Preview a technique from the book - Lower Back Category I

(Please note that the diagrams are black & white in the book - A book with full colour diagrams would cost about 325/book)

Lower Back Category I

Useful for

Low back pain, Screening test.

Part of the Pelvis

Figure 411 Pelvis

Figure 411 PelvisCoccyx - the fused bones at the end of the sacrum.

Iliac crest - The superior border of the ilium.
Ilium - The uppermost and widest of the three sections of the hipbone.
Ischial tuberosity - the bony part which may hurt someone's leg if you sit on their lap.
Ischium - One of the three sections of the hipbone situated below the ilium.
Obturator foramen - This is the largest foramen in the body (opening for the passage of vessels or nerves.
Pubic symphysis - Where the hip bones are joined at the front.
Sacroiliac joint - The joint where the sacrum and ilium meet.
Sacrum - The large wedge-shaped bone, consisting of five fused vertebrae, in the lower part of the back.

Background

A category I is when the hips have torqued at the sacroiliac joint (Figure 411). A category I is usually the last lower back problem to be fixed. If this is okay then the pelvis is probably okay.

Category I is the short cut for the entire pelvis, covering everything from L1 to the coccyx. If they have back pain but category I does not show by therapy localisation then it needs to be checked by challenging.There are two lesions. That's why it only shows with two hands. If the sacrum does not therapy localise then challenge the sacrum by moving the ilium and ischium at the same time. It may not be a priority at the time of testing so check it again later.

Pre-Test

Make sure the client does not have a folic acid deficiency because that is a "double" therapy localisation test.

Test by 1

The client lies face down.
Figure 412 Lower Back Category I - Test 1
Figure 412 Lower Back Category I - Test 1

The client places two hands on the Sacro Iliac Joint. It must be a two handed test because category I is a double lesion. Both sides of the pelvis are torqued. Test the SIM. If it tests as weak, check for priority.If pinch test shows up on Category I then try shock absorbers, lumbar imbrication, and lumbar compaction.

Test by 2

Figure 413 Lower Back Category I - Test 2
Figure 413 Lower Back Category I - Test 2

Have the client place their hands behind their back, palms together and thumb down. Put the thumb into the top of the sacrum and test the SIM.

Treatment

Find out which side is weak. Use both hands to therapy localise the left side of the hip and then the right side of the hip, each time by moving both hands a few inches off the centre line.The involved side is the side which changed the indicator. Do not treat on the involved side.

Place blocks under one hip and under the opposite thigh. While the client's hands therapy localise on the side which tested as weak, test the SIM. If the SIM does not change state, place the blocks under the opposite hip and thigh and test the SIM. Leave the blocks in place once the SIM tests as strong.Then push very gently on the psis (posterior superior iliac spine) or ischium on the side opposite the therapy localization. Do this for 5 to 10 times and retest. Continue as necessary.

Example

Figure 414 Lower Back Category I - Weak on right
Figure 414 Lower Back Category I - Weak on right

When the client places the hands on the right side of the sacrum and the SIM tests as weak, the correction will be on the left hand side

Figure 415 Lower Back Category I - Block 1
Figure 415 Lower Back Category I - Block 1

Place the blocks under the top of the left hip, and under right thigh. Check to see if the SIM tests as strong.

Figure 416 Lower Back Category I - Block 2

Figure 416 Lower Back Category I - Block 2

Place the blocks under the top of the right hip, and under left thigh. Check to see if the SIM tests as strong.

Figure 417 Lower Back Category I - Fix

Figure 417 Lower Back Category I - Fix

If this combination makes the SIM go strong, leave the blocks in place and press down on the left psis.

Also see

Folic Acid, Lumbar Compaction, Lumbar Imbrication, Pinch Test, Shock Absorbers.

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