I am going to be working with a young women, early teens, with an S curvature. I spoke for a long time with her mother, have not met the client yet. Her mom told me she had recent surgery to fuse her lumbar vertebrae because the curve was getting so much worse very quickly (I think it was at 52 when they operated) the young lady has been in terrible pain since, headaches, back pain, can no longer attend school, etc. The drs gave her a corset rather then brace to wear and that has helped a little. this is all they have offered her.
My question is how to work with someone with spinal fusion. do I approach it the same way as someone without and just work with the obvious limitations, or is there a different way to approach it? It is the lumbar that was fused and that is giving her pain, I dont know what the dr. plans are for the thoracic curve.
another client- I have been working with a mother in her early 40’s, very fit and motivated. She does yoga at a rigorous place that doesnt look too kindly on the modifications I suggested she use in class. we started to work on her hips and SI . She has been doing this work at home for about 5 months and let me know her SI is good now except when she is at yoga class. but day to day its fine. She said now she is feeling pain at the curve, which is new to her since she started yoga. I thought it made sense that once the hips are stabilized and the SI is good that the curve would then bear the burden of the assymetry and there would be pain since the hips are not compensating. It seems now its time to move the work to the mid back where she feels the pain (which is what she requested). is this right thinking?