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’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.
Ever run into challenges performing a lumbar gapping manipulation on a patient larger than yourself? In the video below, NAIOMT faculty member Stacy Soappman demonstrates ways to improve effectiveness--as well as safety for yourself--despite the size of your patient. Get more tips and guidance from Stacy directly in her upcoming Manip Like a Girl: Work Smarter Not Harder course (not just for girls!) in Denver November 11 or in San Diego on December 9.
Ever get to a point while treating a patient, where it feels like maybe you've exhausted all the tools in your tool box? Every PT has been there. We may see some promising results, but eventually end up back where we started. Yes, it's frustrating. But it's also an opportunity for our clinical reasoning to really kick in. And if you've put the time into developing those skills, they will guide you forward when you--and your patients--need them most.
In the video below, NAIOMT faculty member, Stacy Soappman, discusses a patient case of low back pain, where she ultimately decided to combine treatment--working the mutifidus with the quadratus lumborum simultaneously--to get her patient feeling better.
In the manual therapy video below, distinguished faculty member, Ann Porter Hoke, demonstrates locking of the lumbar spine from above, and how to obtain side-bending to the left and to the right. This is a portion of a larger video demonstrating both locking from above and below, and are components of NAIOMT's Lumbopelvic Spine level II Coursework.
NAIOMT has recently made the decision to not seek ABPTRFE re-accreditation of its Orthopedic Clinical Residency Program. Started in 2014, in partnership with Andrews University, the program served many students, some of whom have gone onto complete NAIOMT fellowships and who are now on track to NAIOMT faculty status. It also provided a strong foundation for those looking to complete a terminal DSc degree at Andrews University.
In the manual therapy video below, Stacy Soappman discusses a patient presenting with pain and/or restriction when turning to the right--movement such as reaching to the back seat of the car--and who also has a history of a sensitive segment. She demonstrates one way to treat the upper lumbar spine segments with a "sensitive" segment in the lower lumbar spine.