Therapist Notes – Pain Along One Side of the Sacrum

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

Effective relief starts with an understanding of 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.



This site is undergoing changes. Starting in early 2020, we began changing the format of the posts to include more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We’d love your feedback. We are adding posts and converting the old posts as quickly as time permits.


Weekly Featured Post

Is the pain from
degenerative discs or
trigger points in the muscle?

This post discusses the differences in pain from disc problems and pain from trigger points. Who should you see to help with your pain?

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.

Question? Comment? Typo?
IntegrativeWorks.com
(404) 226-1363
integrativeworks@gmail.com

*This site is undergoing major changes. We are reformatting and expanding the posts to make it easier to read, more accessible, and
to include more patterns with better self-care. In the meanwhile, there will be inconsistency in formatting, content, and readability until we get the old posts updated. Please excuse our mess.