Patient - 40 year old female athlete who plays competitive soccer

Problem - Lower back pain, hip and pelvic on the left

How does it effect her life? 1- She is not able to sit, 2- cannot drive without pain, 3- dressing is difficult,

4- standing is difficult with increased back pain.

Assessment - Inflammation of her sacrum due to imbalance (subluxation) of her sacral and pelvic joint. Additionally, she has left foot pronation (flat foot) which creates internal rotation of the ankle, knee, thigh and lowers the sacrum and pelvis on the same side.  

Treatment - Adjust the Sacrum and Pelvis, Soft tissue work on the left buttock, adjust the Ankle and foot.  I also fitted her with generic orthotics to support her medial arch while standing, walking and running.  

Results - Patient was able to walk out of the office with over 50% improvement in her first visit.  She will be place on a regular visit schedule until her injury becomes stable.