I’m sure we have all come across this at some point in our career.
You have a patient come in repeatedly with a positive Thomas test and you do what you can to get things moving a bit easier.
What if the issue isn’t always just tight hip flexors?
If you stretch, mobilize, or repeatedly treat the hip flexors over and over, and the mobility leaves just as fast as it improves, there is not a mobility problem.
It’s a motor control problem.
Check out this relatively quick assessment of a Physio with right knee pain with a loss of hip extension for 2+ years.
Posterior Chain/Hamstring Activation for Hip Extension Mobility
If you aren’t gaining the kind of progress you have hoped for with your patients in this regard, give this a try and give it to patients for their homecare.
Stop stretching and activate!