10/01/2026
Part 3 of 9: The orthopedic objective assessment. 🦵🏽
The LTAP® already told me where treatment starts: a central nervous system tension pattern on the left. Now I pause and ask Amy what’s going on.
Right hip pain. Front, back, inside, outside, moving around. Some snapping when she moves her thigh. Tension down into her calf. She’d been walking 6 to 10 miles at a time in new shoes for a couple of weeks.
Then I gather my orthopedic markers:
Hip flexion: she started guarding at about 20 degrees.
Hip extension: her pelvis came along early. Not much there, lacking about 45 degrees from neutral.
Passive knee bend: her pelvis rotated to avoid tension through the front of the hip at around 45 degrees of knee flexion.
Slump test: tension in her low back, and she kept trying to control it, positive contralateral leg lift indicating CNS.
She’s a yoga teacher, so she’s really good at managing her body. That makes it harder to see what her body does before she catches it. So I gave her something else to think about. Saying every other month backwards, out loud, takes away her ability to guard, and the tension shows up.
Put together: neural tension on the right, the side of her pain.
What I didn’t do: a bunch of provocative hip tests to rule in or out labral or arthritic stuff. She has a big physical performance coming up, and irritating her hip more wasn’t going to help her. I already know where the body is telling me to go.
These markers aren’t for diagnosis today. They’re my retest. After every round of treatment, I come back to them to see if what I did actually mattered.
And notice: the pain is on the right. The LTAP® sent me to the left side of her head. 👀
That’s Part 4.
The online LTAP® Level 1 Fall cohort closes October 1st. Comment “LTAP” and I’ll send you the link!
Follow along for the rest of the 9-part series. 🎬