One of the most frequently asked questions I get at Modern Manual Therapy courses is, "How do you explain SIJ dysfunction without using rotation, out of place, etc?
Many clinicians, both novice and experienced are gravitating toward Pain Science Education, but cannot seem to fully commit. This is something you really can't dabble with. Click here to see 5 Outdated Clincial Explanations and Why You Should Not Use Them.
If you use a modern explanation for neck pain, why can you not do the same for the SIJ? Here are steps that Lorimer Moseley suggests that I use to Stop Thought Viruses
- Challenge a concept
- Provide an alternative concept
- Provide evidence for a new concept
In this case you can use a video or education like in this #GetPT1st SIJ video
After you get them thinking, ask them something like
- how much force do you think your PT/Chiro uses?
- is it less than what is required to move the pelvic and tail bones after all other skin/muscles, etc are removed?
- How long does a full body massage last?
- do you think the hour long or more input from a massage lasts longer than a few quick impulses?
One of my final questions is
- if I could show you a way to both assess and treat yourself, so that in many cases, you would not need either myself or any other clinician, would you want to learn that?
Most answer yes, and by then, regardless of the mechanism, most will choose saving $$ and empowerment, probably in that order.
Interested in live cases where I apply this approach and integrate it with pain science, manual therapy, repeated motions, IASTM, with emphasis on patient education? Check out Modern Manual Therapy!
Keeping it Eclectic...