Chronic left SI joint pain that doesn't budge is humbling. This patient had done everything right, good body awareness, great yoga practice, excellent care before arriving at my door, and still the pain persisted. So we started where we always start: listening. Over our first few sessions, the right thoracolumbar junction kept speaking up, and we kept following it. Things were moving, the relationship was deepening, even if the symptoms weren't shifting much yet.

Then came the flare. She could barely walk. I was finishing up my own urgent care visit when she reached out, and I saw her that same day. I had no idea what I was going to find or what I'd do with it. What happened in that session, starting with the diaphragm, moving into the liver, following fascial tension down the right leg, dropping her into an altered state and cutting her pain in half, is what this post is really about. And what came after, a three-way collaboration with her PT that neither of us planned, has been some of the most satisfying work I've done.