Symphysis Pubis Dysfunction Assessment
Assessment
Used For- Pelvic girdle pain evaluation
- Pre-treatment screening
🚩 Red Flags — Do NOT treat if:- Severe pelvic girdle pain
- Weighted band sensation
- Diagnosed tear or rupture
Indirect STR of Pubic Symphysis
STR
Used For- Pubic symphysis tension
- Pelvic girdle discomfort
Notes Come down from ASIS. If too intense, switch to sacrum traction instead.
Realignment of Symphysis Pubis
Mobilisation
Used For- Pubic symphysis misalignment
- Pelvic instability
Frog Legs & Squeeze Arms
MET
Used For- Pubic symphysis stabilisation
- Adductor engagement
Notes Bend knees, place fist between them, patient squeezes.
Bend Knees & 2 Fists / Therapist Stretch
MET
Used For- Pubic symphysis & pelvic floor
- Adductor/hip flexor release
Gentle Direct Technique on Symphysis Pubis (Traction)
Direct
Used For- Pubic symphysis decompression
- Pelvic girdle pain relief
Rib Raising Mobilisation / MET
Mobilisation MET
Used For- Stomach, reflux, heartburn → Ribs 5,6,7 LEFT
- Liver support → Ribs 7,8,9 RIGHT
Notes Can be performed seated or side lying. Adapt position for bump.
Rib Flared Springing / Mobilisation
Mobilisation
Used For- Flared ribs in pregnancy
- Thoracic cage discomfort
Notes Place pillow over bump for comfort and support.
Chapmans Reflex Pumping
Mobilisation
Used For- Referred pain to arm
- Lymphatic/visceral reflex points
Notes Use after neck has already been worked. Referred pain pattern to arm.
Sphincters Thrill Mobilisation
Mobilisation
Used For- Visceral sphincter tone
- Digestive support
Facial Unwinding Myofascial
Myofascial
Used For- Wrist, elbow, shoulder restrictions
- Fluid & breathing mechanics
Notes Cannot be supine for long — use pillow at thoracic inlet. Work through wrist → elbow → shoulder chain.
Thoraco-Abdominal Diaphragm Release
Myofascial
Used For- Diaphragm tension in pregnancy
- Breathing restriction
- Thoracic/abdominal pressure
Sacral Diaphragm Myofascial
Myofascial
Used For- Pelvic floor tension
- Sacral mobility
- Pelvic diaphragm release
Carpal Tunnel Freeing Direct Release
Direct Release
Used For- Carpal tunnel syndrome
- Wrist pain & tingling
- Asthma (good adjunct)
Notes Proximal attachment: deep fascia of forearm.
Clavicle Release Myofascial / BLT
Myofascial BLT
Used For- Shoulder injury, AC joint issues
- Collar bone fractures
- Tight anterior chest
- Throat referral
Notes Distal: palmar aponeurosis. Radial: scaphoid tubercle. Ulnar: pisiform.
Scapular Muscle Release Stretch / Traction
Stretch/Traction
Used For- Rounded shoulders
- Weak rhomboids
- Scoliosis
- Post-fracture (no HVT)
Notes Suitable for all ages. No HVT. Gentle traction approach.
Tripod Umbilical Release Myofascial
Myofascial
Used For- Peritoneal cavity restrictions
- Stomach, bowel, bladder issues
- Abdominal cramps
Notes Use 3 fingers on baby. Links to gall bladder reflex.
Coccyxina Assessment
Assessment
Used For- Sharp spasm pain centrally in glutes
- Pain that can move to front
- Worse on sitting
Notes Finger under coccyx pushing up 3× for 7 seconds. Kick technique. Affected side upwards.
Coccyxina Treatment MET / Direct
MET Direct
Used For- Coccyx dysfunction
- Tailbone pain post-birth
Direct Sacral Inhibition Mobilisation / STR
Mobilisation STR
Used For- Sacral tension & restriction
- Pelvic pain in pregnancy