Steven I am continuing to work with the patient we talked about with the wicked bicycle accident where he flew over the bike head face and his leg went extending over his head in a scorpion yoga fashion.  Today in the clinic he came in and i noticed his scapula on the right was even higher than i have ever seen over the past two months. My original thought when i saw this shoulder blade discrepancy was i will have to check him again for a possible heel lift after treatment session, in which we did some intense TAHD, and pelvic work where a liver turn, deep linea alba and umbilical ligaments brought this guy to the edge of some serious tension. Afterward the treatment and evaluating a possible heel lift for the patient it became clear to me that his pelvis felt stable and there was a nice even glide within the gothic arch from gliding side to side.  Something in me did not feel confident with this or complete, i investigated a little further and decided to go to the tent while the patient was standing and noticing a wicked unbalanced torsion of the field in the tent that felt like a oblique superior lift to the left side when he was standing with no lift. I then decided to place some bomb proof lifts on the right leg where the high shoulder blade was and for some reason the tent totally balanced and felt FSAS when a 12mm lift was under the right foot. I tried a 9mm just to compare data and found that the tent had a similar quality of phenomena as when there was no lift at all. 

We spoke in class about this in terms of jacking up the high side to help the upper back over compensate and drive the spine to the opposite side. I feel a little nervous about prescribing such a high lift for him and not knowing exactly if i have done the right thing, but i am following the warrior path and holding true to the law that the tent never lies and acts as the great overall balancer of the bodies relationship or journey with gravity. 

I also hope i was responsible in presscribing this lift to the patient because i will not be able to check him for over a month due to both of our scheduling. But i felt it was important and i told him that there should be an expectation of possible uncomfortable shifting and that if there is an extended amount of pain that lingers on for over 3 days or so i told him to not where the lift and we will reevaluate when i see him again.

I am curious as to what thoughts come up for you after reading about my process and decision making and i would like to know how i should monitor him as i continue to work with him over the next few months. my sense is that there some kind of scoliosis present but i am not sure exactly as i did not measure his convexity angle of his spine to get a sense of this, this could be good data for me to track over the next few months i am thinking.

In service
Forest