Posterior thigh pain in a pole dancer.

[sanovak]

Hi Jay,

Have you tried a slump test or any other types of neural mobilisation work (sliders) and if so have you found them helpful?

Also what is her core and pelvic stability like?

[JayPhysio]

One technique that I was meaning to try next session was an active sciatic nerve slider. Pelvic stability was also on the cards to be assessed next, although on quick assessment both gluts had good dynamic stability.

The bent leg raise technique (Mulligan technique) does work similar to a slider, and does give good immediate change in the SLR.

[physicol]

Hi Jay

Have you looked at thoracic and lumbar ROM, with the pts socail history there may be some compensation issues when shes doing pole dancing and possibly lack of movement in these areas may be having a knock on effect. Just an idea m8

[sanovak]

Hmm, considering the bent raise technique has a good immediate effect I think that it sounds like you're on the right track. I agree with 'physicol' that lumbar Ax/ mobs may be appropriate if dysfunctional but you may also (if you have not already) want to ax for piriformis tightness (again dry needling may do wonders).

Hope this has been of some assistance

[david peterson]

Hi
Have you checked strength (L) versus (R) hammies with dynamometer?
Pain pattern sounds like it might be hamstring origin tendinopathy/partial tear or central tendon tear- slow to heal like most tendinopathies and aggravated by aggresive stretching - could confirm with ultrasound diagnosis?
If so she probably should stop stretching it and focus on hammy strength training(eccentric/concentric inner and outer ROM)