Male patient aged 60 with pain in the left groin and testicle. GP referred the patient after relevant examinations had been carried out to exclude pathology. Patient has complained about intense and almost constant pain for several years. Symptoms get slightly better after 15 to 20 min of exercises. Symptoms get worse and intense as he stands up from a seated position. The longer he sits the more intense the pain during standing up.
His gait shows shorter steps left side when walking and some lateral swing of the leg after push off. Patient has very tight and weak psoas and iliacus muscles on both sides. Released the psoas and iliacus, then moved my hands to respectively increase the gliding of the two. Last but not least, released the genitofemoral nerve as it pierces through the psoas muscle.
Retested with gait first, function improved. Retested with standing up after sitting 1 min and 5 min. No pain. Treated this patient a second time and introduced some gliding exercises. Patient was controlled by GP after 8 weeks = NO SYMPTOMS.
Know your nerves!