I'm an osteopathic medical student and would like to thank you for your explanations. I love your detailed explanations of the anatomical mechanics that lay the foundation for the techniques. Excellent addition to my studies, thank you!
It looks like what we call Post Isometric Relaxation (PIR). A lot of work for the practitioner but, in my opinion, the corrections last longer for the patient when compared to High Velocity Maneuvers.
Thank you very much for sharing - could I ask why PIR tends to work a lot better than High Velocity Maneuvers? I feel like if I can understand how PIR works and think about that concept every time I do the exercise, then the movement will be more effective.
@@cuihaoify With PIR (or similar) you can achieve a very effective muscle elongation. Since muscles support joints it serves the structure well when the tensions placed across that joint are balanced. If a muscle is hypertonic, or protecting, the joint it spans will suffer. Sometimes the amount of dysfunction the muscle is causing is interpreted by the physician as "needing or benefiting" an HVLA maneuver. While this may be true and possibly beneficial, the manifulation is not generally held well by the body (muscles) unless it is supported with stretching and ideally, exercises. This idea applies very well to chronic conditions, and less so for acute, although both are served well by it. The stretching provided by PIR is very low impact yet surprisingly effective and can be used with discographies like lombago. Think of a magic 30 second window, after the gentle isometric contraction, where the muscle is gently tricked into thinking it belongs to be longer. This happens during a slow easy stretch during which the patient exhales and rolls the eyes upward. The muscle is fooled into relaxing.
Hello, perfect, safe and effective therapy but I was wondering which tests do you use for differential diagnosis, to determine if it is indeed the left innominate anterior rotation and not the right innominate posterior rotation? Thank you
I have had this done and feels great however it continues to go back; what exercises in the gym or with activities would cause this to rotate back anteriorly. Wondering if I am doing something I shouldn't be doing as this is a chronic situation for years. And are there exercises that would strengthen and prevent this
if the ASIS is infeior and PSIS is superior, the innominate is anterior rotated, shouldnt we activate the quads and hip flexor on that side to correct it? why are we activating the hams and glutes, that would make it more anteriorly rotated no? please explain, im always confused on these
Hi Johnnie, the technique is isometric contraction initially so won't change position - I use the hamstrings and glutes as will relax the opposite muscles (Quads) through RI - which is an alternative MET method. It is the positioning of the pelvis passively after the contraction by the therapist that is the most important, regards JG
I'm trying to find someone in SoCal too! Couldn't find any Osteopath physicians who is educated enough to perform these MET techniques. Currently trying a chiropractor who has experience in dealing with patients with SI problems
Hello doctor..... In anterior innominate dysfunction the reason behind is tight quads... And you are targeting hamstring to release by MET... PLZ CLARIFY
i have many therapists from the US attained the online courses and have no problem, my courses are in the process of being accredited in the US, regards JG
Hello John. Do you treat unilateral flexed sacrum? Sorry but couldn't find a video of your treatment method or assessment. Thank you for considering. Have a good day.
I dont have a video on that one, however a R-ON-R and a L-ON-L sacral torsion treatment would help as that is a forward nutation sacrum on one side. regards JG
Hey boss please take a moment to help me, I went to my physical therapist cuz I’ve had right hamstring origin tendinosis and after 3 years now I have pain on my left hip, knee and foot and this is what he told me: To start, you have a left posteriorly rotated innominate which indicates the left hip “stuck” backwards in essence. This can in many cases and in your case cause the right hip to be pulled forward or “locked short.” This creates a neurological lengthening of your right hamstring. (Explains why you are chronically re-injuring your right hamstring). You do show evidence of chronic right hamstring re-injury which was felt with the Graston Instrument in comparison to your left hamstring (that grindy sensation you felt like sand paper). Now continuing from your foot/ankle on: looking at both of your feet, you have a depressed or lower arch on your right with a significantly higher arch on your left. (Can that be from birth or positional over the years? We may not know). This is why you place a TON of your weight in the outer part of your left foot. This creates a lengthening of the muscles on the outside of your ankle and a shortening of the inner. This also explains why you have more pain on the outer side of your ankle or chronically sprain it (inversion sprains). Now following the leg up: due to the position of your foot, your tibia is rotated in to compensate for the ankle which is why you are experiencing inner knee pain on the left leg which combined with your muscular compensations has created a locked short or TIGHT ITB (iliotibial band) on the outer part of your left leg. Constant tightness/tension on that ITB with weak gluteal musculature has created tension/tightness of your adductors or inner groin area and a positive test for bursitis on the left side of the leg.....do I need to stretch my right quad, psoas and adductors?
