Recall Diagnosing the Sacrum

Steps for Treatment:

1. Patient is prone, in sphinx position 
2. Monitor the sacral sulci with one finger in each sulci 
3. ABduct and internally rotate both hips until motion is felt at the sacral sulcus.
4. Place heel of palm of the cephalad hand on left and right sacral Sulci (or index and middle finger) and reinforce it with the caudad hand on top 
5. Tell patient to inhale and exhale deeply.  Increase anterior pressure while patient exhales.
6. Maintain pressure during inhalation (resist sacral extension)
7. Repeat 5-7 times and end with a passive stretch
8. Reassess

Video Tutorial: