back pain- Help!

[eggs and ham]

hi guys, im a student physio just on placement,

ive got a patient who was c/o back pain that radiated down into her calf, her ankle reflex was dull and had a slight lateral shift

gave her mckenzie type ext exs and shift correction things, but she came back worse!

tried repeated ext exs- this Peripheralised her pain and flxn centralised it, and shes now getting better :eek

as this is the first case ive seen of this happen ive been asked to do a case study on her, however struggling to clinically reason it! any ideas?!

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