Pelvic Girdle Mobility Deficits
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Various pathoanatomic and/or kinesiopathologic reasons exist for unilateral lower back/buttock pain; however, if a patient presents to clinic after sustaining a fall onto the buttock, abrupt misstep on a straight leg, or becoming pregnant, the sacroiliac joint (SIJ) may be the culprit! For more clinical findings click here!
Anatomy
Image via Complete Anatomy by 3D4 Medical
Key Finding
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Assessment of pelvic girdle alignment can help the clinician discover obliquities, which may be contributing to patient symptomology. (Click image to watch 1-2 minute video)
Special Test
The posterior pelvic pain provocation test (P4) is part of a cluster of examinations that can help the clinician rule in or rule out SIJ pathology! (Click image to watch 1-2 minute video)
Treatment
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If hypomobility of the SIJ is a contributing factor to patient symptomology, regional manipulation can help improve mobility and potentially stimulate under-active musculature while gaiting pain! (Click image to watch 1-2 minute video)
Therapeutic Exercise
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After optimal pelvic alignment has been attained, it is important to promote continued stability via force closure utilizing muscles such has the hip abductors and adductors! (Click image to watch 1-2 minute video)
