Hi there

Tahnks for your reply. What I found a little puzzling is the fact that if it where a TrP then why does it only bother him on walking up hill. NO other activity bothers him.

Is this not more of a stenotic L5/S1 nerve root pattern????

The vascular guy just said a small occlusion but did comment that he did NOT feel it was related to his symptoms and no further action was required.

I wonder ....any more helpo is appreciated