I chose this case because it turned out to be quite complicated and took me more sessions than is normal- 6 total. Usually done 1 week apart sessions are unique- whatever presents the day of the session is what we address, This case showed me how the same symptoms can be caused by widely varying distortion patterns in the body:

60 yr old female client was bed-ridden with severe “sciatic-type” pain after traveling on business. She had had 2 knee replacements in which during  one surgerygthe quadriceps was cut through to pull the hip down,

The first session assessment showed left short leg with symptoms appearing not only in hip and leg but opposite shoulder pain as well. Patient had severe pain on standing.  During treatment knees showed no response until more lateral palpation was done. In addition, palpation of right mid deltoid showed significant adherence. Appropriate maneuvers were employed.

On the second session different areas of the shoulder showed problems and were treated as well as ankles. pelvic, and knees.

The third session the client reported pain less, hip better, but pain in ankles.. No sciatic type pain. The client showed tonal symmetry. The shoulder pain had moved to the anterior deltoid. Appropriated protocols were employed including ankles and knees.

The fourth session included more ankle work. At this point there was no sciatic type pain and the client was moving around more comfortably for short periods of time.

The fifth session included 1/2 hour deep tissue massage for continuing shoulder restrictions.

At the sixth session the client presented with no pain and complete functionality- able to walk and resume normal activities including tennis. A final “tune up” session was performed and the client has been totally functional and pain-free since the, – checked 5 months later.