hello everyone!
i hope someone can help me out with a patient i am treating at present.patient presented with low back pain on the left side around the psis region and in the buttock going to the lateral side of the leg and upper thigh. all neurodynamic tests were negative.he has had a thr on the other side a year back.the right leg has good muscle strenght and flexibility. the left side had extremely tight hams and piriformis. i started with stretches for the two and some trigger point relesases in the buttock area( he had reffered pain to the back of the leg and calf sometimes when i pressed some points on the buttock). he is felling much better after 3 sessions. pain has reduced markedly. but wen he extends his right leg( unaffected leg)( like we do our quads stretch in standing) he has this dull ache going thru the back of the left leg from the buttock to the calf?? i am not sure wat that is? can someone help me. it takes around 2 minutes for the symptoms to subside.
hope i can help the patient with ur views . thank you.. have a nice day.

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