Sports Medicine South of Gwinnett, Lawrenceville
The traditional model will be reviewed, and a contemporary model will be presented. This approach evaluates force transmission using passive end-feel tests, which is relevant, given that the SIJ functions as both a shock absorber and a multi-directional force transducer. Where micromotions become hypomobile in response to injury, a small fulcrum with a sustained mild force in a specific direction is applied. In describing this approach, an astute observer noted: “By going slower and more gently, I believe we are returning the innate mobility of the joints in a way the brain and nervous system agree with.” This approach is efficient, and by the third visit, pain is typically significantly reduced, and the pattern resolution is stable. It can be easily maintained, allowing focus to be directed to overall exercise rehabilitation. Clinicians find this method to be more congruent with how the pelvis truly behaves, making it much more user-friendly, relevant, and practical. It is appropriately referred to as individual care within a neuro-biomechanical paradigm.