Your situation (like most peoples) is more complicated than you probably realize and there's not enough information (even though you were detailed) to answer your question. You need to see an OMT practicing osteopath OR a PT trained in osteopathy. Ask those professionals to name 1-2 major muscles/muscle groups that need strengthening and / or lengthening in each of 3 planes. That'll get ya started in the right direction. For example: A chronic upslip will screw up all your gait mechanics, cause issues up and down the chain ect.. combine that with sacral torison, or inominate dysfunction and you can see how complicated it gets really fast. As far as a generalized routine that''ll address most things I would suggest most anything by the "kneesovertoesguy" (Ben Patrick) here on you tube. Ben Patrick is a pioneer. Good luck!!!
Hi , I apriciate any answer or help. I have some of this issues but i`m not sure what specific. My problem started when lift and twist and something is pope since than i have problems. I think that is on right side , mu right glute max and obliques are inhibited , and have discomfort on left side. I have restriction on right leg extension. Any sugest . Thanx in advance!
@@JohnGibbons just one more question , is it possible to have this issue (outflare or inflare) And when running full sprint , or climbing upstairs by two step to 30th fllor , have no discomfort or pain at all ? ? ?
I suffered with 15 years of SI pain. PT helped for short periods of time but was not resolved until I was riding my road bike and slipped off of the pedal on the painful side forcefully. This caused quite intense pain for several days but healed and I now have no pain. Could this have been an adhesion that was torn away? It is academic now, but I would not be watching your video with an academic curiosity.
To lengthen the rectus femoris, adductors and the psoas and to strengthen the gluteus maximus might help maintain the position. Hope that helps. Regards JG
John I am in Sacramento ca and I have had this done to me ten years ago and it saved my life. I have since had horrible pain and it is exactly the same as it used to be. My pt that was in Fresno is no longer in the state and I have got to 15-20 chrios, osteopath, pt and no one will do this which I need. Is there anyone in Sacramento you can recommend?
Bodyworker... not osteopath...asking. How does this change when s.i. joint is fused ass in a case of a.s.? Or a case of retrolastethsis at L4 level? What are other considerations?
If someone had Chronic AS or an issue with L4 or L5 then realistically there is real point in performing this particular technique (even though it is still a greta mob for the other areas) as the SIJ has probably fused, better off mobilising the Hips as that can help. Regards JG
Hard to self correct this type of pelvis dysfunction - a therapist who is trained in these techniques is the best person to correct the dysfunction, regards JG
Great video, thanks. Following an accident, my hips have not just twisted in one direction but two. My left thigh is further forward as I look down from a standing position, and also the left hip is higher as I look in the mirror (which makes the right leg seem shorter, and my right shoulder higher). I am trying to correct this, but want to know if you recommend chiropractic blocks? One other question: if I lye on my back, my right leg falls to one side. Anything I find on this topic talks about both feet falling out ("duck feet") and this being from birth. I was fine beforehand, and like I said, only the right side flops outwards (from the hip), and only when I'm lying on my back. I'm assuming the leg falling out is part of the hips being twisted, so should I concentrate only on the hips rather than the hips & the leg?
Hi, I have a killing pain that is coming from this joint. I have been suffering for years now. Thinking of having the injection for it. Can you please tell me your opinion about it ?!
John Gibbons Really thank you so much, I went to an osteopath four days ago, and I’m way better than before. I’m still having more sessions with him. Thank you so much you put me on the right path . I highly appreciate it 👍👍
I was just diagnosed with osteitis condensed ilium, can a chiropractor help? I'm really unsure what to do, I have been in so much pain and unable to walk very far after having my baby 5 months ago
I have a shorter leg on the right side with has a lack of Internal rotation on that side also a smaller size glute but the leg Is always likes to fall In external rotaion when lying down? My left leg though Is the long leg but the hip Is also higher on this side? My guess would be It Is a anteriour and posterior functional problem? Please reply thankyou
I dont understand, if the left is anterior i thought self met is used to relax the the tight agonists which would be the iliopsoas So why are you having her do hip extension?
This is a technique that utilizes the origin of the hamstring and glutes to mobilize the anteriorly rotated innominate into a more posterior rotation. There are many different applications for muscle energy aside from decreasing muscle tension alone.
Sir I fell on my right butt can you please tell me which type of rotation it is so that is can do exercises according to it I cannot go to doctor right now PLEASE HELP ME SIR
@@JohnGibbons sir I had less pain 3 weeks ago when I fell . But then yesterday I did the knee to the chest exercise and then after this exercise my pain got even worse PLEASE tell me sir how to I undo the exercise is did the knee to the chest one plz sir help me I cant go out to a doctor
I’ve been in pain for 18 years from si joint pain now disabled. I’m wasting away because of it I feel as though it’s in the wrong position. Problem is I see a chiro but next day what they do just comes out. I have loose body and nothing seems to make it stay in place. I don’t know what to do I’m almost so desperate I’m going to get fusion soon I’m getting injections help pls.
