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 patient’s shoulder to hold onto opposite shoulder. (Ex: Left Rotated Sacrum: Physician takes left arm and wraps around the front to the right shoulder)
3. Physician takes sensing arm (opposite side of rotation) and places in the sacral sulcus
4. Ease
   • Physician rotates the patient’s shoulder on the same side of rotation into the ease and posterior until the tissues relax (Ex: Left Rotated Sacrum: rotated left and posterior)
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 rotates the patient shoulder anterior and into the barrier until sacral release is felt. (Ex: Left Rotated Sacrum: rotated right and anterior)
7. Release compression and return spine to neutral
8. Reassess