Only seen him 1x so far, last week. He's 27 yo and has been playing soccer (recreationally) since he was little, loves it and wants to get back ASAP. He came in for R calf pain (dull, achey, worse at end of day after being on feet all day). History of multiple gastroc tears (11/2024, re-injured 05/2025, and again at the end of 2025 but is feeling much better since the start of 2026.
He also has a history of R quad and labrum tear in 2023/2024, currently asymptomatic. He pointed out a divet in upper R thigh.
This is what I treated:
1) Motor Points: R TFL (super tight like a rock), R glute med ant, R glute min, L TVA.
2) R calf adhesions Inline(4 points) followed by guasha
For further treatment, should I add:
- Gastroc motor points?
- Achilles paratendon treatment (in ankle webinar)?
- Divet in the R upper thigh - should I address this in some way?
- Other?
January’s webinar is here! This one is a favorite of mine because it includes the fascial lens when teaching the movement of the foot and ankle. It cover anatomy, fascia, and accessory motion of the foot and ankle. Definitely worth checking out.
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
Athletic Intensive Myofascial Release
Location: Shokunin CrossFit, Mesa, AZ
Pre-requisite: EXSTORE
Register here:
https://aseseminars.com/event/athletic-intensive-myofascial-seminar/
Follow up case discussion: I asked about a M/55 y/o groin pain case a few weeks back. I was able to do treatment to reduce pain in the area when we discussed obturator nerve issue but it turned out to be a hernia. I had referred out the patient for assessment with his primary care and they found a hernia and they will follow up with surgery. I am unsure if the hernia might have been due to a weight loss procedure he had a few weeks before having the issue. He was having to wear a compression vest post procedure.
Best treatment for hamstrings that cramp when testing Glute Max? His CC: LBP and L Sciatica since L4-L5 herniation. Should I just do all their motor points? Cramp is close to knee almost right behind knee - bilateral.
I've already treated TVA, IO, QL, TFL, Glut Med Ant, Glut min plus perfusion. He's doing great but since we've had a ton of snow and he's walking behind the snowblower a lot his LBP has kicked up.
He's 73 yo generally in great health and very active.