John Gibbons Sure but can’t wear that rest of my life. I need to work and get on with life. I’m desperate I’m just gonna have these few surgeries and hope it the best. 😏
@@daniellemccarter5706 try the best like john or his recommendation on a therapist good with the sacrum. Try it before you go for surgery. U wont loose anything seeing a good therapust who understands the issue and knows how to correct it. Chiropractors aren't the best for alignment. They're just good at taking the pressure off the nerves in the spine
I can't figure out what my problem is perhaps you can help; left hip appears lower than the right (horizontally); bursitis in left gluteal area, extreme tightness in psoas, piriforis, left adductor is also tight. I previously had symphysis as well but that has reduced with massage and cupping treatment. The pain radiates up on the left side of torso sometimes all the way up to the arm. Could you guide me as to which of your videos I should use?
you sound like you have at least posterior pelvis tilt, if you wish to correct it permanently, and to keep it simple, strengthen you lower back for its weak, start doing sets, and you would stretch your tight spoas, its science, you strengthen the weak muscules and strengthen the tight one, now the personal thing, as for you to do it!
Hi John, thank you for great techniques. How about if patients had a hip replacement in the past , can I still use this technique/ MET ? Thank you. Cristina
Hi Cristina, hope all is well and you should attend another course wth me in 2017 as be great to see you again. Regarding your question - if they have had a hip replacement a few months ago and full or near full flexion of the hip is possible then this technique will be ok to perform on your patient. If in doubt then mobilise the innominate bone posteriorly rather than use the hip as a lever. Happy New year to you. JG
I've known for quite sometime that my left leg is shorter than the right but didn't give it much attention. To stand straight, I have to lift the left heel a bit. I have pain on my left leg since Monday . Any ideas on what this is ? also, does it affect butt cheeks? because my left butt cheek is way smaller than the right and its very noticeable..
Thanks for the message and I would try and see someone like me where you live because it is really hard to comment without looking at you, I wish you the best, Regards JG
Would the symptoms of this dysfunction cause alternating buttock pain? Im seeing an Osteopath who carried out a manoeuvre on my right SI Joint which alleviated pain almost immediately until the next day, however the pain has increased on the opposite side and continues to swap sides daily. Any idea why that might be?
Hard to say without looking at you, typically the symptoms of a dysfunctional (restricted) SIJ could cause increased mobility to the opposite side and subsequent pain, so a problem on the right - the pain is on the left! Hope that helps...regardS JG
John Gibbons thanks so much for the reply. I’m going to carry on with current Osteo for a few weeks but if that doesn’t work I’m coming to see you!! After over a year of not being able to sit down, having to give up doing all the sports I love. Pain that swaps sides almost on a daily basis. I gotta fix this beast!! Xx
How does onself determine where the anominate is rotated or in dysfunction ? Glute max weakness causes it to rotate in which direction ? Hamstring weakness causes... ?
thank you john.....I tried many exercises...ultimately I feel better after correcting the left on left sacral tortion.....but after resting for long in night the pain comes again back a bit but diminishes slowly during day......
It is hard to comment without looking at you, if you feel better if you slept in another bed then maybe it is your mattress that might be part of the causative factor. Regards JG
is it possible to have this issue (outflare or inflare) And when running full sprint , or climbing upstairs by two step to 30th fllor , have no discomfort or pain at all ? ? ?
Anterior rotation causes the leg to appear longer. Also in seated position the cresta illiaca is higher. The SIAS will be lower on that side. When in doubt use the flexion test and the Downing test.
I see a trend of Chiropractors and Therapists showing stuff across youtube with flamingly hot "patients". I guess sex sells in every aspect. Video was very informative, though.
Hello, I just watched your video and wonder if you can give me some advice. I am seeing a Physical therapist and on the day she discharged me this past Wednesday, she did a Muscle energy thrust to my iliac area stating i had a longer leg ( pretty much what you did in this video but she was much more aggressive in the second part in which she moved my leg forward). Now I am in a lot of pain and can feel the joint area near my trochanter/butt and it feels very weird, stiff and aching when I sit, lay and walk. she said she didn't do anything major but would this pain be normal--should i be concerned or it this typical? I'm not sure what to do and read about the bursae nearby the trochanter and wonder if these were affected due to the motions. previously in my therapy i only did stretches with my pt and nothing like this so i am very concerned. i don't know if i should go back to see her or see another doctor since she wasn't concerned. thank you for your feedback.
