Last patient of the day. 56yr old female. Right side low back/buttock pain. When I asked her to show me where it hurts, she pointed to her R PSIS/SI joint. 20yrs since initial injury/mva. She has lived with intermittent pain for 20 yrs. The pain flared 1yr ago with the death of her mother and has stayed at 3/10 since. The past 2 months she has been in constant pain at a 10/10. Can only walk very short distance and walks with a limp. Can't stand. Can't sit. Can't sleep. Hurts to do anything. For 20 yrs she's been to every healthcare practitioner she could find looking for relief. Pain Med Rx, Ortho's/surgeon, Chiro's, Pt's, Acu's, Massage..... no relief. Her most recent imaging/MRI shows 3 lumbar disc bulges. Last week, her chiropractor has her doing a $500 package of lumbar decompression that has only made her pain worse. After a 30 second physical exam, I surmised she has the trifecta. Right up slip, Left Rotation, Right outflare. At that point she said to me "you're the only doc who has ever touched me and done a physical exam". 20 yrs of pain and no one has physically laid hands on her. Unbelievable. So I pulled and rotated... pain was 50% improved. Gapped the SI joint while she was in standing lumbar extension.... pain was now 75% improved. Hmmmmm..... I put a yoga block between her knees, had her squeeze and fire the adductors while I gapped the SI and she extended back again.....her pain was gone! Complete resolution. She was ecstatic and in disbelief that the pain was not coming from her lumbar. I'm confident that within about 4-6 weeks she will be as good as new as long as she follows your SI Joint Protocol! Another person saved from a life of pain, drugs, surgeries... Thanks for all you do Ryan!!!