- limited SLR
- "tight" hamstrings
- sciatic peripheral neuropathic pain (careful not to peripheralize or worsen the complaints)
The rapid improvement you see on this patient is obviously neurologic. Especially as it rapidly changes both sides, but to a lesser extent on the contralateral or non-treated side. We know from histology studies that even a constant stretch over several days does not grow new sarcomeres, which is the only way a muscle gains more length. You could also be stretching type III collagen found in connective tissue and capsule, which is more easily deformed with force than the more organized type I collagen.
Recommended follow up treatments
- IASTM to hamstrings, hip flexors
- psoas release
- hip mobilizations
- HEP to maintain improvements
By itself, the improvement from the technique will probably only last 10-30 minutes. Other treatments, plus HEP are needed to maintain lasting improvement!