Thanks for the message and its hard to comment without seeing the technique they performed but what i show is pretty gentle as a simple contract relax technique (MET) and if they did a similar one then you shouldn't be in any pain....only Osteopaths and Chiropractors should be manipulating so I doubt they manipulated the innominate unless they are trained appropriately. Most things settle down so hopefully you will be fine in a few days, regards JG
Hello John, thank you so much for your reply, I really appreciate you taking the time to answer me. Unfortunately, it has been over a week since this manipulation was done and I am still having a very strange tight, pinched sensation. The PT said I have an SI joint inflammation, though I never had any butt pain previous to her manipulation. She won't help me any further and I am hoping it will go away, though I am nervous that she said she rotated my iliac bone and I wonder if that was even necessary since I was being discharged and now my pain level is at a 6 and I cannot sit down or walk without constant pain. Again, thank you for your response.
I am sure the therapist was naturally trying to help you but sometimes we can irritate the tissues depending on what techniques are chosen and manipulations (by their nature) can be performed a little forceful by some and then the patient can feel discomfort for a few days....I am sure there is nothing to worry about. Regards JG
I'm an osteopathic medical student and would like to thank you for your explanations. I love your detailed explanations of the anatomical mechanics that lay the foundation for the techniques. Excellent addition to my studies, thank you!
jlane0788 thanks for the lovely comments, regards JG
jlane02020
@@JohnGibbons rkdrkekkesekeeo3oeoi3eiei3i3i33
Absolutely brilliant John a really good gentle non HVT away to correct the discrepancy. Amazing as always
Thanks for the lovely comments, regards JG
Amazing videos John - the very best available by a mile.
Thats very kind, thank you, regards JG
Surfcoast Therapeutic Massage & Training Torquay 9
Waiting eagerly for your workshop in India !
Wont be for a while thought regards JG
I wish my teacher used these as her examples
It looks like what we call Post Isometric Relaxation (PIR). A lot of work for the practitioner but, in my opinion, the corrections last longer for the patient when compared to High Velocity Maneuvers.
Hi and yes it is a PIR technique of muscle energy as I find it works very well, thanks for the comments. regards JG
ة
Thank you very much for sharing - could I ask why PIR tends to work a lot better than High Velocity Maneuvers? I feel like if I can understand how PIR works and think about that concept every time I do the exercise, then the movement will be more effective.
@@cuihaoify With PIR (or similar) you can achieve a very effective muscle elongation. Since muscles support joints it serves the structure well when the tensions placed across that joint are balanced.
If a muscle is hypertonic, or protecting, the joint it spans will suffer. Sometimes the amount of dysfunction the muscle is causing is interpreted by the physician as "needing or benefiting" an HVLA maneuver. While this may be true and possibly beneficial, the manifulation is not generally held well by the body (muscles) unless it is supported with stretching and ideally, exercises. This idea applies very well to chronic conditions, and less so for acute, although both are served well by it.
The stretching provided by PIR is very low impact yet surprisingly effective and can be used with discographies like lombago.
Think of a magic 30 second window, after the gentle isometric contraction, where the muscle is gently tricked into thinking it belongs to be longer. This happens during a slow easy stretch during which the patient exhales and rolls the eyes upward. The muscle is fooled into relaxing.
i know I'm kinda randomly asking but does anyone know a good website to stream new series online?
Is it "must" to be painfull climbing stairs (50 floor) and sigle leg squat , with any SI JOINT problem ??? Thanx
The SIJ can be painful for sure, regards JG
Hello,
perfect, safe and effective therapy but I was wondering which tests do you use for differential diagnosis, to determine if it is indeed the left innominate anterior rotation and not the right innominate posterior rotation?
Thank you
Have a look at my pelvis book I wrote as all in there - regards JG
@@JohnGibbons thank you :)
C'est formidable monsieur du Maroc
Very kind, regards JG
I have had this done and feels great however it continues to go back; what exercises in the gym or with activities would cause this to rotate back anteriorly. Wondering if I am doing something I shouldn't be doing as this is a chronic situation for years. And are there exercises that would strengthen and prevent this
There are lots of exercises you could do but hard to explain over a text - regards JG
how to do self correction if no one can help? if possible, please make video. thank you in advanced
Difficult to self correct so you would need some assistance - regards JG
Thank you so much sir.👍💐
Thanks for the message, regards JG
if the ASIS is infeior and PSIS is superior, the innominate is anterior rotated, shouldnt we activate the quads and hip flexor on that side to correct it? why are we activating the hams and glutes, that would make it more anteriorly rotated no? please explain, im always confused on these
Hi Johnnie, the technique is isometric contraction initially so won't change position - I use the hamstrings and glutes as will relax the opposite muscles (Quads) through RI - which is an alternative MET method. It is the positioning of the pelvis passively after the contraction by the therapist that is the most important, regards JG
@@JohnGibbons thanks for the explanation
Man, I wish you were in SoCal. Still trying to find someone who will do this properly.
