STATION 1: Counterstrain

A. Lumbar/Pelvic (psoas, iliacus,

Piriformis) counterstrain
1. Anterior Lumbar AL1-5
AL1

Counterstrain

F ST RT (knees/pelvis) RA (torso)

AL2

Counterstrain

F SA RA (knees/pelvis) RT (torso)

AL3

Counterstrain

F SA RA (knees/pelvis) RT (torso)

AL4

Counterstrain

F SA RA (knees/pelvis) RT (torso)

AL5

Counterstrain

F SA RT (knees/pelvis) RA (torso)

PL1-5 Spinous Process

Counterstrain

E SARA

2. Posterior Lumbar
PL1-5 Transverse Process

Counterstrain

E STRA

PL1-5 Quadratus Lumborum

Counterstrain

E ABD ER

3. Psoas

Counterstrain

F ST (ER)

4. Iliacus

Counterstrain

F ER

5. Piriformis

Counterstrain

F ABD ER

LCL, Lateral Meniscus

Counterstrain

F ABD (hip and leg)ER

MCL, Medial Meniscus

Counterstrain

F ABD (hip) ADD (leg) IR

Counterstrain

Invert Ankle

Gastrocnemius
Anterior Tibialis (tendon)

B. Lower Limb counterstrain

1. Extension ankle gastroc F (knee) Plantarflex
3. Flexion calcaneous quadratus plantae
2. Medial ankle tibialis (distal point)- Invert Ankle
4. Lateral meniscus-F ABD (hip and leg)ER
5. Medial meniscus-F ABD (hip) ADD (leg) IR

STATION 2:
A. Diagnosis & Treatment of Sacrum
Seated Flexion/Spring Test/Deep sulcus/Posterior ILA
1.Physiologic (RoR/LoL) sacral torsion ME (Combined recip inhib/Direc mobilization)
Sacral torsion: UP UP UP DOWN DOWN DOWN
2. Non-physiologic (RoL/LoR) sacral torsion ME (recip inhibition/jt mob)
3. Unilateral sacral extension shear ME
1.
2.

Always in sphinx
Utilize respiratory cycle to exaggerate the normal functions of your sacrum to place your sacrum in a
neutral position

4. Unilateral sacral flexion shear ME (respiratory assist)

5. Bilateral sacral extension shear ME (respiratory assist) contact both bases or ILAs
6. Bilateral sacral flexion shear ME (respiratory assist)

B. Pelvic (pubic/innominate) ME or HVLA

INOMINATE

TREAT/ RESET
1. Anterior innominate ME (reciprocal inhibition/joint mobilization)
2. Posterior innominate ME (reciprocal inhibition/joint mobilization)
3.

Outflare innominate (PIR)- tight abductors post isometric relaxation technique direct and active. Direct
because we will be engaging your ad ductors. we are going to be using these muscles. This technique
works b/c we will be stimulating your golgi tendon organ which detects excessive force. This will cause a
reflex inhibition or a relaxation of you abductors thereby returning your abductors length.
a.
Monitor PSIS

4. Inflare innominate (PIR)

Push outflare and stand on same side; stabilize asis
5. Superior Iliac Shear (respiratory assist)
Internal rotation ab duction and increasing 9
6. Anterior Innominate HVLA (lateral recumbent or supine)- elbow yourself
7. Posterior innominate HVLA (lateral recumbent or supine)- punch your self leg hand of
8. Chronic piriformis ME (post-isometric relaxation) [BOOTLEG OUTFLARE]
9. Acute piriformis ME (reciprocal inhibition) [ BOOTLEG INFLARE]

PUBIC ME
1.

10.
11.
12.
13.

Gap-Treat- Compress
a.
Gapping is joint mobilization
b.
Normally your pubic symphsys is closed, to open your pubic symphysis we will be contracting your ad ductors to
mobilize your joint and open the joint.
c.
Compressing utilized ab ductors to mobilize you pubic bone and close it back up.

Pubic Compression Dysfunction (joint mobilization)- pregnant people-utilize ab ductors

Pubic Gapping Dysfunction (joint mobilization)- fist in between the knees/using ad ductors to open
Superior pubic shear (joint mobilization, & RI?) [ posterior innominate hypertonic glut max or quadriceps]
Inferior pubic shear (joint mobilization, & RI?) [anterior innominate]

STATION 3:
A. Diagnosis & Treatment of Sacrum (see above)
B. Knee/foot/ankle ME or HVLA
4.
5.
1.
2.
3.

Posterior fibular head ME (PIR)

Anterior fibular head ME (PIR)
Anterior tibia on talus HVLA
Posterior tibia on talus HVLA
Cuneiform plantar dysfunction HVLA (Hiss Whip)

6. Anterior fibular head HVLA (supine)-pillow under knee

7. Posterior fibular head HVLA (prone)