Monika has a right-sided lumbar and hip pain. Seated flexion reveals some resistance to movement in the right lumbar segments, but they are able to move with a little encouragement. Motion palpation of the sacroiliac joints reveals right sided restriction, while motion palpation of the lumbars was clear of restriction.

Anytime there is SI dysfunction, we check the hip as well. Rotation of the hip felt easy and smooth but the right glut max was restricted and adhesive.

Mindful of the connection between the glut max, ipsilateral IT band and contralateral thoracolumbar fascia, we mobilized and released the right glut max and related fascia, and this comprised most of the treatment.

The superficial fascia is so important and needs to be addressed, so we try to remember to work through each layer of fascia and not go straight for the muscle.

Tissue tone and textural assessment is demonstrated.

Adhesions on the iliac crest were found on the external oblique attachment.

Sacroliliac (SI) motion palpation 0:55
Lumbar segmental motion palpation 1:55
Hip joint assessment 2:40
Glut max issue identification and treatment 3:25
Lumbar paraspinal and core muscle assessment and treatment 8:00
Lumbar paraspinal cupping 9:50
Sidelying iliac crest treatment for oblique abdominal 12:09
Importance of hydration and circulation 15:25
Post-treatment assessment 16:00

свернуть