Fysiomas - Medisinsk Massasje

03/07/2026

💥 Not every radiating pain comes from muscles. And not every case is a herniated disc.

For years, it has been widely believed that if pain radiates into the leg or groin, the culprit must be either a disc problem or the muscles.

That is not always the case.

One structure that is very often overlooked is the iliolumbar ligament. Although small, it plays a crucial role in stabilizing the junction between the lumbar spine and the pelvis. When it becomes overloaded or restricted, it can produce symptoms that closely resemble sciatica or a herniated disc.

Do any of these symptoms sound familiar?

✅ Pain when standing up from a chair or changing position.

✅ Pain around the lumbosacral junction.

✅ Pain radiating into the buttock and the back of the thigh.

✅ Pain radiating into the groin and, in men, even into the testicle.

✅ Sometimes pain at the front of the thigh extending down to the knee.

✅ Restricted hip mobility and pain when lifting the leg.

In my clinical practice, I have repeatedly seen patients who were treated for muscle problems or intervertebral disc disorders for a long time, while the true source of their pain turned out to be the ligaments.

This is another example showing that manual therapy should not focus exclusively on muscles. The body also consists of ligaments, joint capsules, fascia, nerves, and many other structures that can generate pain—often radiating pain that can be very misleading.

Have you ever experienced pain that was treated for a long time as sciatica or a disc problem, only to discover later that the actual cause was something completely different?

18/06/2026

18/06/2026

# Why Does the Effect of Therapy Sometimes Appear Only After Several Days?

One of the tests I frequently perform in my practice is what I call the “two-scale test.” The patient stands with one foot on one scale and the other foot on a second scale. Ideally, body weight should be distributed evenly between both sides. In reality, however, this is often not the case.

It is not uncommon to observe differences of several or even more than ten kilograms. The most remarkable cases I have encountered in my practice involved differences of up to 30 kilograms between the two sides of the body.

In most cases, restoring balance requires only a single treatment session. The patient gets off the treatment table, steps back onto the scales, and we immediately see a significant improvement or even a complete equalization of weight distribution.

However, the body does not always respond according to the same pattern.

Recently, I worked with an athlete involved in competitive arm wrestling. During his first visit, the two-scale test revealed approximately a 10-kilogram difference between the two sides of his body. After the treatment, the result remained virtually unchanged. At first glance, it might have seemed that the session had not produced the desired outcome.

The patient returned one week later.

This time, we repeated the same test. The difference had disappeared completely.

This was not an isolated case. In my practice, I regularly observe situations in which the body does not respond with an immediate change after treatment but instead requires several days to process the therapeutic stimulus and gradually restore balance.

What happened?

Therapy is not about mechanically “repositioning” body parts. Its purpose is to create the conditions that allow the body to better regulate muscle tension, nervous system function, movement patterns, and weight distribution. Sometimes the effect is visible immediately. In other cases, the body continues the process of adaptation and change for several days after the treatment has ended.

One could say that the treatment initiates the process, while the body continues part of the work on its own, gradually restoring a more balanced state.

For this reason, the absence of an immediate change in the test does not necessarily mean the absence of a therapeutic effect. Sometimes the body simply needs time to make use of the opportunities created during treatment.

That is why it is important to observe not only what happens immediately after therapy but also what occurs during the following days. Quite often, it becomes clear that the process of restoring balance is still ongoing, even though the treatment itself ended several days earlier.

17/06/2026

Don't guess the problem. Assess the whole picture. A physiotherapist provides a comprehensive evaluation to identify the root cause—not just treat the symptoms.

17/06/2026

https://www.fysiomas.com/blog/lower-limb-weight-bearing-asymmetry-a-clinical-observation-worth-further

For decades, clinicians working in manual therapy, rehabilitation, and musculoskeletal medicine have observed that asymmetrical weight-bearing of the lower limbs is frequently ass

05/06/2026

Some sneak peek into me developing a manual therapy course focused on practical skills, clinical reasoning, and real-world application. Excited for the future. 🙌

02/06/2026

31/05/2026

The test with the two scales showed that the load difference between the limbs on one side and the other was 8 kilos. After one therapy session, there was no difference anymore.