You do! But at the S3 and S4 levels to release the sacral flexion pattern. When treating the sacrum you want to do all mobilizations on it so the ones taught in the common birth pattern would also be appropriate to do on your clients. Mobilize it in all ways and see what doesn’t move and compare it side to side to see if there is a difference. However a bilaterally restricted rotation of the sacrum (as taught in the common PP Pattern of the sacrum) indicates a posterior sacrum. Hope this makes sense. Thanks for your comment.
There is the fine line between tenderness and pain. Sometimes tenderness goes away with mobilizations once the bones are in their proper place. Some movement may not be the same as normal movement so see if they can tolerate the mobilizations, see if the tenderness resides. If it increases in pain you stop and you may need to treat sacrum first. This is where you need to really listen to the tissues to see what is best to do first. I hope over time you’ll be able to discern normal mobility of the PSIS’s.
Today I used these on a client. When she left she said “I feel like the work you did on my hips today is work I have needed my whole life”.
I thank you for these online courses, amazing work is being done!
I”m so glad you took this course Rachael. Thanks for sharing it with your clients. It’s magical how mobilizing the bones changes things. I hope your consider taking the Holistic Postpartum course to learn how to support the other areas of the body. Enjoy using these techniques!
So, did I understand correctly that you will treat manually the medial glide of the psis’s in prone for about 5 minutes, with the towels placed anteriorly?
I understand moblizing one side of the sacrum medially and then the other . But moving both of them medially at the same time doesn’t make sense to me…
When the sacrum has been pushed so far backwards/posteriorly into the joints of the SIJ, it is a posterior sacrum and can get stuck there, usually with an OP or ascynclitic presentations. If you do sacral rotation and both sides are stuck and don’t like moving anterior and the PSIS’s are resistant to medial mobilization these are signs the sacrum is too far posterior in the joints. Giving the sacrum a chance to move anteriorly helps the mobility of the entire pelvis, and mobility in bilateral SIJ’s. Hope this helps.
Why wouldn’t yiu add a post ant mobilisation on the sacrum?
You do! But at the S3 and S4 levels to release the sacral flexion pattern. When treating the sacrum you want to do all mobilizations on it so the ones taught in the common birth pattern would also be appropriate to do on your clients. Mobilize it in all ways and see what doesn’t move and compare it side to side to see if there is a difference. However a bilaterally restricted rotation of the sacrum (as taught in the common PP Pattern of the sacrum) indicates a posterior sacrum. Hope this makes sense. Thanks for your comment.
What if the PSIS is tender on both sides but there is some movement?
There is the fine line between tenderness and pain. Sometimes tenderness goes away with mobilizations once the bones are in their proper place. Some movement may not be the same as normal movement so see if they can tolerate the mobilizations, see if the tenderness resides. If it increases in pain you stop and you may need to treat sacrum first. This is where you need to really listen to the tissues to see what is best to do first. I hope over time you’ll be able to discern normal mobility of the PSIS’s.
Today I used these on a client. When she left she said “I feel like the work you did on my hips today is work I have needed my whole life”.
I thank you for these online courses, amazing work is being done!
I”m so glad you took this course Rachael. Thanks for sharing it with your clients. It’s magical how mobilizing the bones changes things. I hope your consider taking the Holistic Postpartum course to learn how to support the other areas of the body. Enjoy using these techniques!
So, did I understand correctly that you will treat manually the medial glide of the psis’s in prone for about 5 minutes, with the towels placed anteriorly?
Yes I will mobilize PSIS’s with towel rolls under their ASIS’s to facilitate anterior movement of the sacrum.
I understand moblizing one side of the sacrum medially and then the other . But moving both of them medially at the same time doesn’t make sense to me…
When the sacrum has been pushed so far backwards/posteriorly into the joints of the SIJ, it is a posterior sacrum and can get stuck there, usually with an OP or ascynclitic presentations. If you do sacral rotation and both sides are stuck and don’t like moving anterior and the PSIS’s are resistant to medial mobilization these are signs the sacrum is too far posterior in the joints. Giving the sacrum a chance to move anteriorly helps the mobility of the entire pelvis, and mobility in bilateral SIJ’s. Hope this helps.