This morning I had my patient from last week again. She improved slightly however he symtoms moved now to her left lower back. She pointed towards her left SIJ. I could not reproduce pain on sacral springing, gapping and shearing. I explained my tutor that she now has an iritated left SIJ. We had a disscussion afterwards and I understand now that if I can not reproduce the symptoms on passive assessment it is unlikely that the symptoms come from her SIJ. This patient was the one I discovered last week that it is necessary for whatever reason to assess the spine passively from both sides in the sidelying position. Therefore I did so this time also did I asked my patient to walk up and down in the treatment room to assess her gait. I learnt on saturday when I visited The Three Clinic, to listen to patients more carefully. Her symptoms are aggreviated by walking therefore it is important to examine the gait. When I had finished my treatment I reassessed the gait and the patient felt less achy!!! I look forward when she is coming back, hopefully feeling even better than this time...
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