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I had a new client the other day for an 80 minute massage. I asked him if there is anything that he wanted me to know. He told me that he suffers from a herniated disc that he has had for a few years. He has constant low back and right hip pain that at times radiates down the back of his leg to his knee. He told me that he has had two injections in his low back and has to stay on anit- inflamtory medication. Anything to avoid surgery. The pain is always there. I asked him if he ever saw a chiropractor for his pain. He said yes. But the adjustments hurt his hip so bad that he could not continiue. So here is a guy that thinks he is on the verge of surgery. I knew that there was a very strong probubllity that was not the case. The vast majority of pain people experience is nocioceptive pain( soft tissue- muscle, tendon, ligament, facia). MDs and Chiropractors see pain as neuropathic pain( nerve pain). With that asumption they give the wrong treatments and therapies. Now there is no denying that at times injections and surgery is needed. Not denying that. But most of the time - NOT. 70% to 85% of all pain comes directly from trigger points. Anyway I showed my client a testimonial from a client that I was able to help out of a very painful condition that she had delt with for a couple of years. I showed him that testimonial because all pain has a psychological eliment too it. I wanted him to start thinking maybe he is not on the edge of surgery. I palpated his entire back upper torso, both hips, and right leg. I found a very painful spot on his right L5 erectors. Another very painful spot on his right greater trochantor. A painful spot in the middle part of his lower right hamstrings. And also a tender spot on the right spinous of L3. I knew that if Iwas able to eliminate all those painful palaptory spots that I would most likely eliminate his pain problem. Because a healthy body had no painful spots even with deep massage. Ive been hunting and eliminateing trigger points for thirty years now. He walked out of the massage room pain free. He was pain free for the first time in years. All those other professional people misdiagnosed him because they assume neuropathic pain over nocioceptive pain. I assume the other way around. I'm a Massage Therapist.
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have you checked for ligament impingement / damage in the hip? I'm thinking principally the ischiofemoral ligament, which becomes tight during abduction of any sort The iliofemoral ligament keeps the leg stable when standing, so it could be sending a lot of mixed pain signals.The latter one is deep to gluteus minimus.
Gordon J. Wallis said:
A follow up on this client.Yet when she moves her leg it hurts in her lateral hip.Hi Gordon,
I don't know the full health history on this client, so can only lightly suggest that an orthopedic consult may be useful (instead of, or in addition to a pain specialist). I have seen a number of people over the years with lateral hip pain which is generally ongoing by the time they get to me (though sometimes acute), which we find to be bursitis.
However, when looking for an orthopedic consult for bursitis issues, I highly suggest knowing and utilizing a conservative practitioner. I have a number of orthopedics that I cross-refer with (each for a particular reason).
If it ends up that there is a bursitis, I find that a much lighter work for the nervous system (something similar to DNM) becomes a nice compliment to any medication that they are started on. Sometimes, things don't sort themselves out and there is need for a cortisone shot and physical therapy, before full recovery. And, I have had one client that ended up going through all of the above with final and exceptional recovery coming after taking a few months of gyrotonic movement work.
I hope this helps.
Not saying this is true with you or anyone else, but when I become constipated / bloated, within a day or so I develop muscle aches all over (just achy, not sharp TP type pains), and oftentimes also develop a low-grade fever-- flu like symptoms. Low grade, the kind of fever you feel internally but doesn't necessarily make the skin even warm to the touch, on a thermometer, maybe a degree or so registers. Doctor has me taking a daily dosage of mira-lax to keep my sluggish system functioning.
Getting old is not fun...but it is preferable to the only alternative to getting older (i.e., dying young while everything except the thing that kills you is working great).
Great job, as usual.
The right lat tp might have led to the rest on the left.... or those on the right developed trying to countermand the hypertonicity on the left. The body does whatever it needs to in order to maintain close to normal function. Ain't Life a grand design?
amen to that, brother Gordon.
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