I'm trying to find someone in SoCal too! Couldn't find any Osteopath physicians who is educated enough to perform these MET techniques. Currently trying a chiropractor who has experience in dealing with patients with SI problems
Sir can we do this for post THR patient
Be careful as it does involve a lot of hip flexion so use more of the innominate to rotate rather than the hip to flex - regards JG
@@JohnGibbons ok sir Thank you
Hello doctor..... In anterior innominate dysfunction the reason behind is tight quads... And you are targeting hamstring to release by MET... PLZ CLARIFY
If it is a shortened rectus femoris then you use an MET on that muscle to lengthen it as that will help the anterior rotation, regards JG
@@JohnGibbons thank you sir for the clarification ❣️
Thank you.I am going to try it.
Thanks for the message, regards JG
John Is this patient used for anterior innominate rotation? Are you using it for patients who are posterior?
The technique is for an 'anterior' rotation as I bring it slightly posterior during the video, regards JG
Are your courses approved CEU's for NCBTMB in the US?
i have many therapists from the US attained the online courses and have no problem, my courses are in the process of being accredited in the US, regards JG
Hello John. Do you treat unilateral flexed sacrum? Sorry but couldn't find a video of your treatment method or assessment. Thank you for considering. Have a good day.
I dont have a video on that one, however a R-ON-R and a L-ON-L sacral torsion treatment would help as that is a forward nutation sacrum on one side. regards JG
@@JohnGibbons thank you John
Hello doc how would you correct posterior inominate Rotation?
I have a video on that one, regards JG
Hey boss please take a moment to help me, I went to my physical therapist cuz I’ve had right hamstring origin tendinosis and after 3 years now I have pain on my left hip, knee and foot and this is what he told me:
To start, you have a left posteriorly rotated innominate which indicates the left hip “stuck” backwards in essence. This can in many cases and in your case cause the right hip to be pulled forward or “locked short.” This creates a neurological lengthening of your right hamstring. (Explains why you are chronically re-injuring your right hamstring). You do show evidence of chronic right hamstring re-injury which was felt with the Graston Instrument in comparison to your left hamstring (that grindy sensation you felt like sand paper).
Now continuing from your foot/ankle on: looking at both of your feet, you have a depressed or lower arch on your right with a significantly higher arch on your left. (Can that be from birth or positional over the years? We may not know). This is why you place a TON of your weight in the outer part of your left foot. This creates a lengthening of the muscles on the outside of your ankle and a shortening of the inner. This also explains why you have more pain on the outer side of your ankle or chronically sprain it (inversion sprains). Now following the leg up: due to the position of your foot, your tibia is rotated in to compensate for the ankle which is why you are experiencing inner knee pain on the left leg which combined with your muscular compensations has created a locked short or TIGHT ITB (iliotibial band) on the outer part of your left leg. Constant tightness/tension on that ITB with weak gluteal musculature has created tension/tightness of your adductors or inner groin area and a positive test for bursitis on the left side of the leg.....do I need to stretch my right quad, psoas and adductors?
Your situation (like most peoples) is more complicated than you probably realize and there's not enough information (even though you were detailed) to answer your question. You need to see an OMT practicing osteopath OR a PT trained in osteopathy. Ask those professionals to name 1-2 major muscles/muscle groups that need strengthening and / or lengthening in each of 3 planes. That'll get ya started in the right direction.
For example: A chronic upslip will screw up all your gait mechanics, cause issues up and down the chain ect.. combine that with sacral torison, or inominate dysfunction and you can see how complicated it gets really fast.
As far as a generalized routine that''ll address most things I would suggest most anything by the "kneesovertoesguy" (Ben Patrick) here on you tube. Ben Patrick is a pioneer. Good luck!!!
Also, if you happen to live in Missouri hit me up and I'll evaluate you and give you the answers you seek:-)
Yes..and I let my patient pull his leg with a belt so I will use my 2 hands and fingers...your awesome John
Very kind of you to say, thanks, regards JG
Good stuff, doctor. I definitely see whole lot of this dysfunction in our clinic. I will be practicing on my coworkers soon enough.
Thank you John, I love to attend another course i wish it closer. Thank you for the reply.
I do teach occasionally in Washington, so down the road for you....will let you know when there next. Happy new year. JG
@@JohnGibbons i want to ask something pls leave your mail
Are you bringing psis posterior and inferior?
