When The Driver Is Not The Pelvis

Published: April 11, 2024, 8 a.m.

In this episode, we discuss the case of a very active woman grappling with SI (sacroiliac) joint pain. These symptoms manifest while walking and with hip external rotation.\xa0

Furthermore, the episode unravels the complexities surrounding assessments, especially when individuals seek consultation for a single visit. We also delve into why and when using a pelvic belt is helpful.\xa0

Also, for the non-pelvic health therapists out there, we discuss how you can palpate relevant muscles externally to further confirm or negate your hypothesis as to whether the pelvis is a driver. This patient had an extensive medical and surgical history.\xa0

We also discuss certain aspects of her history that are very relevant for treatment. When someone has had 3 C-sections, an abdominoplasty, breast reconstruction, and more, do you think that the pelvis is the main driver?\xa0

Think again if you do.\xa0

Remember, we are a product of our compensations and adaptations to prior injuries and surgeries.

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A glance at this episode:

  • [4:04] Pelvic girdle pain and nerve damage

  • [7:55] Patient's medical history and treatment options

  • [12:17] Pelvic girdle dysfunction and its impact on gait

  • [18:48] Pelvic health issues and scoliosis

  • [22:15] Patient's medical history and potential causes of pain

  • [26:23] Treating chronic pain and imbalance in a patient with a history of abdominal surgeries and scoliosis

  • [32:22] Pelvic floor assessment and treatment

  • [36:43] Treating chronic pain in a patient with complex history

  • [41:26] Pelvic health and its impact on overall body function

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Related links:

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