09/03/2026
“I feel like no one is listening to me and is dismissing how I feel and telling me that “nothing is wrong and it’s all in my head”.
This is something a new client of mine told me at her Eval. She is in her 50’s, is perimenopausal, has had a traumatic family event, and has also had severe lower back and neck pain spark up in the last year. Her imaging had some findings, mainly facet joint arthropathy and some stenosing, but her doctors basically said “you should be fine, its just in your head, take these meds and maybe try PT”,
She’s been afraid to show any pain as she doesn’t want employers to think she isn’t capable, has already been taking less jobs, and hasn’t been able to enjoy any social events because of her pain. She has been feeling extremely defeated and felt like she had to throw in the towel.
With these kinds of cases I always try to temper all expectations, including my own. Sometimes structural changes play a major role in outcomes, so I let assessment take us to where we went and then made a recommendation based on assessment and how she responded to our interventions.
We found during the session that she was stuck in a right lumbar compression that was being held by an overactive right erector muscle group and diaphragm, both inhibiting her left IAO. The diaphragm can be extremely potent, especially in emotionally traumatic situations, which proved to be the case here, as she had some emotional release as well.
After doing some release work for the over active structures and activating the under active ones, she had such a notable drop in pain that she started to cry.
Not every case notices such drastic changes so quickly, but sometimes the problem is relatively close to the surface, you just have to understand what to look for and how to assess. For the last year she was being dismissed about a very real pain that probably could’ve been handled relatively quickly if someone would’ve looked at it properly at the start.
There is still more work to be done, but we’re on a great start moving forward, and I am very confident that she will not only feel better, but be able to strength train to become more resilient in the long run.