Thanks for the feedback Physiobob, I agree with your comments, however, I would put my you-know-what on a block and stick by my diagnosis as much as it is difficult not having any more details. I have just seen so many of these cases and the bigger biomechanical picture is commonly missed. Anyway I will refrain from making positive dignoses, as generally it is not my way, but having lectured to many Physios in the past I know what the common approaches are and they commonly miss out on basic biomechanical and physiological foundations, which are the initial cause of these types of injuries, where the injured area and its nearby areas are focussed on to the detriment of a possible original imbalance somewhere else.

Thanks again for the great forum

Cheers