Due to a parachute accident, I dislocated my right hip upon landing; my acetabulum came apart. My surgeon at Harbor View performed a new procedure 20 years ago. It took a good six years of Acupuncture, stretching, and strength training of the core and hips. If I hadn't, I would have been a candidate for lower lumbar surgery and hip injection for the rest of my life. That was the path doctors had me on; Pain sucks life shouldn't. I love your videos. Keep up the education.
If this can be cured without surgery then what exercises do you recommend? other than standing with your legs wide appart all the time.... and do you have any success stories of patients who have recovered with purely physio therapy alone?
Great information - My (a soccer player) has this issue, but it is more of impingement on the quadratus femoris muscle in between the bones. This causes inflammation in that muscle, but his pain manifests in his groin area. Day to to day is fine, but after 15 mins of soccer (fast cuts and dribbles) the unbearable pain starts. Shaving either the bone to create more space seems to make sense. Comments are wlecome
I believe I have this. 66yr old female, s/p discectomy laminectomy L5. Usual sitting position is “Indian Style”. The very bottom of buttocks hurts after bending from waist while working in garden, pulling weeds, etc. Pain lasted for months. Neurologist was not concerned. Pain improved when pulling up on buttocks and pushing in towards groin area. I will say I have a ‘no-butt’ side profile. No back pain AT ALL. Had to sit on double cushions and being in a car unbearable. I will do some side-laying exercises for muscle tone. Thank You
I was diagnosed with this at 16 and it's been an on going issue ever since. I do hip strengthening excerises multiple days a week and I'm still in agony all the time. I'm 25 and I dread the thought of how this is going to affect me when I'm older.
I have this due to a car accident. Well, it wasn’t a problem until the car accident. With all respect, you’re saying that the only thing I need to do to alleviate my symptoms is to stand far apart… when the pain really occurs when walking. So am I supposed to walk on my feet far apart?? And constantly stand like an idiot all day long? The distance I have is 4.8 mm.
Standing with your legs apart? This type of impingement involves a trapped muscle in the back of the hip, not the front of the hip, and standing with your legs apart is not going to do anything to release that muscle. I resolved this impingement - and some very debilitating pelvic pain accompanying it - after 6 months of intense stretching (often several hours/day) using a stretch & release mechanism. I am happy to share the stretches I used with anyone who wants to try to relieve this non-surgically, although I have no idea if my technique would work for someone else, as my impingement was related specifically to an injury. I am also on the lookout for some rehab stretches to strengthen quadratus femoris and restore a normal gait, as I continue to experience hip weakness and issues over one year after resolving impingement.
Amanda, I am very interested as well. I have been dealing with this for 2 years. My MRI showed IFI, quadratus femoris atrophy, and proximal hamstring tendinitis.
@@loribrooks5596 I’ve had this pain for 3 years and no treatment I’ve had has worked. My MRI is just like yours and my ortho surgeon told me this week I’m not a candidate for surgery and has suggested I consult with a pain management clinic. I really don’t know what to do anymore 🙁
I've had this pain bilaterally for 10 years before being diagnosed with IFI and having a steroid injection which was finally the most effective treatment I've had after years of trying. If this diagnosis is the first one that's actually helped, then surely there must be some truth to it?
Hello! Did the injection helped and pain gone? I have same pain and like Edema at that place...it’s bigger then other leg... After steroid injection pain gone ?🙏🙏
I think there is truth to steriods reducing inflammation and thus reducing pain, but it is not getting to the root of the problem. It's masking the symptoms and could possible do further damage to soft tissue. I could be wrong, but I've been doing a crap ton of research.
As someone with IFI where PT has failed to improve the structure, I don't appreciate the dismissive attitude towards surgery. It (IFI) is extremely painful and truly interferes with ADL.
@@stephanielafferty7078 Surprisingly yes and not through surgical means. I had consulted with a surgeon about lesser trochanter resection but after watching a video of the procedure turned back to PT and non surgical approaches. I had 2 cortisone injections into the hip that did not address the issue. PT included Bridges, Clamshells, Hip Hikes etc using weight resisting bands. It was grueling. I also got a prescription for gabapentin, which helped a bit but the IF pain was directly related to the "clicking" of my hip structures. It took time, but after a year, I realized I can lift my leg without having to plan around the movement and anticipated pain. It took building my gluts and hamstrings. Amazing what the body can do even a 60+ body. Grateful I didn't go surgical, but glad I checked it out. My hamstring is tighter on the impingement side than the normal side, but I no longer have IF pain.
