c2018 Class Support Call Post Grad - AUG. 2019

This is what I have now (& I may add as the month progresses):
1).  Are you still working on our transcripts ?

2). S.I. Joint - A client/student that reports pain on both sides of where the SI joints are and she's only been coming to classes (meaning she hasn't had a clinical session in some time) - she is saying that the pain sensation often increases after classes.  She noted that when she was away on vacation, that it felt like the sensations were less.  Now that she's back at classes, she is feeling it again especially with Arch and Flatten.  I'm having her go very small, but it's so hard to know what she does the rest of the day (like how much she sits, stands, how she moves, etc).

I do know that she says she is more lax in her joints and she is hyper flexible / hypermoblie.  She is very flexible and it has been an issue when healing from 2 ACL surgeries (many years prior) .  She used to be a high level skier and windsurfer and I think she's more sedentary now and carries a bit more weight as well.  

MY QUESTION:  Can we talk about muscles around the SI joint and what might be holding tight or lax?  As well as what movement patterns she might be doing that are causing these sensations.

I have another client that is very tight around that sacrum/SI joint area.  Can we discuss some scenarios and ideas around assessing if client is lax or tight (or who knows, maybe they're lax somewhere and tight somewhere else - if they are lax, and they aren't stable, how to deal with this)?  The 2nd client is easier for me because i see her individually and with sometimes in a small group of 4, but the first client in questions is harder for me to figure out. 

I believe I know some pelvic stabilizing things for the client with lax issues, but where is the balance between mobility and stability for her?  
Hoping to get more info/understanding around this - my guess is there is also some SMA and it's difficult because she isn't choosing to come for a private session.

I'm curious if some Pelvic Basket work might be helpful to find some of her amnesia and this week I'm going to teach a lesson in Side Lying because I'm curious if she is able to move well in this plane of motion and perhaps that may help what's going on in the Sagittal plane when she experiences this discomfort in back of pelvis/sacrum. 

Thanks very much.
Pam

A) for rotator cuff small tears - do you think there is always a weakness or is that confused (by the structural/medical model) and it could be tightness in shoulder/pecs/& rotator cuff muscles?  I  often  see/read that recovery treatments primarily are exercising the rotator cuff muscles to strengthen them - and add in a little stretching of some chest mucles.  (from PTs).

I understand if someone has weak muscles, then some strengthening of the non-torn muscles to stabilize around the torn one but also undoing held patterns so the muscles can do what they’re supposed to do (i.e neuromuscular repattering - SOMATICS). 

I'm finding it super interesting to read a Shoulder Program book  (authored by a doctor) and he makes some good points about moving, breathing, and being mindful when exercising. He does mention PNF (and says he prefers the PNF type that contracts and releases). I didn’t realize there were different versions of PNF techniques).  Had you heard of that?  It does sound a little similar to pandiculation but only using the body parts that are tight and not unwinding the soma from the center.