Case 3

Question 1

Diagnose and tx PL 1-5 SP tenderpoint counterstrain

Answer 1

PL1-5 SP inferolateral aspect

Stand contralateral

e-E adduction RA torso and RT pelvis

basically, stick a finger on TP and pick up leg and hold for 90s (EST PAIN SCALE!!)

Question 2

Dx and tx PL1-5 TP tenderpoint with counterstrain

Answer 2

On each transverse process

stand on CL side or same side

E Sa RA torso and RT pelvis

basically, just stick a finger on TP and pic up ASIS (or use knee for leverage)

Question 3

How to diagnose a sacral dysfunction?

(bilateral F)

Answer 3

Forward bending negative

Motion testing inhalation restriction

negative backward bending test

sulcus deep anteriorly bilaterally

ILA post/inf bilaterally

obliques are negative

Question 4

Treat a bilateral flexed sacrum

Answer 4

pt prone

monitor SI joint and ABduct legs

IR legs

MET-with heel of hand apply anteiror superior force to egnage RB

have pt breath deeply and encourage anterior superior motion during inhalation and resist during exhalation

reassess

Question 5

Teach a piriformis stretch

Answer 5

lie down

pull leg over one side toward the other