Etusivu

Minä
Kokemuksia lääkäreistä
Kipulistaa

Syyllinen kipuihin!
-Oireita
-Havaitseminen

KUINKA SE PARANNETAAN!!

Muiden kokemuksia
Linkkejä
Lähetä palautetta

 

Si-nivelen toimintahäiriöstä parantuminen

Tietojeni mukaan ainakin nämä henkilöt osaavat si-nivelen dislokaation korjaamisen ja lantion suoristamismenetelmän. Tämä lista on siis minun keräämäni, ei Joukon!

Asian osaavia:

Jouko Holma, kansanparantaja
ViikkoUutiset 2005
Luontaisterveys 07/2003
Lahti
040-8424698
Joukon omilla sivuilla lisää Joukon kouluttamia ja suosittelemia hoitajia...

Paula Blomberg, kansanparantaja
Vääksy, Vääksyn Luontaistuotekauppa
Ajanvaraus: 040-7029060

Timo Maaranen
Kuntohoitaja
Padasjoki, Lahti

Harto Heimo, kansanparantaja
puh. 041- 5707747
E-mail: kansanparantaja@hotmail.com
Helsinki

Heikki Luoma, kansanparantaja
Turku
02-2514075
0500 592511

Urheiluhieroja/Jäsenkorjaaja
Ilkka Varis
Kaivopuistontie 1
26100 RAUMA
050-5539 012

Lääkäreitä, jotka luultavasti ymmärtävät asiasta jotain...

Fysiatrian erikoislääkäri Markku Turunen
Hyvinkään Sairaala, fysiatrian laitos
(Hän minulle ensimmäistä kertaa diagnosoi si-dislokaation ja myös korjasi sen.)

Fysiatrian erikoislääkäri Jussi Timgren
Helsinki

Maailmalta:

Independence Back Institute

"Treatment for the sacroiliac joint problems can be very effective. The first line of treatment following an accurate diagnosis is usually made through an attempt to put the joint back, as it belongs. This can be done by a physician, but is often done by a physical therapist. When this occurs, there is usually a significant reduction in symptoms.

Once these bones have gone back into place, the job is not done. Efforts must follow that keep the joint where it belongs. A very specific home exercise program is prescribed for the individual and the goal is to stabilize the joint so it does not slip out of position again."

Heureka! Joku muukin ymmärtää miten se tapahtuu. Mutta satoja sivuja sain käydä netissä läpi, ennen kuin edes yksi löytyi.

Ja suomennos heille, jotka eivät englantia osaa:
"Si-nivelen dislokaatio-diagnoosin jälkeen ensimmäinen tehtävä on siirtää si-nivel takaisin paikalleen. Kun tämä tehdään, niin potilaan kipuoireet vähenevät huomattavasti. Tämän siirron voi tehdä fysiatri, mutta usein sen tekee fysioterapeutti.

Homma ei silti ole vielä ohi, vaikka nämä luut on laitettu paikoilleen. Potilaan täytyy huolehtia siitä, että nämä luut pysyvät paikoilaan. On olemassa ohjeet kotihoitoon joita on seurattava, jotta si-nivel stabilisoituu eikä livahda paikoiltaan uudestaan."

Yksin Si-nivelen siirto ei riitä. Pitää myös hoitaa lonkkanivelet kohdalleen ja avata mahdolliset muut "lukot" varsinkin polvista. Si-nivel ei pysy paikoillaan, jos ei hoida koko lantiota tasapainoon! Lisäksi samalla avataan selkärangan lukot ja korjataan mahdolliset olkapäiden subluksaatiot ja muut ongelmat.

Toinen asian osaava paikka. Täällä paljon hyvää asiaa!
The Low-Back Syndrome
"The basic treatment for this condition is very simple for any manipulator (chiropractor naturopath, or adjusting osteopath) worth his salt. Mere replacement of the joint, however, is not sufficient therapy in most cases, for almost invariably the joint soon slips out again. Only when the joint is stabilized can we consider the condition truly corrected.

A stabilized joint is one that has been replaced in correct alignment, had its inflammation reduced to a normal status, and its spastic muscles returned to normal muscle tone, enabling the ligamentous structures to regain their full integrity. Sometimes such a state is easily and rapidly attainable. In other instances, only through long and arduous work on the part of both physician and patient can such true stabilization be achieved.

The sacroiliac subluxation may be replaced in a variety of ways. The well-known lumbar roll with its Gonstead variations is perhaps as useful as any, although I have seen patients in whom only a direct thrust over the sacroiliac joint itself was effective. In some, a rotary leg movement is useful, and in certain cases only the very mild Gilete move proves to be possible. By the use of a proprietary rotation move perfected at our Center we are able to painlessly correct many sacroiliac subluxations that defy all other methods. Because the actual correction should be left strictly to the professional, I won't dwell on the details here. Some bits of information, however, a patient should know in order to help the physician stabilize his condition. In my long experience with this subluxation, I find that after the first replacement the joint usually slips again within twenty-four hours. I have found nothing effective to prevent this re-slippage. In our own Center, we insist the patient return a day or two after the original correction for his second treatment. In 75 to 80 per cent of all patients, the joint will begin holding after the second treatment. What causes this I don't exactly know but it is my belief that the body isn't able to create the necessary healing rapidly enough to hold the joint with the first treatment. However, most systems seem capable after second correction to reduce inflammation sufficiently to hold the correction ."

