scott Hewett at Sumnar Physiotherapy. > > >Can anyone on the list versed in muscle energy, chiropractic, or physio, > >please help me with some ideas for a patient of mine. > > > >She has left lateral hip pain aggravated by sitting and end ROM lumbar > >flexion. On examination she appears to have a backward sacral torsion >and > >posterior innominate. L5-S1 is tender ipsilaterally. There was a large > >amount of erector spinae spasm, which is slowly settling. Left piri, >glut > >med, hamstrings are tight. There is limited medial rotation of the left > >hip. > > > >Treatment thus far has included unilateral L5-S1 mobes, manips, shotgun >and > >muscle energy to backward sacral torsion and posterior innominates, >trigger > >points to piri, glut med, deep tissue masage to hamstrings and erector > >spinae, hip mobes with lateral glides into medial rotation, SNAGS to the > >sacrum, various taping techniques. When she sits after treatment the >pain > >is apparently exactly the same by the time she gets home. > > > >I cannot think of what else could be wrong, except if I have completely > >assessed her incorrectly but I have gone over it all again on each > >consultation. Usually these problems resolve for me in a couple of > >treatments. > > > >HELP!!!! thanks in anticipation.... > > > >--- > >Scott Epsley > >PHYSIOTHERAPIST > >Northside Sports Injury Centre > >Brisbane, Australia. > > > >e-mail: [log in to unmask] > > > > > >Get FREE Email/Voicemail with 15MB at Lycos Communications at > >http://comm.lycos.com _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.