I felt that as well, but after doing more research on the quadratus femoris and it's function, I think working this muscle and purposeful stretching to length can create more space and reduce the impingement. I am not a doctor, just a chick with IFI who is looking for resolution. Do more research on the QF muscle to see if you find anything noteworthy in your case.
I see a lot of the same questions Im thinking of ,, Is there a specific follow up video regarding IFI? or exercises etc ? ,,I have seen a few on FAI , Having a tough time finding a physiotherapist with relevant information on IFI,
This is so true.. i had a mri and there is ischiofemoral impingement and edema. İ am 38 and this is new. So i am doing something wrong about my posture. And i am trying to figure it out
Thank you for this video, I was just Diagnosed today with the same problem. However, I don’t have any hip pain at all I have pain in the gluts, rectum and hamstring area. Sitting is almost impossible for me. Is the surgery the same even though my pain is not in the hip?
@@horaciowm2 try working on your quadratus femoris muscle, strengthen and lengthen that muscle. I theorize that it could create more space and less impingement. I am not a doctor, just someone else who is living with this issue. I hope to resolve it before resorting to surgery.
are there specific excercises for this problem? is there something I can do about increased antetorsion by excercising? my degree of antetorsion is 35°, which means a surgery is necessary (apparently..)
I have ichiofemoral impingement on both legs, it pinches my sciatic nerves by my sit bones, my sciatic nerves are swollen and one is bleeding, it is very painful. I have plenty of hip range of motion so no point in stretching. Any squeezing of my butt makes the nerve pain worse so it is hard to strengthen. It is a horrible condition to have and their is not much literature on it to get help, I haven't been able to sit in 18 months. I can't even wear tight pants or the nerve pain gets worse.
Jenna I had the same problem. I have not been able to see it in five years. I’m only 53 years old but was officially diagnosed today with this condition. I have seen so many doctors have had so many nerve block injections etc, Nothing has helped me at all. My doctor sent me to go see in orthopedic doctor and a surgeon. I just found out today so I will be making these appointments tomorrow. As you stated there is very little out there about this condition, have you had any luck finding any relief in anyway lately?
@@emc8271 I actually just got diagnosed with excessive femoral anteversion and the doctor I saw said that ischiofemoral impingement is usually caused my excessive femoral anteversion so you should look into that. It officially has to be diagnosed through the distal view of ct scan but a surgeon that treats it can get a good idea from the physical exam and a specific xray.
@@Jenna-cc3oc I have ischiofemoral impingement and likely muscle injury because of the gym ,i am 21 y.o. so please help me.Do you know something that will help me solve my problem of the inflammation that never goes away? i am suffering for 3 yearsI I've just diagnosed with this before 3 months please help me
@@tanakas007 I had a really good radiologist do a dynamic ultrasound that showed the damage to my tendons and ligaments. They can do a cortisone injection to the ischiofemoral space and that has helped some people with this condition but you need to find out what is causing it. Mine is being caused by a femur abnormality that makes the angle excessive so it causes the ischiofemoral impingement and I have to have a derotational osteotomy to fix it so you need to figure out what is causing yours. I went to a really good hip preservation surgeon that can do osteotomies for dysplasia and version abnormalities but their aren't a lot of them out there, the first hip surgeon I went to missed it. Good luck
@@Jenna-cc3oc Thank you very much for your answer.I have ischiofemoral impingement because of my hip dysplasia mine have less angle than the normal and for obvious reasons i have less space,so we are in the same condition.My doctor is one of the best in his field and he said that my problem started because of weight lifting.He told me that he doesnt suggest any type of surgery especially for osteotomy.Because it has unknown results it may end you up to a wheelchair.So i did a prp injection with cortisone but no results at the moment.I suppose it took for you a lot of time to recover after corticosteroid injection isnt it ? I am just 21 :P
WOW this video made me angry, as Im sure it did for other IFI sufferers. Did you even do a lit search? I live in Canada, free health care, have had many medical test performed including an MRI that was analyzed by a radiologist, yeah a medical doctor who went through years of medical school followed by more years of specialization to interpret said test. There are actual studies out there that suggest that a reduced ischiofemoral space is more common in IFI diagnoses than control populations. Did you even look up the work impingement? Maybe the ortho surgeons are shaving down the bone to create more space to stop the quadratus femoris muscle (and sometimes sciatic nerve) from getting stuck in the reduced space due to edema/tendinitis/inflammation of the QF muscle. Idk, I'm not a doctor, could be more along the lines of decompression surgery that does this. Anyways I was here to get some HELPFUL tips and stretches. Instead, I got some arrogant *you know what* TEACHING other physios to think this way?? Stop discrediting your patients.
