Sacroiliac and Pubic Joint Biomechanics and Treatment A New Perspective

20/06/2025

Sacroiliac Nonsense. I am consulting with a woman whose MRI shows severe nerve root impingement at the L4-5 nerve root. She goes to a pain doctor who does not look at the MRI but pushes her to get a sacroiliac injection and starts selling her on his sacroiliac stabilization surgery $$$$$$$ I have no idea why. She picked up on the inappropriateness of his offerings and cancelled the follow-up. Wise call.

Call now to connect with business.

06/05/2025

https://www.professionalseminars.com/event-details/demystifying-the-pelvis-evidence-based-treatment-of-the-sacroiliac-joint-hybrid-course

Are you looking to improve your skills in manual therapy? Do you want to learn how to use manual therapy to effectively treat a wider range of patients? If so, then you need to attend this course!

20/04/2025

https://www.professionalseminars.com/courses

Professional Seminars' complete list of current continuing education courses available for healthcare professionals.

13/04/2025

Worth a repost:

How do we inhibit the good side of SIJ exactly?

30/10/2024

Run Forest run! It has "reality" in the title. https://painlosophy.wordpress.com/2024/10/29/why-pain-cannot-be-a-bodily-protector-applying-a-first-principles-approach-to-aligning-concepts-with-reality/?

Authors: John Quintner & Milton Cohen Consider these quotations: “Pain protects us and promotes healing” [Essential Pain Fact 1, Pain Revolution, Available at “… to shift one’s conceptual…

24/10/2024

Yesterday's patient presented with all positive signs for lumbar radiculopathy. It was her second visit and I had not made much impact, ditto for chiropractic and traction. Found blocked superior glide of the ilium, blocked inferior glide and the key is that her sacrotuberous ligament was rock hard. I concluded it to be a downslip but it could also be a side bent ilium pattern imaging date with this clinical presentation is lacking. Some say downslip does not exist but they do not use the Hesch load-spring-recoil micromotion testing. I found the ideal angle for superior glide through the lower extremity which was about 15 degrees adduction in supie. She can now stand and walk with 50% reduction in foot numbness and tingling and she can now rotate right and extend without enhancing local and referred symptoms.
If downslip/side bent ilium fixation is a valid construct the mechanism might be traction on the sciatic nerve or its blood supply at the sciatic notch. I owned an anatomical specimen and I could have cut steak with the sharp roof of the sciatic notch, surely an under-appreciated anatomical attribute.

23/10/2024

Help w Microsoft 365
They want you to sign in to tell them you need help signing in!
They have their phone numbers hidden until you sign in!
I call the local Microsoft store, no answer.
Do any of you have a legitimate phone number to call for help?
thank you

11/10/2024

How exciting we now have 60 sacroiliac joint fusion systems to fuse your main shock absorber and force transducer, why because a general injection and sloppy tests say go for it - it is the standard of care! (A very small % do need it from severe trauma). Greed and ignorance drives the bus.https://thespinemarketgroup.com/updated-202460-mis-sacroiliac-joint-fusion-systems-to-know/

09/10/2024

No, you DO NOT NEED A SACROILIAC FUSION!!!!! Bilateral hip impingement patient with sitting intolerance.
today's patient presented with signs and symptoms of bilateral hip impingement. Based on the Hesch Posterior rotation spring test applied to the hemipelvis with the patient supine (Hesch J 1981), she presented with blocked mobility and also blocked inferior glide to the hemipelvis in prone. Did she have fused sacroiliac joints due to inflammatory arthritis such as ankylosing spondylitis. No, her sacrotuberous ligaments felt like bone so I knew it to be what is named "Bilateral anterior ilium".
I taught her self-treatment and 6 minutes later she was significantly improved, with better sitting tolerance, no more inguinal pain, normal load-spring-recoil tests, and normal sacrotuberous ligament tone. Time to play the 1960's Kaboom cereal ad! KABOOOMMM! Incidentally, her alignment was good, no asymmetry, and looking at her posture one would not suspect an anterior pelvic tilt. An "anterior tilt" is based on observation. A bilateral anterior ilium is not based on visual guesswork, but rather it is based on precise joint micromotion testing, and testing ligaments similarly. We teach this in our online coursework. Yes, her doctors were shuttling here down the pathway to a sacroiliac fusion. Hesch Method rocked her world as it does mine.

At Hesch Institute, we provide comprehensive Sacroiliac Joint Treatment, Physical Therapy, Research, and Education. With over 43 years of experience, Dr. Jerry Hesch specializes in sacroiliac joint dysfunction, p***c joint dysfunction, hip, and lumbar s

09/10/2024

Category: Article
Keywords: Sacroiliac Certification, Online Sacroiliac Course
URL: heschinstitute.com

A Guide to Online Certification for Mastering Sacroiliac Joint Dysfunction!

