In the previous article, the editor shared the judgment of sacroiliac joint displacement and its performance on X-ray films during various displacements. Then the editor will share with you the sacral joint displacement. The treatment of iliac joint displacement on the chiropractic press table, I hope that through the editor’s sharing, you can gain some benefits.
three aspects,
< p>ie local, downward and upward effects.
1. Local (pelvic) effects: span>
The displacement of the sacroiliac joint will cause the displacement of the sacrum, which will lead to the dysfunction of the sacral nerve and parasympathetic nerve center (S2-4), resulting in the appearance of pelvic tissues or organs. Functional and/or pathological impairment.
For example, dysmenorrhea, unexplained pelvic pain, impotence, and urinary incontinence.
2. Downward influence (joint chain):
Sacroiliac joint displacement can alter the normal mechanical distribution of the pelvis, causing problems in the hip, knee, leg and foot. For example, compression of the sacral plexus leads to atrophy of the muscles, tendons and ligaments of the foot, causing the arch of the foot to collapse, producing a range of symptoms. When we correct the sacroiliac joint, these atrophied tendons and ligaments cannot be restored immediately, and orthopedic insole is needed to correct the deformed arch. This is the intersection of chiropractic and orthopedic insole technology.
3. Upward influence (joint chain):
The displacement of the sacroiliac joint will cause the displacement of the sacrum, resulting in the rotation and inclination of the 5th lumbar vertebra above it. ) changes, affects the intervertebral disc or intervertebral foramen, and compresses the spinal nerves to produce symptoms. These compensatory displaced vertebral bodies can be transformed into new primary displaced vertebral bodies over time, which gradually spread upward, and finally develop to the thoracic spine, cervical spine and even the skull. The patient may experience pain all over the body, and most medical staff lack understanding of the disease. During the physical examination, all organs except the spine were examined. There are quite a few such patients, who travel between major hospitals all the year round, and even wear the hat of “neurosis” and “menopause syndrome”, and the treatment results can be imagined. In conclusion, the impact of sacroiliac joint displacement or pelvic rotation is very extensive and serious. Correction of the pelvis is by no means an optional technique.
Patients generally take the prone position when correcting sacroiliac joint displacement on the chiropractic press table as shown in the figure below. The patient is relaxed and naturally prone on the chiropractic press bed, his legs are side by side and his feet hang down naturally at the back, both upper limbs are naturally placed on the armrests on both sides, and the front of the face is centered down on the center of the neck compression device.
The healer stood on the side of the chiropractic press with one hand The bone is fixed on the contact point, and the lenticule of the other hand is placed on it to be completely locked in its vertical coincidence, and then the direction of force application is determined according to its displacement.
1
ilia Correction of anterior-upward displacement (AS) of the bone relative to the sacrum
patient lying prone on chiropractic Press down on the bed.
contact points (CP): the midpoint of the sacroiliac joint, on the sacrum on the medial side of the posterior superior iliac spine.
Line of drive (LOD): Forward.
2
Correction of Posterior Inferiority (PI) of Ilium Relative to Sacrum
The patient lies prone on a chiropractic press.
contact points (CP): below the posterior superior iliac spine.
Line of drive (LOD): forward, upward.
3
Correction of inward displacement of the ilium relative to the sacrum (In) span>
The patient lay prone on the chiropractic press.
contact points (contact points, CP): the midpoint of the sacroiliac joint, on the sacrum on the medial side of the posterior superior iliac spine.
Line of drive (LOD): Forward.
4
Correction of external displacement of the ilium relative to the sacrum (Ex) span>
The patient lay prone on the chiropractic press.
contact points (CP): the lateral border of the posterior superior iliac spine.
Line of drive (LOD): Inward.
5
The ilium is anterior and superior relative to the sacrum Correction of internal displacement (ASIn)
The patient was placed prone on a chiropractic press.
contact points (CP): the midpoint of the sacroiliac joint, on the sacrum on the medial side of the posterior superior iliac spine.
Line of drive (LOD): Forward.
6
iliac relative to sacrum Correction of anterior-upward-outward displacement (ASEx)
The patient lies prone on a chiropractic press.
1. Contact points (CP): the midpoint of the sacroiliac joint, on the sacrum on the medial side of the posterior superior iliac spine. When it is dominated by forward and upward shift (AS).
Line of drive (LOD): Forward.
2. Contact points (CP): above the posterior superior iliac spine. When the outward shift (Ex) is the main de.
Line of drive (LOD): down, inward. The subdivision of the direction depends on the magnitude of the value following ASEx.
7
Posterior inferior and medial displacement of the ilium relative to the sacrum (PIIn) Correction of
The patient lies prone on the chiropractic press.
1. Contact points (CP): the midpoint of the sacroiliac joint, on the sacrum on the medial side of the posterior superior iliac spine. When the inward shift (In) is the main factor.
Line of drive (LOD): Forward.
2. Contact points (CP): medial and inferior of the posterior superior iliac spine. When the backward shift (PI) is the main method.
Line of drive (LOD): forward, upward, outward. The subdivision of the direction depends on the size of the value after PIIn.
8
Correction of Posterior Inferior External Displacement of Ilium Relative to Sacrum (PIEx)< /span>
The patient lies prone on the chiropractic press.
contact points (CP): lateral and inferior to the posterior superior iliac spine.
Line of drive (LOD): forward, upward, inward.
The above is the treatment method on the chiropractic press bed when the sacroiliac joint is displaced. The method is simple and easy to learn and easy to use. strength and high safety factor. Later, we will also introduce some reduction techniques for sacroiliac joint displacement on the common treatment table.
Equipment
EQUIPMENT
This equipment adopts a multi-stage and multi-position bed design, with the lower limb swing traction function and sliding pressure device, which is helpful for the operator to complete massage, Manipulative therapy such as spine and joint loosening can improve the efficiency of treatment and enhance the effect of treatment. It is an indispensable tool in clinical work.
Electric Multifunctional Physiotherapy Bed