Hi
I have been seeing a 59yr old woman who has lumbar pain, radiating into lateral upper calf/posterior knee.
Her symptoms are very diffuse and movement restrictions alter daily (one day flexn causes pain, the next its is fine)SIJ tests were negative although L345 are very close packed.
Stretching exercises (mainly flexion based as at the time it was OK) failed to resolve symptoms which are worst when sitting (although walking is now becoming a problem)
She has ongoing nerve sensitivity because of a wrist# which has been plated.
I have been treating her with maitland longitudinals initially bilateral & now unilateral. Initially these helped but last time they failed to resolve pain for more than 20mins. I have also mobilised superior tib/fib with temporary improvement. She keeps saying that all she wants is a massage?![]()
I dont want to keep seeing her for treatment if she can be cured elsewhere - suggestions please.
Thanks
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