Thats the idea, regards JG
Hi , I apriciate any answer or help. I have some of this issues but i`m not sure
what specific. My problem started when lift and twist and something is pope
since than i have problems. I think that is on right side , mu right glute max and
obliques are inhibited , and have discomfort on left side. I have restriction on
right leg extension. Any sugest . Thanx in advance!
Easier to try and see someone like me where you live if you can as hard to comment without looking at you, regards JG
@@JohnGibbons thanx , i must doo that!
@@JohnGibbons just one more question , is it possible to have this issue (outflare or inflare) And when running full sprint , or climbing upstairs by two step to 30th fllor , have no discomfort or pain at all ? ? ?
@@tiosavjakopovic3679 ١
Are you still practice where is your location thank you
The Oxford clinic closed but you can chat with me over a zoom call, details on my website, regards JG
Hi doc! In general about how many sessions you have to do with the osteopath if you have this? Is it more 3 to 4 sessions or 10 to 12 sessions?
I normally say 4-6 sessions will have an effect on the area being treated - regards JG
@@JohnGibbons alright thanks great video by the way
@@JohnGibbons do physical therapists and kinesitherapists do that too or only Chiropractors and osteopaths?
I suffered with 15 years of SI pain. PT helped for short periods of time but was not resolved until I was riding my road bike and slipped off of the pedal on the painful side forcefully. This caused quite intense pain for several days but healed and I now have no pain. Could this have been an adhesion that was torn away?
It is academic now, but I would not be watching your video with an academic curiosity.
Thanks for the message, possibly the fall of the bike caused the SIJ to shift and thats why the pain has reduced, regards JG
Gary could you please throw more light of your experience? Thankyou
what if the correction does not last longer .the tilt again comes back......which muscles to stretch and which to strengthen
To lengthen the rectus femoris, adductors and the psoas and to strengthen the gluteus maximus might help maintain the position. Hope that helps. Regards JG
Thank you john
John I am in Sacramento ca and I have had this done to me ten years ago and it saved my life. I have since had horrible pain and it is exactly the same as it used to be. My pt that was in Fresno is no longer in the state and I have got to 15-20 chrios, osteopath, pt and no one will do this which I need. Is there anyone in Sacramento you can recommend?
The US is a big place and I am based in Oxford in the UK so don't know many therapists outside the EU, sorry, regards JG
Nice trick
Thanks for comments, regards JG
Bodyworker... not osteopath...asking.
How does this change when s.i. joint is fused ass in a case of a.s.? Or a case of retrolastethsis at L4 level? What are other considerations?
If someone had Chronic AS or an issue with L4 or L5 then realistically there is real point in performing this particular technique (even though it is still a greta mob for the other areas) as the SIJ has probably fused, better off mobilising the Hips as that can help. Regards JG
Love your work!!!
Thank you! Cheers!
And how to self correct?
Hard to self correct this type of pelvis dysfunction - a therapist who is trained in these techniques is the best person to correct the dysfunction, regards JG
Great video, thanks. Following an accident, my hips have not just twisted in one direction but two. My left thigh is further forward as I look down from a standing position, and also the left hip is higher as I look in the mirror (which makes the right leg seem shorter, and my right shoulder higher). I am trying to correct this, but want to know if you recommend chiropractic blocks? One other question: if I lye on my back, my right leg falls to one side. Anything I find on this topic talks about both feet falling out ("duck feet") and this being from birth. I was fine beforehand, and like I said, only the right side flops outwards (from the hip), and only when I'm lying on my back. I'm assuming the leg falling out is part of the hips being twisted, so should I concentrate only on the hips rather than the hips & the leg?
Hi, I have a killing pain that is coming from this joint. I have been suffering for years now. Thinking of having the injection for it. Can you please tell me your opinion about it ?!
Injection works for some, however try an osteopath first and see what they say, regards JG
John Gibbons
Really thank you so much, I went to an osteopath four days ago, and I’m way better than before. I’m still having more sessions with him. Thank you so much you put me on the right path . I highly appreciate it 👍👍
@@marwagaber3934 he put you on the right path.... The osteo path 🤣
I'm here all week folks.
@@marwagaber3934 (I'm sorry. Couldn't resist)
I was just diagnosed with osteitis condensed ilium, can a chiropractor help? I'm really unsure what to do, I have been in so much pain and unable to walk very far after having my baby 5 months ago
I am sure an osteopath or chiropractor can help, good luck, regards JG
Love&Faith vlogs
I have a shorter leg on the right side with has a lack of Internal rotation on that side also a smaller size glute but the leg Is always likes to fall In external rotaion when lying down? My left leg though Is the long leg but the hip Is also higher on this side? My guess would be It Is a anteriour and posterior functional problem? Please reply thankyou
Did you get a response
I dont understand, if the left is anterior i thought self met is used to relax the the tight agonists which would be the iliopsoas
So why are you having her do hip extension?
