This is in response to a few posts whose coverage can probably be intuited within the replies below.
Jerry Hesch It is relevant in that new discoveries are being made and are being shared in forums such as these. You may try the techniques described for developmental asymmetry of the pelvis and/or hip dysplasias. Cost is nominal some foam and cork from any number of sellers, though I like silicone as it comfortable under the trochanter. The case presentation (developmental asymmetries) was designed to illustrate that we can do something for persons who have pain related to posture related to developmental asymmetries. Is anyone else doing this? I don't think so but will be delighted to learn otherwise. Lovely if someone could develop kit that was affordable for clients. Sharing information is part of the mission of Hesch Institute. Feel free to schedule a phone call of 30 minutes minimum and I am happy to discuss references specifically, or read my writing to discern same, published articles and presentations, MRI evidence for a novel interpretation I make on traumatic birth symphyseal diastasis. I cannot in small posts explain in detail how the research and body of literature accessible primarily through PubMed.gov relates to the various works. I sought to illustrate briefly that yes, there is a body of work that undergirds the work and I freely admit what we do not know about that thing named "sacral torsions". Within that chapter the references follow relevant sentences in the manner of medical papers and there you can begin to find some answers. Please feel free to schedule a call. No the list of references are not my MO, they are appropriately cited withing the text of the articles. With respect to novel things such as the 3D Pain Drawing, the breadth of the utility has yet to be researched, yet just like Robin McKenzie in 1980 when there was no research on his approach, he did share ideas. Lastly, much of my work does involve mild forces maintained for a long time, typically 2 minutes, sometimes 5, and for one pattern, 15 minutes, a one-time treatment. Interesting that this concept is rarely app;lied except in orthopedic procedures, use of splints etc. The information is found within the first three chapters of any good orthopedic textbook, rehabilitation kinesiology text, biomechanics text, joint structure and function text etc. Terms like viscoleastic creep, Young's modulus are used to describe connective tissue properties. All for now.
I did ask you if you had any additional questions so I was a bit surprised when you mention "usual MO". I would be happy to exchange writings with you. Can I call you early next week? Do you post your curriculum vitae online? I do believe that I answered the question in a general manner and am happy to elaborate. You can do a search function on my web site and the Interview in Physiotimes may be a good start. I fully acknowledge that my general statement of "it is in the public domain" was perhaps too general a response for which I take full responsibility. I also have to update the section of comments by Rolfers, massage therapists and physical therapists in addition to clients. So they encompass treatment and workshop. Much work is being done to reinterpret some of the foundational beliefs about joint structure and function and the old rules and regulations such as convex-concave rules. I am happy to participate in such, and have applied that work published regarding the shoulder and hip to the knee and this video illustrates the result. In the case study presented I simply evaluated her knee (I was doing a pelvis-hip-lumbar screen, though I start at the feet). In 41 years no one had screened her for a posterior glide fixation of the femur. So to add to addressing the original question, I evaluate and treat micromotions in joints within a whole body schema and am not married to obeying the rules and regulations of the old guard re joint function. My email address is email@example.com What is a good day and time to call?
Dr. Jerry Hesch, MHS, PT, DPT, Hesch Institue
Jerry Hesch The video in which the "Concave Convex rules for Treatment" were violated with good results. https://www.youtube.com/watch?v=T6AFQWdk7W4
Jerry Hesch I look forward to the interactive form of conversation.
Jerry Hesch Regarding the topic of posture and pain, her posture was indicative of a possible lack of anterior glide of the femur on the tibia, but it required a cluster of tests, passive mobility, functional mobility, strength, passive gross motion, etc. In conclusion, posture was only a small aspect, it was function that was more telling and it was a functional improvement not an improvement in posture that I believe accounts for her improvement. Posture, position is perhaps the least reliable indicator of joint dysfunction.