If its medial, then no. The ITB goes lateral on your hip and laterally down your thigh. It could possibly be snapping hip syndrome, which is caused by the psoas muscle. I would try to stretch the psoas muscle if I were you :)
hey matt, do you know from experience if a hip impingement can cause a pelvic floor disfunction ? i have both, appeared pretty much at the same time. can't do a deep squat. thanks
What's tripping you up is the terminology. Forget the diagnosis names. Look at it even more simply. Your hip muscles do not allow for a deep squat. There are probably multiple other motions your hip muscles have trouble with right now. There are multiple hip muscles that are deep in your pelvis that you might consider part of your "pelvic floor." The hip muscles aren't working properly. It may show itself as your pelvic floor not feeling right / functioning right. It may show as your not being able to squat. It may show as you not being able to flex at the hip, or extend at the hip, or abduct at the hip. It's all the same. Short answer is that if your hip muscles aren't doing things right, many of them can be thrown off, and you can get all kinds of funky sensations and funky functions. :-)
In my case I get groin pain when when you describe the movement at 3:08. How do you explain the labral tear being at the exact site of the bony impingement on most people's MRI? If they were not related then the bony impingement would not be at the site of the tear? Why do you not talk about labral tears at all? Boney impingement may not cause pain but I guarantee you that labral tears do cause pain. In my case I have doing physio and have had multiple MRI's over the course of years. My labral tear has being growing larger over time as well as the pain getting worse in the hip joint. Sorry not all patients are alike.
@@roberto125919 I am starting to think that the surgery this gentlemen mentioned is actually the only way to fix the impingement and thus allow the soft tissues to mend. I am a mess with all of this. My MRI showed IFI, quadratus femoris atrophy, and proximal hamstring tendinitis- all bilateral but more so on the right.
@@loribrooks5596 I, too, am a mess. So much bilateral stiffness, achiness, soreness. Nothing has helped and my ortho just told me that he can’t help me. I would appreciate hearing more about your condition and treatment. I don’t know where to go from here. My docs are saying “chronic pain management” but I’m not ready to give up
@@cynthialorrain9994 Hi there! I did extensive research yesterday. It was as if I was preparing for a dissertation. After recognizing that my MRI showed quadratus femoris (QF) atrophy, I began doing more research on that muscle and it's function. Here is what I am theorizing at this time: perhaps the QF is too short in my case (too tight) thus pulling the lesser trochanter inward enough to cause the impingement, resulting in further soft tissue damage. My plan as of now is to target exercise and stretch the QF muscle daily. I have a PT appointment for a full evaluation on 9/20. I am not a doctor, but this seems like a plausible theory that I am going to test. I am feeling hopeful, but time will tell. There are many good QT muscle stretching videos on RUclips. There are some exercise videos as well.
Due to a parachute accident, I dislocated my right hip upon landing; my acetabulum came apart. My surgeon at Harbor View performed a new procedure 20 years ago. It took a good six years of Acupuncture, stretching, and strength training of the core and hips. If I hadn't, I would have been a candidate for lower lumbar surgery and hip injection for the rest of my life. That was the path doctors had me on;
Pain sucks life shouldn't.
I love your videos. Keep up the education.
Yowza! Congrats on being so proactive and persistent with your body. :-)
If this can be cured without surgery then what exercises do you recommend? other than standing with your legs wide appart all the time.... and do you have any success stories of patients who have recovered with purely physio therapy alone?
Great information - My (a soccer player) has this issue, but it is more of impingement on the quadratus femoris muscle in between the bones. This causes inflammation in that muscle, but his pain manifests in his groin area. Day to to day is fine, but after 15 mins of soccer (fast cuts and dribbles) the unbearable pain starts. Shaving either the bone to create more space seems to make sense. Comments are wlecome
So good and so informative! You give more hope for myself every day. As well as motivation to keep going on my journey to a pain free life.
