Sir even though my anatomy physiology is weak. I do have a foundation as a licensed nurse. Wow! Wish I lived in proximity. My back after seeing MRI having it explained, xrays, bone scans. Sir I'm convinced many surgeries for joints of hip and knee could be avoided and quality of life restored with your approx with each area you teach. Are surgeries needed? Yes sir. An opinion money guides Americans more than a doctor seeking quality of life through Bodymaster. Not a put you on a pedestal note; however, an appreciation for your gifts of education through UA-cam. Again not ... sorry what Americans would say butter up the teacher... Humbly thank you sir, patients would have better quality of life or 100% knowledge through your approach to patient pain complaint if surgery is the prudent course of action. Again thank you sir for your videos!
Watching your videos and thinking how awesome a therapist and educator you are, thank you for sharing! Don't know what I would have done without your books and videos.
John. Love your videos. Thank you. As a practitioner, to correct this finding especially for a very aged patient, I would use the drop table function on my table. Patient lies supine, knees bent, using a thenar contact on left PSIS, careful not to make too much sacral contact, drop is initiated and thenar contact will abruptly stop PSIS and hopefully, nutated sacrum will continue to move, gently moved to neutral. Physics is wonderful. Cheers. Additionally, I did a quick image review in google and it is stunning how much discrepancy there is between anatomical axis, X. Y. Z.
MR. Gibbons, first of all, i am truly grateful for videos. My question is, if we have right rotation and we additionally rotate the thorax on right, isn't that more rotation of sacrum to the right via lumbar spine? Why do we do that additional rotation on the right with upper body since our goal is putting sacrum back left to neutral position? Thank you.
Kristijan Žaper thanks for the comments and regarding your query, the technique is from ‘greenman’ and it’s suggested that if you try and induce right rotation of the lumbar then it encourages the sacrum to rotate to the left..remember we add in other components like flexion of the lumbar to allow the sacrum to mutate then we use the legs to initiate a side bending of the spine and this then allows the sacrum to come back on the left through use of the motion and the contraction of the piriformis muscle. Hope that helps - regards JG
Sir ! can't we use AP Gilde to illium in Prone Pt. Position to correct this nutation? Therapist active hand at ASIS and non-active hand at sacrum stabilizing it, gliding the illium towards posteromedial direction. Kindly correct me if I am wrong.
If the sacrum is nutated (say on left) then the left innominate will be in relative posterior rotation so bringing the innominate anteriorly will potentially help the sacrum come back into relative counter nutation, regards JG
Hi John my question about technique, you got the patient positioned and with flexed lumbar segments you maintained torso rotators and flexors off given that while you are making patient hip internal rotation using only piriformis and piriformis creates a force on sacrum to push through back to be neutralized? Am I right?
Sir is any Chiropractic practor who is specialst in correcting pelvis AS my pelvis is very badly twisted . Right SI Joint is quite anteriorly twisted & left very much posteriorly twisted backeards. This all happened 20 years ago by a physiotherapist trying manupulate my pelvis & forcebly dislocated Joints. Now my whole body is twisted. PlZ. Send some contacts in Europe or any where.
Hi, thanks for the message and there are probably lots of therapists in Europe that specialise in Pelvis as not sure specifically on any names. Regards JG
John Gibbons can i get an apointment with you & by the way whats Your treatment fee? I Im doing Axelsons body massage course. I have taken Ayurvedic Neurotherapy course in India at ACHRC ( Ayurvedic Neuro Hospital & Research Center ) In Kota with Dr.Manoj Sharma & attended a Neuro camp in Udhepur . Im a trained Radiographer & recognized in Norway. I want to attend a pelvis treatment course. Can i book the course of 3 days? Best Regards.
Hi John, Your videos are awesome, thank you for the content. I have a question on this one: You determine the R sulcus is deeper and then classify it as a R on R torsion. How do you know the R hemibase is not posterior as opposed to L anterior, creating a R on L torsion?
Hi Vicki, thanks for the great comments...regarding your question: if you watch the video I say the LEFT sulcus is deeper, not the right and hence the sacrum has rotated to the RIGHT and if the patient is in relative lordosis then it has to be a nutated sacrum and hence a R-on-R torsion, especially if the seated forward flexion test is positive on the LEFT side. Hope that helps. JG
Vicki Bendus it is a right on right when the left sulcus is deeper. The standing and sitting forward flexion test and sphinx test aswell as passive spring test will give more info ad to the dysfunctional side.
John i thought it was the right piriformis which operated in this technique by pulling the right sacrum anteriorly creating left rotation of the sacrum on the right axis.
I say dysfunction side up so in this case with a R-ON-R the left side has gone forward into nutation so we use the LEFT piriformis to bring the LEFT sacrum back to neutral as it has rotated to the right (deep on the left) - hope that helps! regards JG
@@JohnGibbons i think in this position left gluteus maximus more used to fix right rotated sacrum because piriformis orgin inner face of sacrum it mean hard to backward motion of sacrum
Thank you sooooo much!!! I have R on R torsion, and SIMS position really helped me. But It's difficult to do SIMS treatment on myself alone. I understand I'd better strengthen my left piriformis, is there anything I can do myself?
