Originally Posted by
physiobob
HI rainbowdragon008 and thanks for your post. Wow if seems you are really focused on all this. Firstly is it not unusual for people to feel a click if they pull their knees to their chest and then extend one leg. The snapping is not really a problem but may be the hip joint itself or the psoas complex 'flicking' over the anterior hip joint. It's possible that the EIL exercises will make that a little more pronounced as you work to releasing the hip flexors and allow more movement of the lumbar spine. Often there is excessive extension at the lower L4/5/S1 joints and what you need to do it restore more thoracolumbar segmental movement. Doing the same exercise with a seatbelt strap or even with the hands more forward will shift the focus up a little. You would also then add a shift of the pelvis laterally to see which EIL is tight with the same movement and work to release that, perhaps adding in a rotation to look over the shoulder at the top of the movement. And always reverse the posture into a child's pose or some other lumbar flexion position in between reps of the exercises.
As you restore movement you need to also strengthen the abdominal complex to be able to stabilise the pelvis and be able to correct it in standing/walking if you fall into too much lordosis. It's a journey and a life long one at that. Your presentation is normal for 80% of the population at some point in their working life so be happy that this is the case. I do agree with the restoration of hip joint movement, e.g. in a deep bodyweight squat is important for longterm mobility and maintenance so perhaps you can use the ability to do that and how symmetrical it is an an objective measure for how you are progressing.
Talk to your therapist about the next steps in the progression of their plan. This might also include lateral pelvis shifts in standing against a wall.
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