Pain Along One Side of the Sacrum – Massage Therapy Notes

Therapist Notes include:
Anatomy review,
Syndromes and Conditions,
Assessment notes,
Treatment Preparation,
NMT protocols and more…

Start by Understanding the Anatomy.
About the coloring of the illustrations…

Multifidi and rotatores are interspinous muscles that manage tension and balance between vertebrae.

Release of the lumbosacral joint relieves this trigger point.

Specifically, the sacrum is posterior on the side of pain. Gentle sustained anterior pressure with slight inferior traction will cause the sacrum to shift and the swelling and tenderness to release immediately. I’ve demonstrated this many times in classes to the surprise of students who struggle with this release.

Pelvic balancing to prevent this from shifting back is helpful.

This protocol releases the iliolumbar ligament and the surrounding tissues that support the problematic lumbosacral joint.

This is the classic protocol for the sacroiliac ligament, which addresses the trigger points on the posterior sacral sulcus. It also tends to free the sacrum on this side, which releases the underlying joint restriction.

These self-care recommendations can be essential in offering relief and stabilizing this area.

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Weekly Featured Post

This patient had recovered from a frozen shoulder but developed shoulder pain at the end of his golf swing. More traditional neuromuscular techniques weren’t working. The chiropractic wasn’t working. Integrative Craniosacral was the right solution for lasting relief.

Tony Preston has a practice in Atlanta, Georgia where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.

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