Hey Guys. I am a little stumped on this one. I just want to make sure that I am getting this right. I will hold off on my thoughts so not to scew anyone elses 46 YOA Truck driver with a history of Lx4-Lx5 Disc herniation. Fell off a step of the truck 2/52 ago. More of a missed step into a drain. Didnt go down. ​ Getting pain on the R side in the back of the glut and down the Leg down into the back of the ankle and for the first time to the top of the foot. ​ On noproxen, codeine and panadole. painkillers seem to be the only thing that helps. ​ took on this morning at 7am. ​ Progressively gotten worse over that time. Tried to do stretches and knees to chest which didnt help it. Findings. Hip Hip scour and quadrant test Positive B/L with the L side triggering the R. No pain in the lower back. All in the top of the R glut down to the base of the glut hip extensoin Lx driven B/L Trigger points high in glut med Lx Standing posture large lean off to the R Standing extensoin very limited Flexion less limited SB R feels it on the R, SB L okay Very positive SLR on the R. Can barely lift the leg at all. Rx Responded really well to progressive passive extension, soft tissue, needling and cupping to lx and gluts. Zero pain on the table. Got up and was severely aggravated. Worse than when he walked in. Tried to calm it back down with very little success. Earliest i could get him back in was the week after. Similar result. walked in. responded well untill he got up but it was not too bad. Then when moving the R leg severe aggravation that would not calm down. Thoughts? Am I missing something?

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Excellent job on last week's quiz everyone! The depth of clinical reasoning and discussion in that thread was impressive. Keep engaging guys, this is exactly how you make your clinical reasoning razor sharp! This week we are back to dissecting case studies in their entirety. Case study 2: 30-year-old male, started running 4 months ago, training for his first half marathon. During a sprint session, felt sudden pain in the back of the right thigh while taking off for a sprint. Pain is sharp and localized to posterior thigh. Pain gets worse with running, especially uphill or sprinting. Aggs: bending forward, resisted knee flexion. What would you do from here? What are some potential diagnosis to consider and how would you differentiate between them?

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Hey guys, Great to see everyone really enjoying the official case study last week. This week we are doing a rapid-fire round with short quizzes! Answer the question below to test your knowledge! Those of you not on level 2 yet, this is your chance to unlock amazing resources that took me hours to put together... all for FREE. Engage, engage, engage and learn! Question 1: 28-year-old boxer, boxing for 4 years. Threw an overhand right punch, next day felt pain around the front side of his shoulder. Aggs: Hand to head, pressing, hand behind back, struggles to drive at times What structures do you think are affected? Comment below WHY