Sacrum and pelvis Flashcards
which sacral SD have an axis
torsions
how does L5 behave in relation to sacrum
L5 rotates opp of sacrum
L5 sidebends towards oblique axis
oblique axis is opp side of + seated flexion test
where do PAN some form in lower 1/3 abdomen and pelvic cavity
pelvic splanchnic nn from S2-4
Where are the firm osseus connections of dura mater to bones
2nd and 3rd cervical vertebrae, 2nd sacral segment and coccyx
what is the order for Tx of sacrum
asses pelvis pubes and sacrum
treat area of greatest restriction
treat pubic bones and innominates before sacrum
treat b/l sacral flexion/extension dysnfunctions
treat unilateral sacral shear
treat sacral torsions
where are the posterior sacrum tenderpoints S1-5
median crest centrally or b/l
hwo do you treat S1-5 tenderpoints
gentle anterior pressure on opposite part of sacrum from TP, attempt to bring base and apex together
how does sacrum move with inhalation and exhalation
sacral flexion with exhalation
sacral extention with inhalation
what is order of Tx for pelvis
area of greatest restriciton pubic bone innominate shears innominate flares innominate rotations
where is L1 tenderpoint
medial to ASIS
where is L2 tenderpoint
medial to AIIS
where is L3 TP
lateral to AIIS
where is L4 TP
inferior to AIIS
where is L5 TP
anterior pubic symphysis
how do you CS TP L1-L5
supine, hips in flexion, rotation and sidebending as needed
use obliques and rectus abdominis and iliacus
what TP are located on spinous processes of lumbar and posterior transverse
Post lumbar 1-5
what TP is located superior lateral surface of pubic bone
inguinal lig
how do you CS inguinal lig TP
legs flexed 90, adduction and internal rotation femur using pectinius
where is TP for low ilium
lateral ramus of anteiror surface pubic bone
how do you CS TP of low ilium
affect leg side flexed to 90 and absuction, usuing psoas
where is the TP for high ilium SI
4-5 cm lateral to psis
how do you CS TP for high ilium SI
extend affected leg and add slight ABduction of thigh
usuing glut maximus
where is TP for midpole SI
3-4 cm ingerior to PSIS over SI joint
how do you CS TP for midpole SI
slight flexion of affected leg with ABduction and external rotation using glut maximus
