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C h e c k o u t A B M P 's l a t e s t n e w s a n d b l o g p o s t s . Av a i l a b l e a t w w w. a b m p . c o m . 29 TABLE LESSONS best practices If It Doesn't Fit, It Isn't It Don't Try to Fit Symptoms Into a Box By Douglas Nelson Mr. M. walked from the waiting room to my treatment room with a slight, but noticeable, limp. I observed that his pelvis was visibly unlevel (pelvic obliquity) and wondered if the limp and the obliquity were connected. "My doctor is pushing me to schedule back surgery," Mr. M. said with a conflicted tone. "I just can't seem to commit to surgery because I am not convinced my back is the issue. I almost never have back pain." "And the pain you feel?" I asked. "I have nerve pain down my right hamstring to the calf and foot. The surgery would be a fusion of L5–S1, and they also plan to stabilize a spondylolisthesis of about 5 millimeters. From what I have read, a 5-millimeter spondylolisthesis isn't very much. I have a hard time understanding how it explains all my symptoms. But, as my doctor reminded me, I am a dentist, not an orthopedist," he said. "I also feel pain from my hip to the buttocks that can often wrap around the front of the pelvis to the inside of the knee. I feel that pain more often now than the pain to the calf and foot."

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