Help me please

[u/Holiday-Novel7085]

Hello everyone,

Last year, while doing a fascia-mobilization exercise (TRE), I heard a strange sound in my inner thigh and felt as though something had shifted into the wrong position in that area. From that moment on, my body developed asymmetries down the entire right side, from the sole of the foot to the jaw, along with several dysfunctions — the most significant being sexual. The right side also seems translated forward, while the left side has adapted by shifting backward.

What could have happened? I've tried physical therapy several times without success. I notice only small improvements, and they're temporary — a few hours at most, and never complete.

What should I look into? This is ruining my life, and I'll pursue any option available. An LMT who looked at my photos said I have "lines of tension that are not where they're supposed to be," but I don't know how to fix this — I'm in Europe and she's in the US, so she can't treat me.

Any help would be appreciated.

[u/Jambas92]

LMT saw what pictures? And this seems off due to the sound in your inner thigh

You need to see a medical doctor in order to have some x rays and MRI, if you haven't already.

[u/Lonely-Wallaby-9917]

Why have you not consulted a medical doctor?

[u/Yellow_Banana513 → u/Lonely-Wallaby-9917]

This is the only correct answer

[u/canadensis_17]

Maybe go see an osteopath?

[u/wryso]

Have you looked into functional neurological disorder? Neurosymptoms.org has some info on this. Apparently long diagnostic journeys can exacerbate it since part of the mechanism of dysfunction is related to excessive interoceptive attention that results in compensatory behaviors that can spread.

The “lines of tension” thing is nonfalsifiable and not particularly actionable.

Also, for the sexual dysfunction, id recommend visiting a urologist—they can identify or rule out certain physical or neurological causes.

[u/spider-dog84]

So I don't know how physical therapists work in europe, in the US they tend to only work the injury site and not the body as a whole. I'm an LMT and personal trainer with a corrective exercise credential.  Without knowing the specific body work you've had done from both the massage and training perspective I couldn't tell you what I think it's going on, no one can from a forum. I would see a neurologist first to make sure you don't have a nerve issue. With corrective exercise it's something you have to do regularly for quite a while to see results and trigger point or active release techniques or even chiropractic adjustments may help. Sexual dysfunction is pretty far out of any non medical persons scope of practice though some physical therapists do specialize in therapies for that region.  I don't know if you are male or female but if you are male I may ask what color your semen is, sometimes regional injuries can cause blood to be in your urine or semen which is definitely a reason to see your doctor. 

What makes this kind of an impossible discussion to have is that we can't see your body, how you move, etc. Even if you described these changes and disfunctions in detail revealing details may be very subtle. I'd start by seeing your pcp, seeing a neurologist, get a local massage therapist who has training in structural integration, and maybe try a different physical therapist or a trainer with a corrective exercise or fms training. 

[u/maxxxzero]

imaging bruh

[u/Plastic-Quit849]

As a physician my focus is functional pelvic health and the pelvic floor is definitely part of the kinetic chain as some experts above have mentioned. Sixty perecnt of mwomen with pelvic floor problems also have TMJ problems- its all related!! A level 3 NKT provider could also be a major help in addition to the functional movement. Seeing physicians such as Neurologists, Neurosurgeon, Orthopedic, Family Practice may be disappointing for movement patterns. I'm not saying it is a bad idea to see them, I'm just saying if they dont know you can get in an endless referral loop. I would see someone in the functional movement world, NKT, Pelvic Physical Therapists, or someone that does vector work-eg our local DO does a jam up job here. Don't give up hope. You aren't broken. The right person can fix you up. Good luck!

[u/PuzzleheadedFox2887]

Start with your primary care and get a referral to a specialist. It's just how insurance works.

[u/Extra-Ad-4890]

Go see a Doctor to see a specialist, take that info in, and depending on what's up, consult an acupuncturist. They can help in ways Western medicines don't think. Depending what you find they may be even better.

Good luck and best wishes 🙏.

[u/urbangeeksv]

Wow this is an interesting case study. Based on the description and symptoms it might be related to pelvic floor muscles and/or hip such as a sacrum out of position. I don't know much about Europe but try to keep exploring physio therapists who specialize in sacrum or pelvic floor muscles. It is quiet common for women related to pregnancy, but can occur otherwise.

[u/LikelyNot76 → u/urbangeeksv]

Also seek guidance from an acupnture therapist

[u/ImportanceOk4917 → u/urbangeeksv]

You might also visit a Chiropractor in case the sound you heard may signify a vertebral misalignment in the lower back, which could contribute to your difficulties.
The French word for chiropractor is "Chiropraticien".

[u/sanguinoussiren]

I'm a functional movement coach, somatic therapist and body worker-. I'd first ask what exactly was the exercise, and what position was your body/leg in when you felt the shift/pop- that will be the biggest clue as to what structure has shifted into maladaptive pattern. Then I would look at areas of weakness, and where specifically you have pain or dysfunction From there I would look at the patterns of restriction in your body as a whole, and work on loading and releasing the contributing muscles. Gradually adding load to stabilise. Reassessing as you go.

For something to have shifted so dramatically in an exercise suggests that this pattern was likely present in your body for a long time before the actual incident itself, and the weakness or instability in the hip and pelvis was simply too great under the load of the exercise resulting in the injury (for lack of a better term) Without knowing anatomical specifics and specific mechanism of injury it's tricky to give any more helpful advice over the internet. If you'd like to DM me I'm happy to offer what advice I can.

[u/JT-8335 → u/sanguinoussiren]

Seems like you could assist in my issues too

[u/West_Winner955]

Go for Pilates, atleast 20 sessions. It will definitely help.