Hi! Can you tell me what kind of pain do you have?
I believe I have this. 66yr old female, s/p discectomy laminectomy L5. Usual sitting position is “Indian Style”. The very bottom of buttocks hurts after bending from waist while working in garden, pulling weeds, etc. Pain lasted for months. Neurologist was not concerned. Pain improved when pulling up on buttocks and pushing in towards groin area. I will say I have a ‘no-butt’ side profile. No back pain AT ALL. Had to sit on double cushions and being in a car unbearable. I will do some side-laying exercises for muscle tone. Thank You
I was diagnosed with this at 16 and it's been an on going issue ever since. I do hip strengthening excerises multiple days a week and I'm still in agony all the time. I'm 25 and I dread the thought of how this is going to affect me when I'm older.
Is there a stretching / strengthening regimen for this? If so where can I find it or what type of exercises are recommended?
Still no reply for this? Can anyone help?
@@tozaifitness4707 I am going to target exercise and stretch the quadratus fermoris muscle to see if I can reduce the impingement.
love your videos, Matthew!!
Thanks Glenna! :-)
I have this due to a car accident. Well, it wasn’t a problem until the car accident. With all respect, you’re saying that the only thing I need to do to alleviate my symptoms is to stand far apart… when the pain really occurs when walking. So am I supposed to walk on my feet far apart?? And constantly stand like an idiot all day long? The distance I have is 4.8 mm.
Standing with your legs apart? This type of impingement involves a trapped muscle in the back of the hip, not the front of the hip, and standing with your legs apart is not going to do anything to release that muscle. I resolved this impingement - and some very debilitating pelvic pain accompanying it - after 6 months of intense stretching (often several hours/day) using a stretch & release mechanism. I am happy to share the stretches I used with anyone who wants to try to relieve this non-surgically, although I have no idea if my technique would work for someone else, as my impingement was related specifically to an injury. I am also on the lookout for some rehab stretches to strengthen quadratus femoris and restore a normal gait, as I continue to experience hip weakness and issues over one year after resolving impingement.
I am interested in the stretchings you did to get rid of the ischiofemorales impingment. Thanks for your reply
@@sybilleschnell7433 feel free to email me dixon_fam@yahoo.com
Amanda, I am very interested as well. I have been dealing with this for 2 years. My MRI showed IFI, quadratus femoris atrophy, and proximal hamstring tendinitis.
@@loribrooks5596 I’ve had this pain for 3 years and no treatment I’ve had has worked. My MRI is just like yours and my ortho surgeon told me this week I’m not a candidate for surgery and has suggested I consult with a pain management clinic. I really don’t know what to do anymore 🙁
I’m not ready to give up and call it “chronic pain” but I’ve done all the injections and nothing has helped.
I've had this pain bilaterally for 10 years before being diagnosed with IFI and having a steroid injection which was finally the most effective treatment I've had after years of trying. If this diagnosis is the first one that's actually helped, then surely there must be some truth to it?
Hello!
Did the injection helped and pain gone?
I have same pain and like Edema at that place...it’s bigger then other leg...
After steroid injection pain gone ?🙏🙏
I had the same bilateral injections with no pain relief, except the anesthetic for 1 hour. How long did the steroid relieve your pain?
I think there is truth to steriods reducing inflammation and thus reducing pain, but it is not getting to the root of the problem. It's masking the symptoms and could possible do further damage to soft tissue. I could be wrong, but I've been doing a crap ton of research.
Have you had any relief with this? What did you do?
As someone with IFI where PT has failed to improve the structure, I don't appreciate the dismissive attitude towards surgery. It (IFI) is extremely painful and truly interferes with ADL.
Have you gotten any relief from this?
@@stephanielafferty7078 Surprisingly yes and not through surgical means. I had consulted with a surgeon about lesser trochanter resection but after watching a video of the procedure turned back to PT and non surgical approaches. I had 2 cortisone injections into the hip that did not address the issue. PT included Bridges, Clamshells, Hip Hikes etc using weight resisting bands. It was grueling. I also got a prescription for gabapentin, which helped a bit but the IF pain was directly related to the "clicking" of my hip structures. It took time, but after a year, I realized I can lift my leg without having to plan around the movement and anticipated pain. It took building my gluts and hamstrings. Amazing what the body can do even a 60+ body. Grateful I didn't go surgical, but glad I checked it out. My hamstring is tighter on the impingement side than the normal side, but I no longer have IF pain.
