I just started working with a client with chronic pain in her right SI joint. She occassionally sees a PT who “puts her back together” from the sits bones through the lumbar spine. After this adjustment, she has some temporary relief from most of the pain, but she is unable to keep the SI in place. When she came to see me, she had just returned from a plane trip and a “bad back” week. I gave her the SI exercise and the JFS for ankles, knees, hips. A week later, she was still having a “bad back” week with much pain. After practicing the exercises, which she did 4 times during the week, she felt less pain. The next day, however, she did not feel well at all. Should she continue with the exercises? Should she expect pain as her body adjusts to a change in muscle strength, flexibility, etc?
What should be my approach with her? I have been working with her on relaxation to decrease vata. Toward the end of relaxation she was aware that she felt no pain. As she had that awareness, pain came back. Also, I had her do samma vritti ujjai pranayama. While concentrating on her breath, she had no pain. Her homework for this week is to work with relaxation and breath.
Where should I go from here? So that your recommendation can be more specific, she has very limited ROM in internal and external hip rotation in the supine test position. She has excessive ROM in external hip rotation in the prone test. Hip flexion on the right side as approaches 70 degrees causes pain in right SI. In abduction on the right side, she feels “stuck” as she approaches 45 degrees.