Great case study this weekend at the Hesch Method seminar in Las Vegas where I had the opportunity to assist Jerry teach. I’m just hoping what gets taught in Vegas does not stay in Vegas. :). One of the students presented with what Jerry Hesch calls a “posterior sacrum”. A posterior sacrum is defined as a dysfunction in which the entire sacrum is stuck in a posterior glide between the ilia and bilateral sacral sulci are shallow. When trying to spring the sacrum and ilium all motions are blocked and both sacrospinous and sacrotuberous ligaments are taut to palpation. This dysfunction can cause havoc up the kinetic chain up to the occiput. The mostly likely cause of this non-physiological dysfunction is some sort of trauma such as landing on the buttocks. A common complaint by the patient is increased fatigue, headaches and increased urinary frequency. This weekend one of the students had this seemingly rare dysfunction with these same complaints. She was used as a case study using the Hesch Method which consisted of gentle mobilizations which were performed both manually and with the use of props to enhance soft tissue mobility based on the the principle of viscoelastic creep. The treatment took a total of about 15 minutes and consisted of 5 different mobilizations to correct the dysfunction and associated mobility restrictions and the student got off the table and stated how loose and mobile she felt. She was given a home exercise program to follow and will report back to us on her progress.
The main purpose of this short article is to share with you another tool that can help you with those hard to figure out and often frustrating cases. For more information go http://www.heschinstitute.com or check out Jerry’s many videos on YouTube (search JerryHesch)
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Shapiro's Manual Therapy Corner 