What is the cause of bilateral calf pain in this young fencer? Start to finish, it shows the power of a thorough evaluation, a specific exercise progression and a return to the sport she loves. When it comes to exercise progression in persistent pain, think about context.  How can you improve optimal movement patterning by changing the context? Think about this one. You can intervene via the visual system, eyes open, eyes closed.  How about changing their base of support? Wide to narrow.  And why not have them do their exercises to their favorite music?  These are just some examples.  Look at your patients through a different lens and then you’ll see positive change. 

A glance at this episode:

• [9:17] The importance of finding the driver
• [14:07] Hypermobility syndrome and hamstrings
• [19:11] Anterior chain activation
• [27:13] Assisted squat walkthrough
• [33:50] Having a patient with a history of pain
• [39:30] How to recruit the anterior chain in pilates
• [41:42] How much is too much

Related Links:

• Tough To Treat Website
• Erica’s Course: Decoding the Complex Patient 
• Susan’s Pelvic Health Education Subscription
• Access the Transcript