This guy is such a jerk he’s just sarcastically undermining something very incredibly real and not offering any solution or fact
I felt that as well, but after doing more research on the quadratus femoris and it's function, I think working this muscle and purposeful stretching to length can create more space and reduce the impingement. I am not a doctor, just a chick with IFI who is looking for resolution. Do more research on the QF muscle to see if you find anything noteworthy in your case.
I Agree…no real helpful solutions given.
I see a lot of the same questions Im thinking of ,, Is there a specific follow up video regarding IFI? or exercises etc ? ,,I have seen a few on FAI , Having a tough time finding a physiotherapist with relevant information on IFI,
This is so true.. i had a mri and there is ischiofemoral impingement and edema. İ am 38 and this is new. So i am doing something wrong about my posture. And i am trying to figure it out
Have you found and relief?
Thank you for this video, I was just Diagnosed today with the same problem. However, I don’t have any hip pain at all I have pain in the gluts, rectum and hamstring area. Sitting is almost impossible for me. Is the surgery the same even though my pain is not in the hip?
Hi!! I have the same diagnostic and same rectum pain....burn....some choques
I’m having some of the same issues. Have you gotten any relief? What did you do?
OK, but what do we DO?!?
Yes! What can i do to solve that? I cant live anymore with this pain
@@horaciowm2 try working on your quadratus femoris muscle, strengthen and lengthen that muscle. I theorize that it could create more space and less impingement. I am not a doctor, just someone else who is living with this issue. I hope to resolve it before resorting to surgery.
@@loribrooks5596 How can i do that? Which exercises?
@@horaciowm2 ruclips.net/video/-rLZxFnfRak/видео.html
@@horaciowm2 Stretching: ruclips.net/video/ywNJSnlIxDw/видео.html
are there specific excercises for this problem? is there something I can do about increased antetorsion by excercising? my degree of antetorsion is 35°, which means a surgery is necessary (apparently..)
Hey have you gotten any relief? What happened?
I have ichiofemoral impingement on both legs, it pinches my sciatic nerves by my sit bones, my sciatic nerves are swollen and one is bleeding, it is very painful. I have plenty of hip range of motion so no point in stretching. Any squeezing of my butt makes the nerve pain worse so it is hard to strengthen. It is a horrible condition to have and their is not much literature on it to get help, I haven't been able to sit in 18 months. I can't even wear tight pants or the nerve pain gets worse.
Jenna I had the same problem. I have not been able to see it in five years. I’m only 53 years old but was officially diagnosed today with this condition. I have seen so many doctors have had so many nerve block injections etc, Nothing has helped me at all. My doctor sent me to go see in orthopedic doctor and a surgeon. I just found out today so I will be making these appointments tomorrow. As you stated there is very little out there about this condition, have you had any luck finding any relief in anyway lately?
@@emc8271 I actually just got diagnosed with excessive femoral anteversion and the doctor I saw said that ischiofemoral impingement is usually caused my excessive femoral anteversion so you should look into that. It officially has to be diagnosed through the distal view of ct scan but a surgeon that treats it can get a good idea from the physical exam and a specific xray.
@@Jenna-cc3oc I have ischiofemoral impingement and likely muscle injury because of the gym ,i am 21 y.o. so please help me.Do you know something that will help me solve my problem of the inflammation that never goes away? i am suffering for 3 yearsI I've just diagnosed with this before 3 months please help me
@@tanakas007 I had a really good radiologist do a dynamic ultrasound that showed the damage to my tendons and ligaments. They can do a cortisone injection to the ischiofemoral space and that has helped some people with this condition but you need to find out what is causing it. Mine is being caused by a femur abnormality that makes the angle excessive so it causes the ischiofemoral impingement and I have to have a derotational osteotomy to fix it so you need to figure out what is causing yours. I went to a really good hip preservation surgeon that can do osteotomies for dysplasia and version abnormalities but their aren't a lot of them out there, the first hip surgeon I went to missed it. Good luck
@@Jenna-cc3oc Thank you very much for your answer.I have ischiofemoral impingement because of my hip dysplasia mine have less angle than the normal and for obvious reasons i have less space,so we are in the same condition.My doctor is one of the best in his field and he said that my problem started because of weight lifting.He told me that he doesnt suggest any type of surgery especially for osteotomy.Because it has unknown results it may end you up to a wheelchair.So i did a prp injection with cortisone but no results at the moment.I suppose it took for you a lot of time to recover after corticosteroid injection isnt it ? I am just 21 :P
Any option on stem cell replacement for knee issues
how much is like the minimum space there ?
i heard the minimum is 1.5 cm or 15 mm. It should be that or more
WOW this video made me angry, as Im sure it did for other IFI sufferers.
