do this first, before other manips
raise distal 2 inches - mild BB of low back - this levers the sacral base posteriorly
support shins for knee flexion
side-shift right - makes left SIJ malleable
left asis floated on wedge braced against the left acetabulum and femoral head
operator on right of patient
operator hypothenar against medial PSIS
displace psis laterally toward contralateral side, thus gaping the posterior ilisacral joint
antero-superior push by operator, directed along the line of the iliac crest
this gives us a left posterior SIJ,
that can then be corrected by:
raised legs lever the iliac crest anteriorly
operator right hypothenar directed antero-inferior,
pushing the sacral base anteriorly into neutral
Saturday, August 7, 2010
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