How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? Carefully and specifically! When someone who is hypermobile complains of continued and persistent back pain, your first thought is, " Is this an overactive system? An underactive system? Or both?". This re-release of an episode from 2018 highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement and her dominant impairment. Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't. Doing the right thing at the right time is clinical expertise. A glance at this episode: [5:55] Hypermobility Syndrome and the pelvic floor [12:11] How and why her back extensors are overworking [19:44] Taping-does it help here? [24:42] Recruitment of the diaphragm in back pain [28:34] Taking out the overactivity-Posterior pelvic tilt on all fours [32:33] Spinning and mirroring that into exercise [36:35] Not a stretching issue but a coordination problem [39:55] Flexion based stabilization and progression [44:38] Resistance bands on the bike Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

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“What did the council decide on item 42?” — answered with the speaker and the moment.