Dealing with sacroiliac joint dysfunction (SIJD) can be a game changer for anyone in the pain management or physical therapy field. SIJD is a common cause of lower back and pelvic pain, making it essential for specialists to understand the ins and outs of this condition. This is where a sacroiliac certification comes in. Whether you're a seasoned professional or just starting out, mastering sacroiliac joint dysfunction through an online certification program can enhance your expertise and elevate your career. Currently, there is a tremendous amount of marketing to physicians, nurses, physician assistants, etc. regarding sacroiliac joint dysfunction. The end goal is to promote surgery! In the past 15 years, more than 30 different fusion devices have been developed for sacroiliac pain. We have much to offer this patient population on the conservative side of care and many doctors are aware of the condition and value good conservative care. We are probably aware of the traditional model and its limitations. The Hesch Method is a significant improvement on that model and is based on contemporary studies.

Why Do You Need to Know the Sacroiliac Joint?

The sacroiliac joint (SIJ) is located where the spine meets the pelvis. Though it plays a crucial role in stability and movement, it’s often overlooked when diagnosing back pain. Many practitioners may misidentify the source of pain as stemming from the lumbar spine, but in reality, the SIJ could be the culprit. Knowing how to properly assess and treat SIJD will not only make you a more effective practitioner but also set you apart in the industry.
A sacroiliac certification ensures that you can accurately diagnose and treat this common problem, giving your patients relief from pain and mobility issues.

Benefits of an Online Sacroiliac Certification

Going for an online sacroiliac certification offers plenty of advantages. First and foremost, you get to learn at your own pace, fitting your studies around your busy schedule. Many healthcare professionals don’t have the luxury of taking time off work for long periods of training. With an online course, you have the flexibility to access the material when it's convenient for you, allowing you to balance your practice and your education.

Moreover, the content is often delivered by experts in the field. You’ll receive valuable insights and the latest evidence-based practices for treating sacroiliac joint dysfunction. This is not just theory—you’ll learn practical skills that can be immediately applied to your patient care.

Unlocking Your Potential: What You’ll Learn

The curriculum of The Hesch Sacroiliac Certification program is designed to give you a deep understanding of the joint, its biomechanics, how dysfunction can arise, and effective treatment. The traditional model of pelvic joint biomechanics and treatment is based on a 1958 article in the Osteopathy literature. The Hesch model of evaluation and treatment is based on contemporary literature and it addresses the most fundamental aspect of SIJ function, which is to act as a shock-absorber and multi-directional force-transducer. Here are some key topics you’ll cover:

● Anatomy and Physiology of the SIJ: Understanding the structure of the sacroiliac joint is essential. You’ll dive into the complex relationship between the spine, pelvis, and legs.
● Causes of SIJD: Learn the root causes of sacroiliac joint dysfunction, from pregnancy to trauma and even arthritis.
● Diagnosis and Assessment: Accurate diagnosis is key. You’ll learn how to identify SIJD using both physical assessments and imaging techniques.
● Treatment Techniques: Discover how to implement various manual therapies, exercise programs, and interventions to manage and treat SIJD.

This comprehensive knowledge base will give you the tools to confidently approach sacroiliac joint dysfunction in your patients.

Why Certification Matters?

Certification isn't just about getting a certificate to hang on your wall. It’s a way to show your patients, colleagues, and employers that you are committed to excellence. A sacroiliac certification gives you a competitive edge, letting others know you have specialized training in treating a condition that is often misunderstood or misdiagnosed.

The Flexibility of an Online Sacroiliac Course

Many healthcare providers have found that taking the Hesch online sacroiliac course is a great option because of its flexibility. Whether you're based in a busy urban clinic or working in a more remote location, online learning allows you to gain access to specialized training that might not be available locally. You can review the material as many times as you need and work through it at your own speed.

If you're ready to take your practice to the next level, earning a sacroiliac certification is a smart move. It will give you the knowledge and skills to effectively diagnose and treat SIJD, offering relief to patients who may have suffered for years without the proper care.

So, why wait? It’s time to master the sacroiliac joint and make a real difference in your patients’ lives. The online courses can be found on the home page of the Hesch Institute home page: www.heschinstitute.com

At Hesch Institute, we provide comprehensive Sacroiliac Joint Treatment, Physical Therapy, Research, and Education. With over 43 years of experience, Dr. Jerry Hesch specializes in sacroiliac joint dysfunction, p***c joint dysfunction, hip, and lumbar s

09/10/2024

Category: Article
Keywords: P***c Joint Pain Treatment, P***c Symphysis Pain Treatment
URL: heschinstitute.com
Authors: Amy Jenner and staff www.digitalguider.com, Jerry Hesch, Hesch Institute

Expert Tips for Managing and Treating P***c Symphysis Dysfunction!

P***c Symphysis Dysfunction (PSD) is a condition that affects the p***c joint, causing discomfort and pain in the pelvic area. This condition is especially common among pregnant women but can also affect athletes and others. It can be caused by blunt trauma such as a fall, an MVA, excessive hormone production during pregnancy, birthing trauma, or repetitive trauma such as sports. P***c joint pain treatment requires a well-rounded approach to help manage the symptoms and improve mobility.

If you’re dealing with PSD, don’t worry!

Here are expert tips to help you treat and manage this uncomfortable condition.

