Patient: 45 year old female

CC: Right side ASIS pain.

Symptoms: 7/10 throbbing pain at its worst, sometimes gone. Location is exactly at ASIS. Does disturb sleep. No other hip or LB injuries. Came on suddenly about 10 months ago. Does not recall what doing when first noticed.

Mechanical Triggers: standing, pressing on it, walking sometimes. Getting out of car always aggravates.

Other: patient is very active. Pilates, strength training, can do all daily activities. Did have imaging done (I have not see report) and all findings negative. Tried massage and PT with dry needling - no positive changes.

Reports diastases rectus, youngest child 5 years old, scheduled to have "mommy make-over" surgery in October.

Lower Body Extore:
Failed: right side TFL and Glut Med.

Other: I had her do a figure 4 to check if Satorius was in play and there was restriction on right side but no pain.

Treatment:
PSOAS pecking right (I did not note she failed that but maybe did not chart)
PP: Rt TLF, Glut Med and Satorius.

I was thinking of using EA @ 2 HZ on Satorius but pt. super jumpy so held off. I have done before with good results, different case.

Then I did LB profusion txt with some traditional Acu points for calming nervous system, nourishing tendons, etc.

Results: No change at a 3 day and 1 week check in. After session pt had to go out of town, then so did I.

Question: Kinda unsure what to do next session. Retest, do PP if anything fails, then see if she will tolerate Satorius @ 2Hz. Otherwise I don't really have other ideas.

@Exstoreman
Any direction?

Thank You!