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TABLE LESSONS best practices Vulnerability Trust in the Unknown is a Two-Way Street By Douglas Nelson As I ended the phone call, I shook my head. The story my potential new client shared was similar to others I had heard many times, but hers was even longer and sadder. Mrs. L. described the onset of gluteal pain that began about two years ago. Intermittent at first, the pain kept progressing in severity, frequency, and intensity. She was an active woman, playing tennis, going for long walks, and working with a personal trainer. As the pain intensified, it began to limit her activity, which negatively affected her quality of life. At first, the pain was an annoyance, but as time progressed, even her ability to walk for any distance was limited. When the pain hit, every step was difficult. More curiously, if she stopped the activity and sat for a few minutes, her pain dissipated. The saddest part of the story was her journey through the health-care system. Her primary- care provider, a very conscientious doctor, had no idea what to do with her. Understandably, he referred Mrs. L. to a specialist, someone with a musculoskeletal background who could help her. Thinking it was an atypical version of sciatic pain, that specialist ordered an X-ray and MRI. When the images didn't show anything conclusive, they were at a loss to explain the pain. A referral to another doctor came next, followed by two cortisone shots. With no results from the shots, more 28 m a s s a g e & b o d y w o r k j a n u a r y / f e b r u a r y 2 0 1 9

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