6 months of leg pain(sciatica) solved with treatment of the shoulder
28 Apr 2014 by Graham Nelson
Mr. T, a
1. To be able to stretch pain-free after prolonged sitting(
2. To be able to sit for 2 hrs without leg pain(4/10).
3. To have no shoulder pain after squash(8/10).
We performed a systematic assessment of
1. Muscle guarding around both shoulders, R>L.
2. Poor sitting posture and weak shoulder stabilisers, R shoulder blade poorly positioned.
3. Restricted R shoulder rotation.
4. Restricted R hip flexion and lumbar flexion(bending forward).
5. Restricted hamstring flexibility R>L.
6. Stiff lower thoracic and lumbar segments L2-4.
Through a clinical reasoning approach, we worked out together that
Through further work on the shoulders particularly the subscapularis muscle, postural correction and motor control strategies, we were able to achieve all of
This case demonstrates how upper body posture can influence symptoms in the lower body, and how a systematic whole body approach is required to solve these type of problems. In
If you would like to learn more about the neuroscience behind the approach we used with