Subject reports low back discomfort in the right lumbar region slowly creeping back to its painful norm,but on this day is much less than it used to be.
Subject notices pain mostly when performing a rhythmic hip-focused leg swinging warm up.
Subject also mentions an older issue, the right shoulder as a general area of complaint during overhead squats. At the bottom of the squat motion, client feels it necessary to engage the muscles of the right shoulder cuff to guard. Subject gestured to the shoulder; pointing in the direction of the AC joint.
Total Body Balancing
Evaluated the right shoulder with a micronized TBB eval, focused on the muscles of the BL shoulder cuff and shoulder girdle for a differential assesment of a norm.
Evaluated using TBB techniques BL ilium’s and their associated muscles, BL hips and the active/passive movements of the ribcage and breath movements of the thoracic diaphragm.
TBB 360 Degree Approach To Treatment
A generally 360 approach to treatment was applied to grade 3 mobilizations and combinations/ progressions of Trigger Point Therapy, Strain/Counter Strain, and MET, treating the varying needs of the following muscles and their antagonists:
•right Theres major
•right serratus anterior muscles
Combinations of myo-fascial gliding, Active Pin and Stretch, and MET were used to free restriction in tissue glide and ROM of joints associated with:
• Right Pec Major
• Right illio-costalis lumborum muscle
MET with subjet in side-lying lumbar rotation to balance BL Spiral Lines (Anatomy Trains ™ Tom Meyers).
Post Session Subject Responses:
Subject reports, during mock overhead squat, in supine and standing (just the motion without the bar) the guarding inclination in right shoulder felt diminished.
Also, low back discomfort reduced greatly in general, and absent while demonstrating the hip focused leg swinging warm up.
Subject tested body with a long trip (combination car and plain ride) to a hiking site, for a 2+ hour
hike, and eventually a long trip home.
This flared the familiar low back discomfort.
Session included a very brief TBB evaluation involving pre and post assessment of the lower quardrants anterior, Lateral, and Posterior.
The brief treatment involved Hip Blocking, Active Pin-and-Stretch to balance BL Lateral Lines (Anatomy Trains™