Manual medicine of the hip and pelvis

Do not forget to treat sacroiliac joint and the lumbar spine. The supine direct articulatory technique for the lumbar spine is a quick, easy, and very low risk treatment. The six muscle groups of the pelvis are the adductors, abductors, external rotators, internal rotators, extensors, and flexors. Always look for a restriction of motion as a potential cause for the discomfort. Somatic dysfunction is impaired or altered the function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures; and related vascular, lymphatic, and neural elements. Somatic dysfunction is found in areas where TART exists. (TART: tissue texture changes, asymmetry, restriction in motion, and tenderness) The minor motions, not the major motions, usually become restricted when somatic dysfunction occurs.