Did you even do a lit search? I live in Canada, free health care, have had many medical test performed
including an MRI that was analyzed by a radiologist, yeah a medical doctor who went through years of medical
school followed by more years of specialization to interpret said test. There are actual studies out there
that suggest that a reduced ischiofemoral space is more common in IFI diagnoses than control populations.
Did you even look up the work impingement? Maybe the ortho surgeons are shaving down the bone to create more space to
stop the quadratus femoris muscle (and sometimes sciatic nerve) from getting stuck in the reduced space
due to edema/tendinitis/inflammation of the QF muscle. Idk, I'm not a doctor, could be more along the lines of
decompression surgery that does this. Anyways I was here to get some HELPFUL tips and stretches. Instead, I got some
arrogant *you know what* TEACHING other physios to think this way?? Stop discrediting your patients.
I get deep pops from my hip and groin & have heard it could be my IT band; is this likely? Thanks man 👍🏼
Are the deep pops lateral or medial?
Medial
If its medial, then no. The ITB goes lateral on your hip and laterally down your thigh. It could possibly be snapping hip syndrome, which is caused by the psoas muscle. I would try to stretch the psoas muscle if I were you :)
hey matt, do you know from experience if a hip impingement can cause a pelvic floor disfunction ? i have both, appeared pretty much at the same time. can't do a deep squat. thanks
What's tripping you up is the terminology. Forget the diagnosis names. Look at it even more simply.
Your hip muscles do not allow for a deep squat. There are probably multiple other motions your hip muscles have trouble with right now.
There are multiple hip muscles that are deep in your pelvis that you might consider part of your "pelvic floor."
The hip muscles aren't working properly. It may show itself as your pelvic floor not feeling right / functioning right. It may show as your not being able to squat. It may show as you not being able to flex at the hip, or extend at the hip, or abduct at the hip.
It's all the same.
Short answer is that if your hip muscles aren't doing things right, many of them can be thrown off, and you can get all kinds of funky sensations and funky functions. :-)
In my case I get groin pain when when you describe the movement at 3:08. How do you explain the labral tear being at the exact site of the bony impingement on most people's MRI? If they were not related then the bony impingement would not be at the site of the tear? Why do you not talk about labral tears at all? Boney impingement may not cause pain but I guarantee you that labral tears do cause pain. In my case I have doing physio and have had multiple MRI's over the course of years. My labral tear has being growing larger over time as well as the pain getting worse in the hip joint. Sorry not all patients are alike.
@@roberto125919 I am starting to think that the surgery this gentlemen mentioned is actually the only way to fix the impingement and thus allow the soft tissues to mend. I am a mess with all of this. My MRI showed IFI, quadratus femoris atrophy, and proximal hamstring tendinitis- all bilateral but more so on the right.
@@loribrooks5596 I, too, am a mess. So much bilateral stiffness, achiness, soreness. Nothing has helped and my ortho just told me that he can’t help me. I would appreciate hearing more about your condition and treatment. I don’t know where to go from here. My docs are saying “chronic pain management” but I’m not ready to give up
@@cynthialorrain9994 Hi there! I did extensive research yesterday. It was as if I was preparing for a dissertation. After recognizing that my MRI showed quadratus femoris (QF) atrophy, I began doing more research on that muscle and it's function. Here is what I am theorizing at this time: perhaps the QF is too short in my case (too tight) thus pulling the lesser trochanter inward enough to cause the impingement, resulting in further soft tissue damage. My plan as of now is to target exercise and stretch the QF muscle daily. I have a PT appointment for a full evaluation on 9/20. I am not a doctor, but this seems like a plausible theory that I am going to test. I am feeling hopeful, but time will tell. There are many good QT muscle stretching videos on RUclips. There are some exercise videos as well.
lol