To mob or not to mob, that is the question
I recently saw a 69 yr old lady wh0 presented with a 3 wk Hx of Lx & left buttock pain which radiated down her left LL in an L5 distribution. My immediate thought was that i was looking at some sort of radiculopathy. However, Lx examination only provoked local pain. On palpation her piriformis was like a steel band. After discussion with my supervisor i released piriformis which brought the pt symptomatic relief from her severe (10/10) buttock and leg pain, however i still didnt feel like i was dealing with her real prob. A more detailed examination the following day with the infamous JW confirmed my original suspicions of discal involvement. I applied some G3- L rot mobs in R S/L to which the pt responded well. We then taped her back to prevent excess flexion, educated her, and sent her on her merry way. I am seeing her on tuesday and will keep you all appraised of her progress.
Jez

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