Last year I got a virus and a few weeks later developed an autoimmune condition called polymyalgia rheumatica which is medical speak for we don't what the hell this is. The initial symptoms were severe stiffness in the hips in the morning which would get better later in the day. I'm OK now after having to take cortico-steroids for a while to reduce inflammation, but I went to a physio I hadn't been to before at the time. He did many of these tests on me and said that I needed two hip replacements. Fortunately I ignored him and my regular physio and I agreed after some treatments that it was something systemic that he couldn't help. I diagnosed myself from the internet and informed my General Practitioner who agreed, did blood tests and put me on the steroids. My point is that the tests were useless without understanding the broader context, which I think is your point, yes?
Sorry you went through this! Anyone — orthopedist, physio, osteo, etc. — recommending hip surgery after functional testing and for an inflammatory condition that changes throughout the day (not structural) should really re-evaluate their thinking process. I am not anti-surgery but surgery exists for situations where there is structural damage that cannot reasonably heal. It should always be a last resort. So glad your ability to think well and trust yourself saved your hips.
Your example is very extreme but definitely part of what I was saying. What I see most commonly is linear application from general testing. So failing test a means treat like “this” etc. the practitioner doesn’t get a big enough picture of whats happening to find a specific primary legion and often interrupts the bodies intelligent adaptive process. The result is usually a more complex situation to support and a new problem elsewhere.
For example, from the tests someone could easily think I have hip problems. The door is open for me to have them but the primary legion is in the lesser arm of my SIJ. The hip centering is adaptive to immobility there from a previous injury. Stretching the internal rotators on the left etc. can help with the tests but general high quality strengthening will actually help may way for the SIJ to mobilize better
Yes, I hear it's quite common for dancers to have SIJ problems. Just got one myself I think. Started playing golf again (very bourgeois I know but a family tradition) and my shoulder felt so good that I got back to smashing that little ball. Shoulders's great but SIJ wasn't ready for it. Getting referred pain in ITB and knee when sitting in certain positions. Any tips?
Amy,
Holy. Holy. Holy.
Gratitude for your translation.
I have saved your post to read again and restack.🫶🏼
I really appreciate it Katharine! And if you have any questions. Please don’t hesitate to ask. It’s a gift to be able to help in any way big or small
Hi Amy,
Last year I got a virus and a few weeks later developed an autoimmune condition called polymyalgia rheumatica which is medical speak for we don't what the hell this is. The initial symptoms were severe stiffness in the hips in the morning which would get better later in the day. I'm OK now after having to take cortico-steroids for a while to reduce inflammation, but I went to a physio I hadn't been to before at the time. He did many of these tests on me and said that I needed two hip replacements. Fortunately I ignored him and my regular physio and I agreed after some treatments that it was something systemic that he couldn't help. I diagnosed myself from the internet and informed my General Practitioner who agreed, did blood tests and put me on the steroids. My point is that the tests were useless without understanding the broader context, which I think is your point, yes?
Sorry you went through this! Anyone — orthopedist, physio, osteo, etc. — recommending hip surgery after functional testing and for an inflammatory condition that changes throughout the day (not structural) should really re-evaluate their thinking process. I am not anti-surgery but surgery exists for situations where there is structural damage that cannot reasonably heal. It should always be a last resort. So glad your ability to think well and trust yourself saved your hips.
Your example is very extreme but definitely part of what I was saying. What I see most commonly is linear application from general testing. So failing test a means treat like “this” etc. the practitioner doesn’t get a big enough picture of whats happening to find a specific primary legion and often interrupts the bodies intelligent adaptive process. The result is usually a more complex situation to support and a new problem elsewhere.
For example, from the tests someone could easily think I have hip problems. The door is open for me to have them but the primary legion is in the lesser arm of my SIJ. The hip centering is adaptive to immobility there from a previous injury. Stretching the internal rotators on the left etc. can help with the tests but general high quality strengthening will actually help may way for the SIJ to mobilize better
Yes, I hear it's quite common for dancers to have SIJ problems. Just got one myself I think. Started playing golf again (very bourgeois I know but a family tradition) and my shoulder felt so good that I got back to smashing that little ball. Shoulders's great but SIJ wasn't ready for it. Getting referred pain in ITB and knee when sitting in certain positions. Any tips?