We just published my case. In a nut shell, hip dysplasia caused lumbar lordosis which caused my MALS. Had mal surgery at Mayo Rochester with relief of more than 30 symptoms. Hip arthritis worsened lumbar lordosis and MALS symptoms started to return. Hip replacement enabled me to do exercises to straighten my spine, which reduced MALS symptoms. This is the only article in the world that presents multiple management strategies for MALS symptoms. https://www.ejcrim.com/index.php/EJCRIM/article/view/1605/2056