A 65-year-old male presented with 5-year history of bilateral inguinal pain (slightly worse on the left). The only trauma he could remember was jumping from the second rung of a ladder instead of climbing all of the way down. Since the onset of pain, he had undergone surgery for a left inguinal hernia, a hydrocele in his right testicle, and a prostate adenoma, all of which provided no relief from his inguinal pain symptoms. Two weeks before presenting in my office, an orthopaedic surgeon had suggested a total hip replacement of the left hip, which presented on x-ray as markedly more degenerated on the left compared to the right, however, without loss of normal range of motion. Upon examination, the only muscles found to be weak were the oblique abdominals bilaterally, which also elicited the patient’s symptomatic pain during evaluation. After performing origin and insertion technique to the oblique abdominals with IRT, correcting the sagittal suture, and rubbing out the abdominal Chapman’s reflexes, the patient’s symptoms had disappeared for the first time in five years. He then complained of immediate onset of some low back pain, of which subsequent evaluation revealed a need for origin-insertion and IRT to the iliolumbar ligaments bilaterally, which after being performed alleviated the low back pain completely.
-DR. SHANE WELLS, DC, DENVER, COLORADO