+Matthew Pardini The goal is not to cavitate the joint but to assist in the change of position, I am not sure if it did make the noise but I am sure if it did I don't think it would be from the SI joint, maybe from the LS joint. Thanks for the message and hope you enjoyed the video.
I enjoy all the videos. Thank you. Love the thought process and detailed narration of the assessments and treatments you do. Thanks. (Yeah, after listening a few more times, I think someone is in the background clunking something around, that's all)
Hello Mr Gibbons. Could this technique, using just the piriformis effect the deep and the main muscles like anterior sacroiliac ligament, interosseous sacroiliac ligamnent etc to its balanced state? Hence, achieving the sublaxated sacrum back in its neutral form closure too.I understand you use your other hand to check if the sacrum has come back to its neutral position and if it's functioning back to normal bio mechanics. Thank you and have a nice day.
Hi John. What is it you exactly do to left piriformis?? Isn't it the right piri you contract when you ask your client to lift feet up? And then the result of Mothner reflex? (I think that the name of it??? 'cause when you lower the feet the left piri is just more relaxed??? (Or haven't I understood the dynamics right???)
Sir even though my anatomy physiology is weak. I do have a foundation as a licensed nurse.
Wow! Wish I lived in proximity. My back after seeing MRI having it explained, xrays, bone scans.
Sir I'm convinced many surgeries for joints of hip and knee could be avoided and quality of life restored with your approx with each area you teach. Are surgeries needed? Yes sir. An opinion money guides Americans more than a doctor seeking quality of life through Bodymaster. Not a put you on a pedestal note; however, an appreciation for your gifts of education through UA-cam.
Again not ... sorry what Americans would say butter up the teacher...
Humbly thank you sir, patients would have better quality of life or 100% knowledge through your approach to patient pain complaint if surgery is the prudent course of action. Again thank you sir for your videos!
Thanks for the comments, regards jG
Watching your videos and thinking how awesome a therapist and educator you are, thank you for sharing! Don't know what I would have done without your books and videos.
Thanks for the comment and lovely message, regards JG
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John. Love your videos. Thank you. As a practitioner, to correct this finding especially for a very aged patient, I would use the drop table function on my table. Patient lies supine, knees bent, using a thenar contact on left PSIS, careful not to make too much sacral contact, drop is initiated and thenar contact will abruptly stop PSIS and hopefully, nutated sacrum will continue to move, gently moved to neutral. Physics is wonderful. Cheers. Additionally, I did a quick image review in google and it is stunning how much discrepancy there is between anatomical axis, X. Y. Z.
Thanks for the message and comments, regards JG
.
Fabulous demo. Would love to take you r master classes one day
This is an old video as well, regards JG
Excellent 👍
Thanks for the visit, regards JG
Merci
Thanks, regards jG
Thanks
Welcome
Thanku
Thanks, regards JG
I really learnt from this video.
Thanks and glad it helped, regards JG
@@JohnGibbons u
John you are Legend!
Thanks for the message, regards JG
My woooo 👊 👊
MR. Gibbons, first of all, i am truly grateful for videos. My question is, if we have right rotation and we additionally rotate the thorax on right, isn't that more rotation of sacrum to the right via lumbar spine? Why do we do that additional rotation on the right with upper body since our goal is putting sacrum back left to neutral position? Thank you.
Kristijan Žaper thanks for the comments and regarding your query, the technique is from ‘greenman’ and it’s suggested that if you try and induce right rotation of the lumbar then it encourages the sacrum to rotate to the left..remember we add in other components like flexion of the lumbar to allow the sacrum to mutate then we use the legs to initiate a side bending of the spine and this then allows the sacrum to come back on the left through use of the motion and the contraction of the piriformis muscle. Hope that helps - regards JG
Kristijan Žaper
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So the left hip was anterior or posterior? It looked posterior.
Cant remember as an old video, hope you liked it though, regards JG
Dear doctor
Can i know psis joint moving joint durig standing stiing
Easier to watch the videos I have on this - regards JG
Hope all is
Thanks for the comments and all good, regards JG
Sir ! can't we use AP Gilde to illium in Prone Pt. Position to correct this nutation? Therapist active hand at ASIS and non-active hand at sacrum stabilizing it, gliding the illium towards posteromedial direction. Kindly correct me if I am wrong.
If the sacrum is nutated (say on left) then the left innominate will be in relative posterior rotation so bringing the innominate anteriorly will potentially help the sacrum come back into relative counter nutation, regards JG
@@JohnGibbons Thank You for your guidance !
Hi John,
So I understand how to find which way the sacrum is rotated, but how do you figure out which axis on which it is rotated? Thanks.
Ken
Thanks for the message and check out my other videos ON SACRAL treatment and assessment as I explain all that on there, regards JG
Hi John my question about technique, you got the patient positioned and with flexed lumbar segments you maintained torso rotators and flexors off given that while you are making patient hip internal rotation using only piriformis and piriformis creates a force on sacrum to push through back to be neutralized? Am I right?
