Hesch method is an integrated approach that treats the hip, pelvis and the lumbar spine in conjunction with Sacroiliac joint (SIJ) to correct pain originating from SIJ. It looks at the lumbo-pelvic-hip joint as “single unit system”. So SIJ pain or asymmetry can lead to low back and hip pain or vice versa.
Specific hands on technique, “Spring testing with Awareness” is administered to evaluate and to treat the joint.
With this testing method, your clinician will be able to accurately assess joint mobility and position of the surrounding structures to determine cause of the dysfunction. It focuses on correction of the most common patterns of the SIJ dysfunction with the use of specific positions and exercises.
Treatment involves short levers with low load and long duration stretches and mobilization. Initial positioning, application of the load and most importantly holding the load/position for longer periods of time is the key to resolve biomechanical dysfunction, quickly. It is friendly and empowering to the patient since it can be replicated by the patient at home, once taught correctly by the therapist.
The technique purpotes to evaluate the transfer of energy through pelvis instead of relying on pain provocation or postural compensations.
SIJ pain may not necessarily be present with a asymmetry between the joints. You may have symmetrical and aligned SIJ but still can be the cause of your pain. Approach is based on more “Joint to speak for itself”.