Lab: Palpating Pubic Joint and Shotgun Approach to SP Joint | 5:54
You cannot view this unit as you're not logged in yet.
12 Comments
So tthe idea is to do the add and abduction resistance exercises with different orientation of legs until the joint is more balanced? Then you check again ?
How many times is a maximum ? Holding 3 to 5s once in each direction and feet position should be enough ?
Yes try it in different positions, doing a couple of times out and then in (Abd then adduction). You should note that the joint is less bruised feeling to palpation when the joint is in a better position.
Hello! This approach of shotgun is used for moms who come in complaining of SPD. This is a “quick fix” for them so strengthening around the hips and lower core will also help with that instability they are experiencing, correct? Most mamas who have SPD are in quite a bit of discomfort and you mentioned trying to stay out of pain for them? Are you going with a more gentle resistance? Not having them complete the more painful way (resisted ABduction or ADDuction)? Just looking for some clarification on this approach 🙂
Absolutely correct! This is just a quick fix to help the situation out but learning how to strengthen and also balance out the pressures from front to back with less internal rotation of the hips is helpful too. Yes to more gentle resistance, if one way is painful try the other way first and see if that helps. If both are painful then don’t do this and focus on the sacrum, ischium ilium rebalancing and see if that helps . You will learn two other techniques in the holistic postpartum course to help with the pubic bone and rami bones that can help this situation out too. Check out Cecile Roost’s book Dealing ( or Treating ?) with Pelvic Pain During and After Pregnancy. So good.
Hi! Would you try all of these different positions (neutral, internal rotation and external rotation) in one session to see if you can get that “pop”? For HEP, is it multiple reps in each direction or just one each? Thanks!
The goal is not to get the pop, it just happens sometimes and the pop is ok. Find the position that creates the greatest change or help and have them focus on that for their HEP. Thanks for asking.
Hi Lynn! Do you usually see change in symptoms during aggravating movements immediately post with this or other manual techniques! My clients with SPD are often very irritable ( I was there with them through 3 pregnancies), and I have a hard time finding the ‘asterisk’ sign or the thing that makes a difference within session
I find when I close up the bones post birth and treat any hardness in the pubic bone and rami bone that I do get immediate relief. It all depends. You’ll learn more in the postpartum course on how to treat the pubic and rami bones.
How much effort are you cueing them to use when they do the shotgun technique? Is it as much effort as possible within a pain-free range? For clients that cannot tolerate a lot of effort/resistance with this, can the technique still be effective with very light resistance or should we just try a different approach?
Thank you!
So tthe idea is to do the add and abduction resistance exercises with different orientation of legs until the joint is more balanced? Then you check again ?
How many times is a maximum ? Holding 3 to 5s once in each direction and feet position should be enough ?
Yes try it in different positions, doing a couple of times out and then in (Abd then adduction). You should note that the joint is less bruised feeling to palpation when the joint is in a better position.
Where is this Lab in the workbook please? I can’t find it.
There is not a pic on the palpating the pubic joint. The shotgun is written out at the bottom of page 6 I believe under the hypermobility tests.
Hello! This approach of shotgun is used for moms who come in complaining of SPD. This is a “quick fix” for them so strengthening around the hips and lower core will also help with that instability they are experiencing, correct? Most mamas who have SPD are in quite a bit of discomfort and you mentioned trying to stay out of pain for them? Are you going with a more gentle resistance? Not having them complete the more painful way (resisted ABduction or ADDuction)? Just looking for some clarification on this approach 🙂
Absolutely correct! This is just a quick fix to help the situation out but learning how to strengthen and also balance out the pressures from front to back with less internal rotation of the hips is helpful too. Yes to more gentle resistance, if one way is painful try the other way first and see if that helps. If both are painful then don’t do this and focus on the sacrum, ischium ilium rebalancing and see if that helps . You will learn two other techniques in the holistic postpartum course to help with the pubic bone and rami bones that can help this situation out too. Check out Cecile Roost’s book Dealing ( or Treating ?) with Pelvic Pain During and After Pregnancy. So good.
Hi! Would you try all of these different positions (neutral, internal rotation and external rotation) in one session to see if you can get that “pop”? For HEP, is it multiple reps in each direction or just one each? Thanks!
The goal is not to get the pop, it just happens sometimes and the pop is ok. Find the position that creates the greatest change or help and have them focus on that for their HEP. Thanks for asking.
Hi Lynn! Do you usually see change in symptoms during aggravating movements immediately post with this or other manual techniques! My clients with SPD are often very irritable ( I was there with them through 3 pregnancies), and I have a hard time finding the ‘asterisk’ sign or the thing that makes a difference within session
I find when I close up the bones post birth and treat any hardness in the pubic bone and rami bone that I do get immediate relief. It all depends. You’ll learn more in the postpartum course on how to treat the pubic and rami bones.
How much effort are you cueing them to use when they do the shotgun technique? Is it as much effort as possible within a pain-free range? For clients that cannot tolerate a lot of effort/resistance with this, can the technique still be effective with very light resistance or should we just try a different approach?
Thank you!
Use max effort without creating pain. You’ll just have to see if lighter resistence is still effective. Have them do it and see.