Sacroiliac Joint Palpation
Traditionally the palpatory area of the sacroiliac joint is assumed to lie directly posterior to the joint. The most inferior aspect of the joint lies relatively close to the surface....
The information contained in the following videos represents a fundamental paradigm shift in osteopathy and a significantly more effective way of treating lower back pain and pelvic pain than existing methods. This shift does not involve any major deviation from the principles of structural osteopathy. However 3 very important points need to be made:
In the following videos these points will be contextualised with respect to
anatomy, biomechanics, pathophysiology, physical assessment and treatment.
(Please note the model used in the videos is hypermobile and vectors may be exagerated for demonstration purposes)
Traditionally the palpatory area of the sacroiliac joint is assumed to lie directly posterior to the joint. The most inferior aspect of the joint lies relatively close to the surface....
If we accept the existence of these new loci, it is logical to look for the anatomical basis for these findings....
The phrase “biomechanics of the pelvis” sounds somewhat antiquated as we are much more used to talking about the biomechanics of the sacroiliac joint...
Although assessing the pelvis as a whole is not going to change the treatment approach, attaining a level and balanced pelvis (at least sitting) after treatment and ideally between treatments is an of ....
There are many physical orthopaedic sacroiliac joint tests. Individually they are not very accurate. Studies would indicate a battery of tests is more accurate...
With the patient supine the practitioner contacts the patient’s knee and flexes and then adducts the hip to allow their other hand to be placed under the pelvis to palpate the sacroiliac joint. With a...
Fundamental to osteopathy is the concept of Osteopathic Somatic Dysfunction (OSD) or what was traditionally referred to as the Osteopathic lesion....
The McKinnen technique is simple in theory but subtle in execution. As with other techniques it requires good tissue tension sense to be effective....
It would appear that there is a relationship between certain types of impacts and lesion loci.
A course of treatment generally involves working on different lesion loci each treatment session....
It is often assumed that getting a single cavitation from a joint is sufficient to release the restriction of movement within it. However this is not the case in the sacroiliac joint....
There are several HVT techniques for the sacroiliac joint. However it is only really the lumbar roll technique that allows for fine tuning of the relevant vectors for point specific manipulation....
There are of course many causes of back pain, however the majority are non-pathological. Good case history taking, clinical examination and when appropriate imaging and other tests should exclude....