Recall: Diagnosing the Sacrum (Still)

Steps for Treatment:

EASE, COMPRESSION, BARRIER

1. Patient seated. Physician standing behind the patient on the side of rotation.
2. Physician takes operating arm (side of rotation) and wraps arm around the front of the patients shoulder to hold onto opposite shoulder. (Ex: Left Diagonal Sacrum: Physician takes left arm and wraps around front to the right shoulder)
3. Physician takes sensing arm (opposite side of rotation) and places in the sacral sulcus
4. Ease
   • Physician rotates, side bends, AND extends the patient into the ease until the tissues relax (Ex: Left Diagonal Sacrum: rotated left, side bend left, and extended)
5. Compression
   • The physician then introduces a gentle compressive vector toward the PSIS on the side of dysfunction 
6. Barrier
   • While maintaining compression and the physician reverses the diagnosis and rotates, sidebends and flexes the patient into the barrier until sacral release is felt. (Ex: Left Diagonal Sacrum: rotated right, side bend right, and flexed)
7. Release compression and return spine to neutral
8. Reassess