This is a technique that utilizes the origin of the hamstring and glutes to mobilize the anteriorly rotated innominate into a more posterior rotation. There are many different applications for muscle energy aside from decreasing muscle tension alone.
Sir I fell on my right butt can you please tell me which type of rotation it is so that is can do exercises according to it I cannot go to doctor right now PLEASE HELP ME SIR
Sounds like an Upslip but cant say exactly without looking, see someone like me where you live. regards JG
@@JohnGibbons sir I had less pain 3 weeks ago when I fell . But then yesterday I did the knee to the chest exercise and then after this exercise my pain got even worse PLEASE tell me sir how to I undo the exercise is did the knee to the chest one plz sir help me I cant go out to a doctor
Went for the same treatment 6/21/2021 and I feel cheated with the adjustment compared to this doctor.
See another therapist if you canner regards JG
I’ve been in pain for 18 years from si joint pain now disabled. I’m wasting away because of it I feel as though it’s in the wrong position. Problem is I see a chiro but next day what they do just comes out. I have loose body and nothing seems to make it stay in place. I don’t know what to do I’m almost so desperate I’m going to get fusion soon I’m getting injections help pls.
Try an SIJ belt and see if that helps as pretty good to help reduce pain and promote the stability. regards JG
John Gibbons Sure but can’t wear that rest of my life. I need to work and get on with life. I’m desperate I’m just gonna have these few surgeries and hope it the best. 😏
@@daniellemccarter5706 try the best like john or his recommendation on a therapist good with the sacrum. Try it before you go for surgery. U wont loose anything seeing a good therapust who understands the issue and knows how to correct it. Chiropractors aren't the best for alignment. They're just good at taking the pressure off the nerves in the spine
Longce-im Ingti So see a PT
@@daniellemccarter5706 see an osteopath or someone who understands these tricky issues. Not sure if any average PT is well versed with the hips
Is it safe to do this technique in case of spondylolithesis?
Thanks for the comments, and yes it would be safe to do the technique for a spinal slippage as no thrust, regards JG
I can't figure out what my problem is perhaps you can help; left hip appears lower than the right (horizontally); bursitis in left gluteal area, extreme tightness in psoas, piriforis, left adductor is also tight. I previously had symphysis as well but that has reduced with massage and cupping treatment. The pain radiates up on the left side of torso sometimes all the way up to the arm. Could you guide me as to which of your videos I should use?
you sound like you have at least posterior pelvis tilt, if you wish to correct it permanently, and to keep it simple, strengthen you lower back for its weak, start doing sets, and you would stretch your tight spoas, its science, you strengthen the weak muscules and strengthen the tight one, now the personal thing, as for you to do it!
Hi John, thank you for great techniques. How about if patients had a hip replacement in the past , can I still use this technique/ MET ?
Thank you.
Cristina
Hi Cristina, hope all is well and you should attend another course wth me in 2017 as be great to see you again. Regarding your question - if they have had a hip replacement a few months ago and full or near full flexion of the hip is possible then this technique will be ok to perform on your patient. If in doubt then mobilise the innominate bone posteriorly rather than use the hip as a lever. Happy New year to you. JG
@@JohnGibbons CV
I've known for quite sometime that my left leg is shorter than the right but didn't give it much attention. To stand straight, I have to lift the left heel a bit. I have pain on my left leg since Monday . Any ideas on what this is ? also, does it affect butt cheeks? because my left butt cheek is way smaller than the right and its very noticeable..
Thanks for the message and I would try and see someone like me where you live because it is really hard to comment without looking at you, I wish you the best, Regards JG
ن
非常清楚
Thanks - regards jG
Would the symptoms of this dysfunction cause alternating buttock pain? Im seeing an Osteopath who carried out a manoeuvre on my right SI Joint which alleviated pain almost immediately until the next day, however the pain has increased on the opposite side and continues to swap sides daily. Any idea why that might be?
Hard to say without looking at you, typically the symptoms of a dysfunctional (restricted) SIJ could cause increased mobility to the opposite side and subsequent pain, so a problem on the right - the pain is on the left! Hope that helps...regardS JG
John Gibbons thanks so much for the reply. I’m going to carry on with current Osteo for a few weeks but if that doesn’t work I’m coming to see you!! After over a year of not being able to sit down, having to give up doing all the sports I love. Pain that swaps sides almost on a daily basis. I gotta fix this beast!! Xx
Sir how to self correct anterior innominate rotation?
