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Trigger Points on the AIIS
I recently had a patient with referral pain in the SI joint area while treating a TP at the AIIS. I have a hunch that the pain was referred by the glute med but I seriously believe the point was on the AIIS. Anyone else ever experience this?
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Replies to This Discussion
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Permalink Reply by Gordon J. Wallis on
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Well you check both muscles out...And if there is a trigger point in one or the other or both...You eliminate them.
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Permalink Reply by Daniel Cohen on
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:-) good advice.
Gordon J. Wallis said:Well you check both muscles out...And if there is a trigger point in one or the other or both...You eliminate them.
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Permalink Reply by Kip Yates on
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That is good advice Gordon. I did treat the TP until the pressure became too much for my client. I did three rounds followed by stretch. However my question was about TPs on the the AIIS not referring to the knee (clinical) but to the SI joint. I had not experienced this referral pattern before. Anyone else?
Gordon J. Wallis said:Well you check both muscles out...And if there is a trigger point in one or the other or both...You eliminate them.
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Did you hold the pressure just blow the level that hurt? Or keep going deeper? In Korean Martial Therapy pressure is applied with the forearm just below the elbow. The hand must be very loose. Then rotate the arm to alter the pressure and shift. You can also lift the leg to apply pressure differently as you press the SI with your forearm.
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Daniel, I went deeper with each breath. I will try the Korean Martial Therapy technique the next time. Thanks for the tip.
Daniel Cohen said:Did you hold the pressure just blow the level that hurt? Or keep going deeper? In Korean Martial Therapy pressure is applied with the forearm just below the elbow. The hand must be very loose. Then rotate the arm to alter the pressure and shift. You can also lift the leg to apply pressure differently as you press the SI with your forearm.
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Nine times out of ten, all you have to do to release SI joint pain is apply traction to the tendon of the opposite side Gracalis muscle just above the inside of the knee, and the SI joint pain vanishes. You hold the traction for maybe 20 seconds. No hard or deep pressure is needed.
Kip Yates said:
That is good advice Gordon. I did treat the TP until the pressure became too much for my client. I did three rounds followed by stretch. However my question was about TPs on the the AIIS not referring to the knee (clinical) but to the SI joint. I had not experienced this referral pattern before. Anyone else?
Gordon J. Wallis said:Well you check both muscles out...And if there is a trigger point in one or the other or both...You eliminate them.
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You can also hook the hand behind the gracalis reaching from the front and simply lift. this pulls the muscle from the side and with almost no effort creates the pull of the traction. muscles are stretched or loosened easier by pushing or pulling the side rather than straight on into muscle belly.
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Thanks again Daniel. I appreciate your suggestions and am thankful for the guidance.
Daniel Cohen said:You can also hook the hand behind the gracalis reaching from the front and simply lift. this pulls the muscle from the side and with almost no effort creates the pull of the traction. muscles are stretched or loosened easier by pushing or pulling the side rather than straight on into muscle belly.
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I had not thought of this before. I am in my 1st licensed year so there is so much more to learn. Thank you for the suggestions. I will try them and follow up with any questions.
Gordon J. Wallis said:Nine times out of ten, all you have to do to release SI joint pain is apply traction to the tendon of the opposite side Gracalis muscle just above the inside of the knee, and the SI joint pain vanishes. You hold the traction for maybe 20 seconds. No hard or deep pressure is needed.
Kip Yates said:That is good advice Gordon. I did treat the TP until the pressure became too much for my client. I did three rounds followed by stretch. However my question was about TPs on the the AIIS not referring to the knee (clinical) but to the SI joint. I had not experienced this referral pattern before. Anyone else?
Gordon J. Wallis said:Well you check both muscles out...And if there is a trigger point in one or the other or both...You eliminate them.
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