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Hi Ian, > If anyone can offer anything in the way of advice and information for > this athlete he would be very grateful. In my opinion this sounds very much like a referred pain. Areas that can refer pain to that region starts around T11 and ends with the SIJs. My suggestion is that he is seen by some kind of manual therapist (PT,DC,DO) who can assess and treat this. That's something to start with. All the best, David %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%