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Massage Therapy for Low Back Pain Health Articles | August 10 Melvin Gordon Shirt , 2011
This is a perfect example of the bod innate wisdom attempting to sacrifice
complexity of motion for stability. An interesting note is that the age with highest incidence of disabling back pain (25-45 years) is the same age at which the greatest amount of motion is available in the sacroiliac j not uncommon for an SI joint to become firm and permanently lock as we age. This may be a good motive for massage therapists to begin inco
SI joint syndrome continued its fall from fashion due to the lack of trustworthy clinical studies confirming its very existence. Although many manual therapists quietly continued treating this disorder with some success, no one was able to put forward a convincing biomechanical theory explaining how the sacrum become between the two innominate bones. Physicians were cautious and reluctant to envision a joint with so little movement causing so much pain Drue Tranquill Shirt , while manual therapists countered that its limited motion is vital to proper lumbar spine functioning. So, the SI joint argument raged until the late 1970s, when renowned manipulative osteopath Fred Mitchell Sr. introduced an innovative and practical biomechanical model that clearly demonstrated normal and aberrant SI joint movement patterns occurring in most individuals.2 Using muscles as levers to correct lumbopelvic restricti s muscle energy technique spurred a renewed interest in the SI joint as a source of back pain.

Figure 1 and Figure 2 in the complete article demonstrate a modified muscle-energy assessment and correction routine for a painful left unilateral extended sacrum.

As most SI joints only