How to correct the most common Sacroiliac dysfunction - anterior innominate rotation 

I'm an osteopathic medical student and would like to thank you for your explanations. I love your detailed explanations of the anatomical mechanics that lay the foundation for the techniques. Excellent addition to my studies, thank you!

Absolutely brilliant John a really good gentle non HVT away to correct the discrepancy. Amazing as always

Amazing videos John - the very best available by a mile.

Thank you John, I love to attend another course i wish it closer. Thank you for the reply.

Love your work!!!

Thank you.I am going to try it.

Good stuff, doctor. I definitely see whole lot of this dysfunction in our clinic. I will be practicing on my coworkers soon enough.

Is it "must" to be painfull climbing stairs (50 floor) and sigle leg squat , with any SI JOINT problem ??? Thanx

Great video, thanks. Following an accident, my hips have not just twisted in one direction but two. My left thigh is further forward as I look down from a standing position, and also the left hip is higher as I look in the mirror (which makes the right leg seem shorter, and my right shoulder higher). I am trying to correct this, but want to know if you recommend chiropractic blocks? One other question: if I lye on my back, my right leg falls to one side. Anything I find on this topic talks about both feet falling out ("duck feet") and this being from birth. I was fine beforehand, and like I said, only the right side flops outwards (from the hip), and only when I'm lying on my back. I'm assuming the leg falling out is part of the hips being twisted, so should I concentrate only on the hips rather than the hips & the leg?

It looks like what we call Post Isometric Relaxation (PIR). A lot of work for the practitioner but, in my opinion, the corrections last longer for the patient when compared to High Velocity Maneuvers.

C'est formidable monsieur du Maroc

Thank you so much sir.👍💐

Waiting eagerly for your workshop in India !

Man, I wish you were in SoCal. Still trying to find someone who will do this properly.

I have a shorter leg on the right side with has a lack of Internal rotation on that side also a smaller size glute but the leg Is always likes to fall In external rotaion when lying down? My left leg though Is the long leg but the hip Is also higher on this side? My guess would be It Is a anteriour and posterior functional problem? Please reply thankyou

what if the correction does not last longer .the tilt again comes back......which muscles to stretch and which to strengthen

John I am in Sacramento ca and I have had this done to me ten years ago and it saved my life. I have since had horrible pain and it is exactly the same as it used to be. My pt that was in Fresno is no longer in the state and I have got to 15-20 chrios, osteopath, pt and no one will do this which I need. Is there anyone in Sacramento you can recommend?

Hi John, thank you for great techniques. How about if patients had a hip replacement in the past , can I still use this technique/ MET ? Thank you. Cristina

Génial

Hey boss please take a moment to help me, I went to my physical therapist cuz I’ve had right hamstring origin tendinosis and after 3 years now I have pain on my left hip, knee and foot and this is what he told me: To start, you have a left posteriorly rotated innominate which indicates the left hip “stuck” backwards in essence. This can in many cases and in your case cause the right hip to be pulled forward or “locked short.” This creates a neurological lengthening of your right hamstring. (Explains why you are chronically re-injuring your right hamstring). You do show evidence of chronic right hamstring re-injury which was felt with the Graston Instrument in comparison to your left hamstring (that grindy sensation you felt like sand paper). Now continuing from your foot/ankle on: looking at both of your feet, you have a depressed or lower arch on your right with a significantly higher arch on your left. (Can that be from birth or positional over the years? We may not know). This is why you place a TON of your weight in the outer part of your left foot. This creates a lengthening of the muscles on the outside of your ankle and a shortening of the inner. This also explains why you have more pain on the outer side of your ankle or chronically sprain it (inversion sprains). Now following the leg up: due to the position of your foot, your tibia is rotated in to compensate for the ankle which is why you are experiencing inner knee pain on the left leg which combined with your muscular compensations has created a locked short or TIGHT ITB (iliotibial band) on the outer part of your left leg. Constant tightness/tension on that ITB with weak gluteal musculature has created tension/tightness of your adductors or inner groin area and a positive test for bursitis on the left side of the leg.....do I need to stretch my right quad, psoas and adductors?

Nice trick

I have had this done and feels great however it continues to go back; what exercises in the gym or with activities would cause this to rotate back anteriorly. Wondering if I am doing something I shouldn't be doing as this is a chronic situation for years. And are there exercises that would strengthen and prevent this

great job mate!!!

I can't figure out what my problem is perhaps you can help; left hip appears lower than the right (horizontally); bursitis in left gluteal area, extreme tightness in psoas, piriforis, left adductor is also tight. I previously had symphysis as well but that has reduced with massage and cupping treatment. The pain radiates up on the left side of torso sometimes all the way up to the arm. Could you guide me as to which of your videos I should use?

Hello John. Do you treat unilateral flexed sacrum? Sorry but couldn't find a video of your treatment method or assessment. Thank you for considering. Have a good day.

thank you john.....I tried many exercises...ultimately I feel better after correcting the left on left sacral tortion.....but after resting for long in night the pain comes again back a bit but diminishes slowly during day......