CORRECTION OF ANTERIOR SACRUM, Early American Manual Therapy, Osteopathic Technic Ernest Eckford Tucker

Not checked

TREATMENT OF INNOMINATE ROTATION
by Dr. Williams, Ryan Kagan

• Innominates:
o 3 fused bones:Ilium, ishium, & pubis
o Articulations of innominates:
? Femur at acetabulum
? Sacrum at SI joint
? Pubic bones articulate with each other at the symphysis
• During pregnancy, women may have discomfort at the symphysis

o Remember to do the lateralzing tests first to determine side of somatic dysfunction:
? ASIS compression test, standing flexion, seated flexion
? NBOE will have lateralze tests

• Anterior innominate rotation
o Definition: One innominate will rotate anteriorly, compared with the other
o Etiology: Tight quadriceps muscles
o Diagnostic findings:
? ASIS more inferior on involved side
? PSIS more superior on involved side
? Right sulcus is more shallow
? Right sacrotuberous ligament is loose
? Right medial malleolus may be inferior
• Appears as a long leg on involved side
? AP compression test will have restriction on involved side
? Positive standing flexion test on involved side
? Positive sitting flexion test on involved side

• Anterior innominate rotation – Supine muscle energy
o Example: right anterior innominate
o Patient is supine & Dr. on the side of dysfunction
? Remember to get rid of artifact – have patient bend their knees and push their butt off the table

o Flex lower extremity on side of dysfunction at knee and hip (no abduction as in shear & flare)
o Put your (Dr.) shoulder against the patient’s leg & cup patient’s ASIS with your cephalad hand & the ischial tuberosity with your caudad hand
? Tell the patient that you are putting your hand on the bone that they sit on

o Hold tension at all points until innominate rotates posteriorly to restrictive barrier
o Tell the patient to “Push knee against my chest”
? Tell the patient to use about half strength when they push

o Sense that force is localized at the SI joint
o Wait for 3-5 seconds
o Flex patient’s hip and rotate their innominate posteriorly to new restrictive barrier
o Repeat until best motion occurs (usually 3 times)
o Recheck

• Anterior innominate rotation – Prone direct muscle energy
o Example: left anterior innominate
o Patient is prone and Dr. is on the side of dysfunction
o Patient’s extremity hangs freely off table
o Flex the patient’s hip and knee (grasp lower leg to do this)
o Place the patient’s foot flat against your thigh
? Don’t put the foot on the knee, when the patient pushes, they may hurt your knee

o Place other hand on the posterior surface of the sacrum
o Grasp knee & further flex hip & knee
o Lift patient’s knee & “squat” to raise foot superiorly - rotates innominate posteriorly
o Tell patient to “push your foot against my knee”
? Tell the patient to only use about half their strength
? Maintain isometric counterforce

o After the tissues relaxes, flex hip to rotate innominate posteriorly to new barrier
o Repeat until best motion (usually 3 times)RecheckInnominate posterior
o Definition: One innominate will rotate posteriorly compared to other
? Remember to lateralize: ASIS compression, standing & seated flexion tests

o Diagnostic findings:
? ASIS is superior on the involved side
? PSIS is more inferior on the involved side
? Short leg on the involved side
• Medial malleolus may be superior

? AP compression will be restricted on the involved side
? Positive standing flexion test on the involved side
? Positive sitting flexion test on the involved side
? Sacrotuberous ligament will be tight on the involved side
? SI joint is usually tender

• Innominate posterior – Supine muscle energy
o Example: left posterior innominate
o Patient is supine & Dr. is on the side of the somatic dysfunction
o Patient is on the edge of the table - allowing the ischial tuberosity to be off edge
o Patient’s leg hangs freely
o Cephalad hand reaches across & stabilizes the opposite ASIS
o Apply tension to the anterior thigh rotating the innominate anterior to a new restrictive barrier (Dr.’s leg is on the outside of patient’s leg)
? When treating pubis shear, Dr.’s leg is between the table & the patient’s leg – but not now

o Tell the patient to “pull your knee up to the ceiling”
? Use about half strength

o Sense that the contractile force is localized to the SI joint
o Extend the extremity to a new restrictive barrier
o Repeat until the best motion is obtained (usually 3 times)
o Recheck

• Posterior innominate – Prone muscle energy
? May be easier for smaller people or older patients

o Patient is supine & Dr. is on the side opposite the dysfunction
o Cephalad hand (hypothenar eminence) is on the iliac crest & PSIS
o Caudad hand - grasp the distal femur just above knee
o Extend patient’s hip to move the innominate anteriorly to the restrictive barrier
o Tell the patient to “pull your knee down toward the table”
? Use about half strength

o Sense that the force is localized at the SI joint
o Extend the extremity to a new restrictive barrier
o Repeat until the best motion (usually 3 times)Recheck