Just got back from the new PT and I'm sooooo encouraged! FINALLY someone who gets that strengthening without mobilization just reinforces bad movement patterns - and who could assess me and see the layers upon layers of compensation instead of just the basic ability to function that I've built for myself by working around everything that doesn't work right. He said that he's probably ever seen only a couple of patients with LESS lumbosacral mobility than I have, in his entire career. He was frank that at my age we're not going to be able to perfectly fix stuff I've had from childhood, but I wasn't expecting that, and any improvement is good.

So, we're starting off with some exercises to mobilize the pelvic joints - not just the SI but the pubic symphysis as well - and go from there. I'm only going to be seeing him once a week since it's such a long drive, but since there's nothing acute at this point, it's all good!