What the Heck Is P***c Symphysis Dysfunction?

First things first—let’s break down what PSD is. The p***c symphysis is a joint located at the front of your pelvis, where the two pelvic bones meet. It’s held together by strong ligaments but can become inflamed, misaligned, or overstretched, leading to pain and discomfort. PSD occurs when the joint moves more than it should, causing the area to become unstable.
Symptoms of PSD include sharp or aching pain in the pelvic region, difficulty walking or standing, turning in bed, going from sit-to-stand, etc. For some, a clicking or grinding sensation may be present. Some people also experience lower back or hip pain.

Get Hands-On Help with the Hesch Method

If home remedies aren’t cutting it, the Hesch Institute can be your lifeline. Dr. Jerry Hesch, MHS, DPT is an expert who has published a 300-page book on the pelvic joints: https://www.amazon.com/Treating-Sacroiliac-Dysfunction-Lumbopelvic-Pathomechanics
Dr. Hesch developed a method of reducing mild to moderate p***c joint displacements and treating laxity. Some clinicians claim to correct the p***c joint by inducing a pop giving the impression that it was "adjusted". Unfortunately, this seldom provides lasting benefit, whereas the Hesch Method utilizes a gentle, small fulcrum to induce a comfortable amount of force in a corrective direction. The secret? The force should be applied for 3 minutes or more. Dr. Hesch is more thorough in the manner in which he evaluates the p***c joint/symphysis p***s. He has discovered several patterns that are not described in the literature, and he has developed effective p***c joint treatment. A good therapist will guide you through specific exercises that target the p***c symphysis and surrounding muscles. They’ll also help improve your posture and gait, which can prevent future flare-ups. Regular physical therapy sessions can significantly speed up your recovery process. Dr. Hesch practices at the Hesch Institute in Aurora, CO. You can find a list of certified practitioners on the Hesch Institute website.

Gentle Exercise

Symphysis p***s dysfunction can be very painful and although exercise is helpful for some, it must be very gentle. A competent clinician who understands the condition can guide you with gentle exercises, including isometrics. Typical core strengthening exercises must be modified and leg lifts in any direction are to be avoided in the acute stage.

Don’t Overdo It

While movement is important, too much activity can worsen your symptoms. The key here is balance. If you’re in severe pain, take short breaks throughout the day. Avoid standing or walking for long periods, and don’t push yourself too hard with exercises. Trust your body’s signals—if something hurts, stop immediately. A balance between activity and rest is important.

Ice and Heat

When it comes to soothing the pain, alternating between ice and heat can work wonders. Ice packs help reduce inflammation, while heat relaxes tense muscles. Apply an ice pack to your pelvic area for 15-20 minutes several times a day, especially after physical activity. Follow up with a heating pad or a warm bath to ease muscle tension.

The Belt Trick

Pelvic support belts can provide much-needed relief for some people. These belts help stabilize your pelvis and reduce movement in the p***c joint. You can wear them throughout the day, especially when you’re walking or standing for long periods. Think of it as giving your pelvis a little extra support during the healing process. A little-known secret is to wear a "sacroiliac belt or trochanter belt low, at the level of the trochanters and p***c joint. This has been studied with two published studies demonstrating the p***c joint will obtain 40% greater compression as does the sacroiliac joint, in comparison to the typical higher position for the sacroiliac.

Radiology

A standard x-ray of the pelvis might show widening of the p***c symphysis. The general thought is that if the width exceeds 2cm then surgical stabilization may be indicated. A person can also present with vertical or rotational instability and sacroiliac instability will co-exist with severe p***c instability. Stork x-rays are used to evaluate vertical stability, in which the patient stands on one leg at a time when the x-ray is taken. A stress x-ray is an x-ray taken while the doctor imparts a physical stress to the pelvis which has been shown to uncover hidden instabilities. Other imaging tests can be valuable. An orthopedic trauma surgeon can prescribe appropriate imaging.

When to See a Doctor?

If your pain is severe or if home remedies don’t seem to be working, it might be time to seek medical advice. In some cases, a healthcare provider may recommend pain relief medications, injections, or other specialized p***c symphysis pain treatment options. Surgery is rare but may be necessary in extreme cases. The surgical specialty that deals with p***c joint instability is an orthopedic trauma surgeon.

Managing and treating P***c Symphysis Dysfunction doesn’t have to be an uphill battle.

If needed, don’t hesitate to reach out to a professional for treatment to ensure a smooth and effective recovery.

Published Medical Articles on Symphysis Pubis/P***c Joint Dysfunction

No article is stand-alone. Therefore, reading several articles is optimal. Here is a link to articles: https://pubmed.ncbi.nlm.nih.gov/?term=symphysis+p***s+instabilityhttps://pubmed.ncbi.nlm.nih.gov/?term=symphysis+p***s+instability
This is a good overview: https://www.sciencedirect.com/science/article/pii/S1015958420303730?via%3Dihubhttps://www.sciencedirect.com/science/article/pii/S1015958420303730?via=ihub

01/10/2024

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