I've known for quite sometime that my left leg is shorter than the right but didn't give it much attention. To stand straight, I have to lift the left heel a bit. I have pain on my left leg since Monday . Any ideas on what this is ? also, does it affect butt cheeks? because my left butt cheek is way smaller than the right and its very noticeable..

how to do self correction if no one can help? if possible, please make video. thank you in advanced

Hello, perfect, safe and effective therapy but I was wondering which tests do you use for differential diagnosis, to determine if it is indeed the left innominate anterior rotation and not the right innominate posterior rotation? Thank you

I suffered with 15 years of SI pain. PT helped for short periods of time but was not resolved until I was riding my road bike and slipped off of the pedal on the painful side forcefully. This caused quite intense pain for several days but healed and I now have no pain. Could this have been an adhesion that was torn away? It is academic now, but I would not be watching your video with an academic curiosity.

Bodyworker... not osteopath...asking. How does this change when s.i. joint is fused ass in a case of a.s.? Or a case of retrolastethsis at L4 level? What are other considerations?

John Is this patient used for anterior innominate rotation? Are you using it for patients who are posterior?

I dont understand, if the left is anterior i thought self met is used to relax the the tight agonists which would be the iliopsoas So why are you having her do hip extension?

Is it safe to do this technique in case of spondylolithesis?

Hello doctor..... In anterior innominate dysfunction the reason behind is tight quads... And you are targeting hamstring to release by MET... PLZ CLARIFY

I was just diagnosed with osteitis condensed ilium, can a chiropractor help? I'm really unsure what to do, I have been in so much pain and unable to walk very far after having my baby 5 months ago

Are you bringing psis posterior and inferior?

Hi, I have a killing pain that is coming from this joint. I have been suffering for years now. Thinking of having the injection for it. Can you please tell me your opinion about it ?!

if the ASIS is infeior and PSIS is superior, the innominate is anterior rotated, shouldnt we activate the quads and hip flexor on that side to correct it? why are we activating the hams and glutes, that would make it more anteriorly rotated no? please explain, im always confused on these

Are your courses approved CEU's for NCBTMB in the US?

The leg might appear to be shorter* , right ?

Hello doc how would you correct posterior inominate Rotation?

Yes..and I let my patient pull his leg with a belt so I will use my 2 hands and fingers...your awesome John

Would the symptoms of this dysfunction cause alternating buttock pain? Im seeing an Osteopath who carried out a manoeuvre on my right SI Joint which alleviated pain almost immediately until the next day, however the pain has increased on the opposite side and continues to swap sides daily. Any idea why that might be?

Hi doc! In general about how many sessions you have to do with the osteopath if you have this? Is it more 3 to 4 sessions or 10 to 12 sessions?

That's Brilliant

Hi , I apriciate any answer or help. I have some of this issues but i`m not sure what specific. My problem started when lift and twist and something is pope since than i have problems. I think that is on right side , mu right glute max and obliques are inhibited , and have discomfort on left side. I have restriction on right leg extension. Any sugest . Thanx in advance!

非常清楚

Are you still practice where is your location thank you

Sir can we do this for post THR patient

o i love u john gibbons! wish i could be your student. love from pakistan

Sir I fell on my right butt can you please tell me which type of rotation it is so that is can do exercises according to it I cannot go to doctor right now PLEASE HELP ME SIR

Went for the same treatment 6/21/2021 and I feel cheated with the adjustment compared to this doctor.

Sir how to self correct anterior innominate rotation? Please sir give some advice. 😊

And how to self correct?

L5s1 treatment

Am I the only one who hears a woman screaming mid way to his video?

I’ve been in pain for 18 years from si joint pain now disabled. I’m wasting away because of it I feel as though it’s in the wrong position. Problem is I see a chiro but next day what they do just comes out. I have loose body and nothing seems to make it stay in place. I don’t know what to do I’m almost so desperate I’m going to get fusion soon I’m getting injections help pls.

Hello, I just watched your video and wonder if you can give me some advice. I am seeing a Physical therapist and on the day she discharged me this past Wednesday, she did a Muscle energy thrust to my iliac area stating i had a longer leg ( pretty much what you did in this video but she was much more aggressive in the second part in which she moved my leg forward). Now I am in a lot of pain and can feel the joint area near my trochanter/butt and it feels very weird, stiff and aching when I sit, lay and walk. she said she didn't do anything major but would this pain be normal--should i be concerned or it this typical? I'm not sure what to do and read about the bursae nearby the trochanter and wonder if these were affected due to the motions. previously in my therapy i only did stretches with my pt and nothing like this so i am very concerned. i don't know if i should go back to see her or see another doctor since she wasn't concerned. thank you for your feedback.

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If one leg is longer another will be shorten...why you are working on long leg not on short leg

How does onself determine where the anominate is rotated or in dysfunction ? Glute max weakness causes it to rotate in which direction ? Hamstring weakness causes... ?

At 1:35 someone in another room is screaming in agony.

✅

Great. Do we get to practice on her as well? :)

I see a trend of Chiropractors and Therapists showing stuff across youtube with flamingly hot "patients". I guess sex sells in every aspect. Video was very informative, though.

What is PSIs?

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1 like you don’t have to do want

براده

So her pants down

☹️☹️☹️

Great video she has lovely glutes 😊

Youneedtopout100injisiontoherback

Ya she's hot..

is it possible to have this issue (outflare or inflare) And when running full sprint , or climbing upstairs by two step to 30th fllor , have no discomfort or pain at all ? ? ?