Hi there!

I’ve got a lot of issues (such as piriforimis syndrome) that I’m working through, but I’d like to focus on trying to solve one particular irritating one

1. When I lie on my back with knees bent, my right knee is higher than my left, and my torso is tilted slightly to the left, such as abs very obviously not orientated correctly

2. It used to be worse; I’ve been doing strengthening/stretches on my hips/glutes/inner thighs, etc, and it’s less pronounced, but still there

3. I thought I was adequately stretching my lower back (pelvic tilts), but turns out I wasn’t; my physio gave me new exercises: lumbar extension in prone, which I have been doing for the last couple of weeks

4. I have problems with a sore/stiff/cramping left lower back, and a history of it coming on/getting worse if I’m standing/walking/bending over for a while, though it takes longer to happen with those stretches. It still flares up at times. When I lie on my left side it feels like that area is being compressed

When I’m lying on my back, knees bent, and extend my left leg, I often get a clicking from my back, left lower, middle, I think

5. I habitually sleep on my left side, with a ergonomic pillow between my thighs (designed for it). I can’t sleep on my back because my piriformis syndrome makes that unbearable after a time, and when I lie on my right side it aggravates the side of my right knee; I have a strong hunch this a big part of it, but I’m not sure what exactly, mechanically it has done to me.

6. I suspect my left lower back may be weaker than the right. My left quadratus lomborum is, and my left hip flexor/gluteus medius was, strangely my right hamstring was weaker than the left, and I think my right glutes may be.

7. I have a history of right sacroiliac joint problems, which are pretty much resolved now, a lot of work to where I don’t thrown them out all the time, and the physio said it was fine last time. Strangely, as I resolved my right sacroiliac problems, this new problem popped up, or maybe I just noticed it more due to not being so focused on my right lower back

8. I asked my physio (I was there for a piriformis flare-up) to checked my pelvic alignment, and he said it was fine; we didn’t have time to into detail into what was causing it, and I don’t want to just rely on my appointments, since physios only have a certain amount of time to see you, and I have a history of complex problems, and like being proactive with trying to work out what’s going on and resolve it. I’d like to get some input on what may be happening, mechanically and, if nothing else, get ideas on what to ask my physio next time (in about a month)

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