Thats correct, regards JG
Sir is any Chiropractic practor who is specialst in correcting pelvis AS my pelvis is very badly twisted . Right SI Joint is quite anteriorly twisted & left very much posteriorly twisted backeards. This all happened 20 years ago by a physiotherapist trying manupulate my pelvis & forcebly dislocated Joints. Now my whole body is twisted. PlZ. Send some contacts in Europe or any where.
Hi, thanks for the message and there are probably lots of therapists in Europe that specialise in Pelvis as not sure specifically on any names. Regards JG
John Gibbons can i get an apointment with you & by the way whats Your treatment fee? I Im doing Axelsons body massage course. I have taken Ayurvedic Neurotherapy course in India at ACHRC ( Ayurvedic Neuro Hospital & Research Center ) In Kota with Dr.Manoj Sharma & attended a Neuro camp in Udhepur . Im a trained Radiographer & recognized in Norway. I want to attend a pelvis treatment course. Can i book the course of 3 days? Best Regards.
Your tutorial is very helpful.
Thanks, regards JG
After each contraction why aren't you getting her to rotate more to the right with her left hand hanging down to relocate the motor barrier?
That could work as well...regards JG
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Hi John,
Your videos are awesome, thank you for the content.
I have a question on this one:
You determine the R sulcus is deeper and then classify it as a R on R torsion. How do you know the R hemibase is not posterior as opposed to L anterior, creating a R on L torsion?
Hi Vicki, thanks for the great comments...regarding your question: if you watch the video I say the LEFT sulcus is deeper, not the right and hence the sacrum has rotated to the RIGHT and if the patient is in relative lordosis then it has to be a nutated sacrum and hence a R-on-R torsion, especially if the seated forward flexion test is positive on the LEFT side. Hope that helps. JG
Vicki Bendus it is a right on right when the left sulcus is deeper. The standing and sitting forward flexion test and sphinx test aswell as passive spring test will give more info ad to the dysfunctional side.
@@jasongaffney2236 tv
Mae no
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Kaha se ho doctor seb
Is someone who has a "nutated" condition a "nutant"...?
I like that - but probably not.....funny though, could even be a MUTANT - regards JG
sir where are you please
I'm a problem back pan l5 l6 please tell me
In Oxford in UK and one of my team can see you if required, regards JG
Awesome
Thanks, regards JG
John i thought it was the right piriformis which operated in this technique by pulling the right sacrum anteriorly creating left rotation of the sacrum on the right axis.
I say dysfunction side up so in this case with a R-ON-R the left side has gone forward into nutation so we use the LEFT piriformis to bring the LEFT sacrum back to neutral as it has rotated to the right (deep on the left) - hope that helps! regards JG
@@JohnGibbons i think in this position left gluteus maximus more used to fix right rotated sacrum because piriformis orgin inner face of sacrum it mean hard to backward motion of sacrum
Thank you sooooo much!!! I have R on R torsion, and SIMS position really helped me. But It's difficult to do SIMS treatment on myself alone. I understand I'd better strengthen my left piriformis, is there anything I can do myself?
The SIMS position is easy enough to do yourself so I would work on that as hard to strengthen the piriformis muscle. regards JG
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Wouldn’t pulling the left piriformis exacerbate the nutation on the left due to its origin at the anterior portion of the sacrum?
Crickets lol
Was that a cavitation at 4:12? Or some other popping sound from background? Thanks
+Matthew Pardini The goal is not to cavitate the joint but to assist in the change of position, I am not sure if it did make the noise but I am sure if it did I don't think it would be from the SI joint, maybe from the LS joint. Thanks for the message and hope you enjoyed the video.
I enjoy all the videos. Thank you. Love the thought process and detailed narration of the assessments and treatments you do. Thanks. (Yeah, after listening a few more times, I think someone is in the background clunking something around, that's all)
Thanks for the comments
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Top man....better than Mitchell 😁😊
Thanks for the comment. regards JG
who is Mitchell?
👍
Thanks, regards JG
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Hello Mr Gibbons. Could this technique, using just the piriformis effect the deep and the main muscles like anterior sacroiliac ligament, interosseous sacroiliac ligamnent etc to its balanced state? Hence, achieving the sublaxated sacrum back in its neutral form closure too.I understand you use your other hand to check if the sacrum has come back to its neutral position and if it's functioning back to normal bio mechanics. Thank you and have a nice day.
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Hi John. What is it you exactly do to left piriformis?? Isn't it the right piri you contract when you ask your client to lift feet up? And then the result of Mothner reflex? (I think that the name of it??? 'cause when you lower the feet the left piri is just more relaxed??? (Or haven't I understood the dynamics right???)
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Thanks for the message, regards JG
great video...
Thanks and regards a chance to win it
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Thanks, Regards JG
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Thanks for the message, regards JG
Very ferry body
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You can contact me via website if needed, regards JG
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Thanks for message, regards JG
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Thanks for message and no idea what it means, regards JG
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