We received another great question on the treatment of right ischial tendonitis…
The reason we include a discussion on left ischial tendonitis and not right is because right ischial tendonitis is often ‘cleaned up’ or treated with a conventional myokinematic approach to the treatment of the Left AIC or PEC pattern. One would start with “pulling” the anteriorly rotated pelvis back to neutral with left hamstring engagement (90-90 Supported Hip Lift with Hemibridge) then proceed with right glute max activity to “shift” the pelvis to the left and “rotate” the pelvis into left AF IR and right AF ER, therefore, reducing strain on the contracting, shortened right hamstring and the proximal attachment of the hamstring on the right ischial seat.
So in essence you would treat the right ischial tendonitis issue by using the myokinematic hierarchy of lumbo-pelvic-femoral control for the Left AIC patient that is outlined and covered in the Myokinematic Restoration class. Remember under every PEC pattern there is a Left AIC pattern, so even if your patient had right ischial tendonitis and had limited SLR on adduction levels bilaterally, I would start with the above recommendations.
The left ischial tendonitis patient will need more concomitant cooperation from the right glute max and left medial adductor and left quadricep during left heel strike and push off, to reduce left hamstring strain.
