Recall Diagnosing the Sacrum

Steps for Treatment:

1. Patient starts in prone position with arms hanging off the sides of the table.
2. Doctor is standing at the same side of the table as the dysfunction. 
3. Monitor Sacral Sulcus 
4. ABduct and internally rotate the ipsilateral hip until motion is felt at the sacral sulcus.
   • Be sure to keep monitoring the sacral sulcus as you move the hip into this position!
   • Purpose: To gap and loosen the SI joint, allowing the sacrum to return to neutral 
5. Place heel of the caudal hand is on the dysfunctional ILA with the fingers in the sacral sulcus.
6. Apply a constant cephalad and anterior force (towards the table)
7. Increase pressure as the patient inhales each time
8. Maintain current pressure as the patient exhales
9. Repeat 5-7 times and end with a passive stretch
10. Reassess

In the example pictured above the doctor is treating left unilateral sacral flexion dysfunction

Video Tutorial: