leg won't move laterally

[YorkiiTorii]

I have a new client coming this week who says her left leg hasn't moved laterally in, she thinks, two years. She has a whole bunch going on--pain that sometimes radiates down the left leg and that sounds like sciatica except that it seems to originate in the mid-thoracic (?)...and corresponding pain in the left shoulder. I met her only briefly but saw that her alignment is extremely off, but I'll be able to document this much better after assessing her. I've asked her what exercise she's been doing or not doing, she says none for a couple of years or more, and now when she tries to do any it's too painful. She's pursuing Egoscue, which sounds like it might be a very good assist. But...

I wanted to ask what you might know about why the left leg's not moving--could it be something as simple as extremely tight adductors? Or incapacitated abductors? I haven't heard of this before.

Thank you!!

 

[Mari C]

well, i am surprised no one has chimed in on this one. it seems difficult since you don't state much medical history. if her issue is soft tissue, then you are rightly thinking weakened (incapacitated) abductors/ tightened adductors.

i am curious what you find out with this client, and hope for an update after your session. i'm wondering if her history will reveal some other reason for her problem and why exercise is painful. it also would seem that progress for the client will be limited if she is unable or unwilling to follow a self care plan.

 

[Lois20]

How do you mean "won't move laterally"? Not able to abduct the leg or do you mean it won't laterally rotate or both?

 

[Isha]

How do you mean "won't move laterally"? Not able to abduct the leg or do you mean it won't laterally rotate or both?

Yes please - give us specifics! What assessment techniques are you using with her and what does her walking cycle look like? What kind of ROM/pain issues is she experiencing?

Angela

 

[visual_lace]

sanantonio,

just wondering if you have an update about this client.

what was your assesment? results? was the client particularly sensitive to touch?

 

[ColeT]

Has your client been evaluated by a medical pro to rule out nerve damage or other problems outside the scope of your practice?