Please sir give some advice. 😊
It might be easier to get someone to perform the technique as per the video on you as difficult to explain what to do over a text message. regards JG
@@JohnGibbons how about doing muscle energy technics?
It is a muscle energy technique I show during the video. Regards JG
@@JohnGibbons thank you
L5s1 treatment
I have a video for the LS junction, regards JG
How does onself determine where the anominate is rotated or in dysfunction ?
Glute max weakness causes it to rotate in which direction ?
Hamstring weakness causes... ?
If not sure then see someone like me as might help - A weak Gmax will be lengthened when the innominate is anterior - regards JG
اببتقععق
If one leg is longer another will be shorten...why you are working on long leg not on short leg
I tend to work on both and the length of leg is irrelevant in one respect as it can be helpful but most of what i do is pelvic orientated. Regards JG
thank you john.....I tried many exercises...ultimately I feel better after correcting the left on left sacral tortion.....but after resting for long in night the pain comes again back a bit but diminishes slowly during day......
It is hard to comment without looking at you, if you feel better if you slept in another bed then maybe it is your mattress that might be part of the causative factor. Regards JG
At 1:35 someone in another room is screaming in agony.
WeFreestyleForever I think you are right as can hear something!! Regards JG
is it possible to have this issue (outflare or inflare) And when running full sprint , or climbing upstairs by two step to 30th fllor , have no discomfort or pain at all ? ? ?
I doubt it and no worries if no symptoms, regards JG
اخ
ف٨غ
The leg might appear to be shorter* , right ?
Anterior rotation causes the leg to appear longer. Also in seated position the cresta illiaca is higher. The SIAS will be lower on that side. When in doubt use the flexion test and the Downing test.
Great. Do we get to practice on her as well? :)
I see a trend of Chiropractors and Therapists showing stuff across youtube with flamingly hot "patients". I guess sex sells in every aspect. Video was very informative, though.
Thanks for the comments and pleased you like the video. Regards JG
o i love u john gibbons! wish i could be your student. love from pakistan
Thats very kind...JG
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Thanks, regards JG
Am I the only one who hears a woman screaming mid way to his video?
Nothing mysterious - nothing to worry about - a previous patient had just been shown her bill.
I didn't heard anything? Sure you don't have schizophrenia?
@mr thompson m its called sarcasm
Génial
great job mate!!!
Hello, I just watched your video and wonder if you can give me some advice. I am seeing a Physical therapist and on the day she discharged me this past Wednesday, she did a Muscle energy thrust to my iliac area stating i had a longer leg ( pretty much what you did in this video but she was much more aggressive in the second part in which she moved my leg forward). Now I am in a lot of pain and can feel the joint area near my trochanter/butt and it feels very weird, stiff and aching when I sit, lay and walk. she said she didn't do anything major but would this pain be normal--should i be concerned or it this typical? I'm not sure what to do and read about the bursae nearby the trochanter and wonder if these were affected due to the motions. previously in my therapy i only did stretches with my pt and nothing like this so i am very concerned. i don't know if i should go back to see her or see another doctor since she wasn't concerned. thank you for your feedback.
Thanks for the message and its hard to comment without seeing the technique they performed but what i show is pretty gentle as a simple contract relax technique (MET) and if they did a similar one then you shouldn't be in any pain....only Osteopaths and Chiropractors should be manipulating so I doubt they manipulated the innominate unless they are trained appropriately. Most things settle down so hopefully you will be fine in a few days, regards JG
Hello John, thank you so much for your reply, I really appreciate you taking the time to answer me. Unfortunately, it has been over a week since this manipulation was done and I am still having a very strange tight, pinched sensation. The PT said I have an SI joint inflammation, though I never had any butt pain previous to her manipulation. She won't help me any further and I am hoping it will go away, though I am nervous that she said she rotated my iliac bone and I wonder if that was even necessary since I was being discharged and now my pain level is at a 6 and I cannot sit down or walk without constant pain. Again, thank you for your response.
I am sure the therapist was naturally trying to help you but sometimes we can irritate the tissues depending on what techniques are chosen and manipulations (by their nature) can be performed a little forceful by some and then the patient can feel discomfort for a few days....I am sure there is nothing to worry about. Regards JG
Thank you very much!!
What is PSIs?
Posterior Superior iliac Spine
A
That's Brilliant
Thanks for the message, regards JG
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1 like you don’t have to do want
Thanks, regards JG
☹️☹️☹️
Thanks, regards JG
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So her pants down
Youneedtopout100injisiontoherback
Thanks for the message, regards JG
Great video she has lovely glutes 😊
She does indeed, regards JG
براده
Ya she's hot..