Spontaneous Email March 19, 2014
I enjoy helping our own, PT's lead such active lives so come with sports injuries and the work such as in nursing homes and hospitals is brutal on the body. I was pleased to be able to treat Emily at the last workshop, use gentle common sense Hesch Method. I am grateful for her feedback and hope to return to the region to present on the upper body and lower body. Also just today treated a very successful retired PT who treated olympic men's gymnastics and LPGA tours. Made some definitive gains and encountered some real limitations, and I take comfort in knowing the difference, calling my limitations early on.
As I reflect on the recent seminar I reflect on one of the most mobile scapulas I have seen and two very surprising stuck lateral clavicles and yes she did have some symptoms of thoracic outlet, early /mild symptoms. Mobilizing them forward make a significant difference in her posture, in the tone of her abdominals, in the scapular stability. I love it when the body surprises me and presents the unexpected, I always learn, become a little more attentive, a
This is Emily's email:
This is Emily Thomas. I was at the Hesch Method course in Sigourney and you worked on my knee and ribs/hip. I just thought I would let you know that I have been doing awesome since having you treat me. Since you treated my femur I have been able to do squats, lunges, and stairs without pain. When treating patients I have also been able to do resisted running with patients, push people in wheelchairs up/down the ramp, and demonstrate jumping exercises without any pain.
You also mobilized my lower right ribs to decrease pain and hip flexor tone. Every day I have been amazed at how much this has improved. I used to have a large amount of tightness and pain with running and spent a significant amount of time stretching my right hip flexors before and after working outs. As of today I have only had 2 out of 10 days where I felt my hip flexors were tight. In both instances I laid supine for 5 minutes with a 2" foam roll placed under those ribs. Both times I had immediate relief of symptoms upon standing. This also fixed the sensation of hip pain when I needed to go to the bathroom.
In addition to having you treat me, we have had great success thus far with the information we learned in your class. My coworkers (Wendy and Sarah) and I have felt very confident with our skills and have made huge gains with some patients!
After talking with my boss and co-workers, we are all very interested in the possibility of hosting the Whole Body course. I work for RehabVisions which is a large company that has clinics in 11 states, but many of the clinics are based in small towns in Iowa and Nebraska. I am assuming if they allowed us to host the class it would be only for RehabVision employees, but I am not certain of this. I looked at the course description and it appears you teach upper spine and UE one day, and lower spine and LE the next day. One thing that is a little different with our company is that our Occupational Therapists see many of our shoulders and elbows. Due to that, we are wondering if it would be possible for the OTs to attend 1 day of the class and PTs to attend both days? If possible could you please send me information regarding the requirements and financial commitment for hosting a class? Once I receive that information I will contact our headquarters about hosting a class.
Thank you again for all your help and for any information you can get me about hosting a class!
Emily Thomas, DPT
Debra Murray Denison 9:32pm Mar 11
Silva Silvia Albertini, have you checked out Jerry Hesch? I saw Vicki in Oct, 2013 and I was not satisfied with her diagnosis, for several reasons, so I decided to get a second opinion before I jumped into an aggressive round of prolotherapy and or fixation. I highly recommend taking a peek at his website, if you haven't done so already:) He is very open to phone consults as well. He is a skilled PT that has a unique way of evaluating mobility of the pelvis. He looks at the pelvis as a whole not in pieces, meaning, not just the SIJ. I became hyper focused on my SIJ without considering the rest of my pelvis. Now I am thinking outside of the SIJD box. My pubic joint, based on "spring testing", is a major pain generator. So, now my focus is on stabilizing this joint, and it seems, so far, my SI's are thanking me. He will review your history with detail that I had never experienced....I have suffered for 17 years. I've been around the block, so to speak. Anyway, all of this to say it might be worth at least a phone call. All the best to you, this road is not for the weak. Here is his definition of SIJD:) http://www.heschinstitute.com/1/post/2014/01/sacroiliac-joint-dysfunction-aka-sijd-definition.html
Good Morning Jerry!
I wanted to write and thank you once again for being able to fit me into your schedule at the last minute this past weekend. And, to let you know how I’m doing. I feel major changes in my body, particularly in my legs. I still have “sensation” in my lower right back - but I’m thinking that it has changed in nature from “bad pain” to the sensation of healing muscles/soft tissue and “tightness” as opposed to things not moving together properly. And, interestingly, some of the soft tissue around the old injuries in my right knee has “awakened” with a sensation that is not quite pain either. Time will tell. But, I’m hopeful.
The fabulous new is that I felt good enough to go to the rink and test things out today. Gently. And, happily I was able to do a spin (sit spin) that I haven’t been able to attempt in over a year because of the strain it put on my lower back. I tried to get one on video for you, but then accidentally deleted it. Anyway, it was quite a happy feeling. :-) (I’ll try to get a video for you in the next few weeks if I continue to improve and am able to stay on the ice…felt bad that we didn’t have time to tape on saturday)
Anyway, I’m very much looking forward to getting the DVD with the rehab exercises/therapy on it. I will work on it diligently and will let you know how things progress. I don’t think I told you where to ship the DVD to. We’ll be in Wyoming for the next month, so would you please ship it to the following address:
Thank you again for focusing your attentive and skillful healing on me this past weekend! I am grateful.
Jerry Hesch This is an important case in which an SI support applied up high was not tolerated and the sacroiliac experts she consulted did NOT evaluate the stability of her pubic joint (symphysis pubis). She was given a standard diagnosis at a sacroiliac clinic of "Right Posterior Ilium with Upslip....." based on three gross movement tests that do not isolate the sacroiliac joint. Severe disc disease is present and MUST be given consideration. To suggest that fusing her sacroiliac joints alone in the presence of pubic joint instability and severe lumosacral disc disease requires a significant level of evidence. In February I presented the research evidence for surgical stabilization of the pubic joint (objective proof of separation) which in turn will stabilize the sacroiliac joint, unless the sacrospinous and sacrotuberous ligaments are torn. This at APTA CSM 2014. The evidence is in the published research. Conservative cases with pubic joint hypermobility, mild to moderate instability can heal with conservative measures for example a pubic joint support, NOT a sacroiliac support. This is a complex topic and I cannot do justice here.
Lila Abatte, PT, DPT, OCS just presented a workshop on the coccyx, the first ever that I am aware of, a whole two-days. She presented on the Hesch approach to the coccyx as part of the workshop.
How are you? I just wanted to let you know that the Hesch section of the Coccyx course was so well received! I think you would have been proud and the participants were so clueless and amazed that addressing the sacrum/ilium aids in addressing the coccyx. It was really good. So you should get more participants taking your series. The course will run again in September in New Hampshire I believe.
I was able to go skiing today in Denver! Woo-hoo! I wasn’t easy, but I was very happy to be out there!
Thank you again (and so do the participants!)
Lila Abatte, PT, DPT, OCS
Instructor for Herman Wallace
Dr. Jerry Hesch, DPT, MHS, PT
Married with 4 grown kids. Earned my Doctorate at A.T. Still University in Tempe, AZ, MHS at the University of Indianapolis and my BS PT at University of New Mexico. I enjoy working with my hands and particularly making glass objet d'art.