Low back pain continues to be one of the most difficult maladies of the musculoskeletal system in the modern world. The scientific literature tells us LBP is a heterogeneous entity best treated by recognizing the characteristics of this group as subsets. One of these subsets are people who have pain specifically located at or close to the posterior superior iliac spine (PSIS). This location is also known as “pelvic girdle pain” or “sacroiliac joint pain.”
Topics: treating lumbar spine
In the manual therapy video below, NAIOMT faculty member Stacy Soappman discusses and demonstrates a modified seated thoracic manipulation technique that can be really useful in the clinic when your arms can't comfortably reach around a larger patient.
Not just for girls, our Manip Like A Girl: Work Smarter Not Harder course is for anyone who wants to learn how to effectively treat patients larger than themselves. If you want to learn how to handle patients larger than yourself and do it with more efficiency and effectiveness then this is the course for you. Reserve your spot in Seattle, WA on October 20, 2019 for Manip Like a Girl.
In the manual therapy video below, NAIOMT faculty member Kathy Stupansky demonstrates a manipulation for an extension restriction on the right at C56. Please note, this is a technique covered in our Advanced Spinal Manipulation course. Our Cervical Spine I and II courses are great stops on the path to getting to this level.
In the manual therapy video below, NAIOMT faculty member Stacy Soappman explains why it's useful to have three different muscle testing approaches for the lumbar spine. Essentially, each has a different intent:
For neurological conductivity, fatiguing versus consistent weakness.
Looking at the power position, and giving it a manual muscle test grade to document in chart to use an objective measure to show how they've improved and gained strength over the course of physical therapy.
To pick up minor tissue damage, if looking for grade one strain.
Do you tend to see a lot of ankle sprains in the clinic? In the manual therapy video below, NAIOMT faculty member Stacy Soappman discusses sprains and demonstrates one way to treat the subtalar joint.
Do patients come into the clinic with pain when turning their head to the left? In the manual therapy video below, NAIOMT’s Stacy Soappman demonstrates one way of assessing and treating that pain.
In the manual therapy video below, NAIOMT’s Stacy Soappman provides a brief review of Sacroiliac Joint assessment and treatment.
In order to determine if gapping manip of the SI Joint is appropriate for a patient, she performs a standing weight bearing assessment. If the tests are symmetrical and patient presents with the same dysfunction both in standing and in non weight bearing tests, she moves forward with the manipulation. If there's a discrepancy between the two components of the test, she does not use manipulation, but instead employs another approach such as soft tissue, exercise or needling to help with the neuromuscular balance component.