I have a 23 year old runner who is having LBP with running with poor lumbo pelvic control, decreased hip ext and dural signs. I gave her basic lumbo pelvic HEP and she did not do because she said she got frustrated and quit. She does not want to modify activity and has cried in 2 of the 3 visits. She wears orthotics and full support shoes (since she was 15) and says she could not run without them. She is type A to the max

I had to sit down and talk to her about PT and what we can do to help these symptoms

After reading this article there are some great points I can use about why we are shutting her down (to reduce the stresses on the irritated tissues), why we are adjusting form (she is not 15 anymore and her daily routine is not school and sports), and why strengthening these muscles with motor control is so important.

Even though I do not think she is having stress reaction I think this brings great talking points