11.5 Sacrococcygeal joint Coccyx anterior Patient sidelying Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to thrust the coccyx posteriorly. Key Stabilization Applicator Plane of thrust (operator) Direction of body movement (patient) Note: The dimensions for the arrows are not a pictorial representation of the amplitude or force of the thrust. The operator must exercise care and attention to ensure that the patient is fully informed as to the nature of this procedure. This technique involves both assessment and treatment via a rectal approach. It is assumed that the operator will examine the anal and rectal region to determine if there are any contraindications to performing this procedure. This technique can be used either as a means of gently articulating the sacrococcygeal joint or applying a HVLA thrust to the coccyx. Coccydynia can be severe and the choice of technique depends as much upon patient comfort as perceived efficacy of approach. Practitioners should become familiar with articulating the sacrococcygeal joint before attempting a thrust to the coccyx. 1 Contact points (a) Anterior aspect of the coccyx through the posterior wall of the rectum (b) Posterior aspect of the coccyx. 2 Applicators (a) Lubricated index finger of operator’s gloved right hand (b) Thumb of operator’s gloved right hand. 3 Patient positioning Lying in the left lateral position with the maximal amount of flexion of the hips, knees and spine consistent with patient comfort. The patient should be fully undressed so that access to the anal canal is possible. The buttocks should be at the edge of the couch. 4 Operator stance Stand behind the patient, approximately at the level of the patient’s hip joints, facing the couch and patient’s back. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Validation of clinical practice by research Cervicothoracic spine C7–T3: rotation gliding Cervical spine C2–7: Up-slope gliding Cervical spine C2–7: Up-slope gliding Ribs R4–10: Patient prone Lumbosacral joint (L5–S1): Neutral positioning Stay updated, free articles. Join our Telegram channel Join Tags: Manipulation of the Spine Thorax and Pelvis An Osteopathic Pers Sep 3, 2016 | Posted by admin in MUSCULOSKELETAL MEDICINE | Comments Off on Sacrococcygeal joint: Coccyx anterior Full access? Get Clinical Tree
11.5 Sacrococcygeal joint Coccyx anterior Patient sidelying Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to thrust the coccyx posteriorly. Key Stabilization Applicator Plane of thrust (operator) Direction of body movement (patient) Note: The dimensions for the arrows are not a pictorial representation of the amplitude or force of the thrust. The operator must exercise care and attention to ensure that the patient is fully informed as to the nature of this procedure. This technique involves both assessment and treatment via a rectal approach. It is assumed that the operator will examine the anal and rectal region to determine if there are any contraindications to performing this procedure. This technique can be used either as a means of gently articulating the sacrococcygeal joint or applying a HVLA thrust to the coccyx. Coccydynia can be severe and the choice of technique depends as much upon patient comfort as perceived efficacy of approach. Practitioners should become familiar with articulating the sacrococcygeal joint before attempting a thrust to the coccyx. 1 Contact points (a) Anterior aspect of the coccyx through the posterior wall of the rectum (b) Posterior aspect of the coccyx. 2 Applicators (a) Lubricated index finger of operator’s gloved right hand (b) Thumb of operator’s gloved right hand. 3 Patient positioning Lying in the left lateral position with the maximal amount of flexion of the hips, knees and spine consistent with patient comfort. The patient should be fully undressed so that access to the anal canal is possible. The buttocks should be at the edge of the couch. 4 Operator stance Stand behind the patient, approximately at the level of the patient’s hip joints, facing the couch and patient’s back. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Validation of clinical practice by research Cervicothoracic spine C7–T3: rotation gliding Cervical spine C2–7: Up-slope gliding Cervical spine C2–7: Up-slope gliding Ribs R4–10: Patient prone Lumbosacral joint (L5–S1): Neutral positioning Stay updated, free articles. Join our Telegram channel Join Tags: Manipulation of the Spine Thorax and Pelvis An Osteopathic Pers Sep 3, 2016 | Posted by admin in MUSCULOSKELETAL MEDICINE | Comments Off on Sacrococcygeal joint: Coccyx anterior Full access? Get Clinical Tree
