How old is this patient. I assume 50-60 years. Sounds like a possible foraminal stenosis of the upper lumbar segments. May need to send this off for imaging before you proceed further.
How old is this patient. I assume 50-60 years. Sounds like a possible foraminal stenosis of the upper lumbar segments. May need to send this off for imaging before you proceed further.
She's in her late 40's. 2 weeks ago during her last visit she was a lot better though. Hardly any lateral shift, and all she's been doing are those exercises I mentioned, plus some sort of attempt at correcting the lateral shift by lying supine with her hips flexed. I forgot to mention (and forgot to properly check that initially) that she had some leg length discrepancy as well. In retrospect I'm not sure how much of it was a "true" lateral shift (although some of it certainly was). Either way she's considerably better, and in a couple of weeks I'll see if she's continued to improve.