This client first presented for treatment with a combination of chronic L hip, R SIJ and R L4-5 problems dating back almost 10 years. She had experienced mixed results from previous evaluation and treatment with some interesting opinions regarding causal mechanisms, visceral problems and physical abuse being two of these!
Evaluation of the L hip revealed both flexion and internal rotation to be restricted with general weakness in all planes of motion. To cut a long story short, my focus was to activate Psoas Major and and release it from local structures (Iliacus, anterior hip capsule, femoral nerve). The initial results being increased ROM (all planes), reduced Gluteal irritation, reduced Quadriceps tightness and premature fatigue and reduced stress translated to the R SIJ during transverse plane movements.
Training was on going for 2 months resulting in, together with other significant gains, the ability to push-press body weight, this being 54Kg. The client is now completely free of all previous symptoms. This process indicates the importance of maintaining hip mobility for optimum muscle activation, when accomplished, huge gains in function can be achieved.
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