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. 2016 Aug;51(8):651–657. doi: 10.4085/1062-6050-51.10.06

Table.

Summary of the Patient's Medical Timeline

Date
Signs and Symptoms
Treatments
Progression
May 29, 2012 Low back pain
Radicular testicular pain
Tight hip musculature (adductors, gluteus maximus, iliacus, rectus femoris)
Manual therapies
Postisometric relaxation
SIJ distraction
METs to gluteus maximus, medial hamstrings, piriformis, psoas
Noted improvement
↓ Neurologic symptoms
↑ Lumbo-pelvic-hip mobility, forward bending
June 5, 2012 Continued pressure and numbness in buttocks
SIJ had left inferior rotation, posterior upslip, right side had anterior upslip
IASTM for gluteal muscles, prone stretching
PIR to ↑ left hip flexion, extension
METs to left psoas, inferior rotation
Distraction to right ilium
HEP to improve left hip extension
Noted ↓ sharp pain
Improved mobility
June 14, 2012 Pain isolated to left SIJ
Continued SIJ dysfunction with 1/4 in (0.64 cm) leg-length discrepancy
IASTM to gluteal fascia
Left ilium distraction
HEP progressed to ↑ flexion, flexibility in latissimus dorsi, paraspinals, quadratus lumborum
Pain much improved
↓ Radiating testicular pain
Left hip extension still restricted but inferior rotation resolved
July 9, 2012 ↑ Lower back pain due to work
↓ Left hip external rotation, flexion, rotation
IASTM, PIR to improve motions
METs to left psoas
Left SIJ distraction
HEP progressed to stretch left extensors, hip flexors, hip internal rotation and strengthen left psoas
Minimal tingling
Setback due to work
July 26, 2012 ↑ Pain due to prolonged sitting
Left-leg discrepancy back to 1/4 in (0.64 cm)
Inferior, medial rotation of left ilium
Same treatment as 7/9/12
Kinesiology taping of SIJ
Continued HEP adding left hip-abductor isometrics
Some setback
No tingling
August 9, 2012 Minimal pain, tingling
1/4 in (0.64 cm) Leg-length discrepancy in prone position
Medial tilt, rotation of left ilium
PIR to left hip adductors, internal rotators
METs to hip abductors, external rotators
Left ilium distraction
Overall much improved
Tingling accompanied by SIJ pain
August 29, 2012 Transient tingling in posterior left hip with certain movements (forward flexion)
Left medial tilt
Left medial tilt corrected with METs to left hip abductors Overall improvement
Released from treatment
Advised to continue HEP

Abbreviations: HEP, home exercise program; IASTM, instrument-assisted soft tissue mobilization; METs, muscle energy techniques; PIR, postisometric relaxation; SIJ, sacroiliac joint.