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Hip Hike

This topic contains 2 replies, has 2 voices, and was last updated by   William Brady, DC October 4, 2017 at 9:05 am.

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  • #3169

    Anonymous

      Good Evening,

      I have a client who has come in with bilateral hamstring pain.  I saw this as an opportunity to implement the ID system so I put them on their back and tried the SLR test.  After clearing the adductor mag, we were able to receive full hip flexion.  When I straightened the knee however, her leg got very tight and ultimately her hip hiked.  I attempted to clear the sciatic nerve along the hamstring and hip rotators and got a bigger ROM increase. However,  I still feel a very strong pull coming from the SI joint and even in her lumbar spine.  Her hip is hiking less, but it still is.  Am I right in assuming that perhaps her entrapment is in the lumbar spine area?  This is my first experience with this type of presentation and I am excited to see what the group thinks!

      Thanks so much!

      #3188

      William Brady, DC
      Participant

        Hi Saul,

        Thanks for posting. Glad you are learning and implementing ID. It is a long way from traditional methods.

        As to your case, a few questions:

        What range is the SLR? Does it change with dorsiflexion?
        What are the other lumbar and hips tests?

        This information helps us put the specific test in context. For example, if QLF is limited and reproduces symptoms then this may be the priority instead of SLR?
        Thanks

        #3189

        William Brady, DC
        Participant

          Saul emailed me a video of the hip hike happening. It looks like you are starting with the patient supine with 90 degrees of hip flexion and 90 degrees of knee flexion, then as you extend the knee she is bringing her hip off the table. This is a good provocative test… but we need the standard ID tests to diagnose the problem. Please do the 5 hip and lumbar tests as described in that section and let us know the results. Thanks

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