Lliopsoas

ORIGIN: Lateral surface of the lumbar vertebrae (T12-L5)
INSERTION: Lesser trochanter of the femur
ACTION: Main hip flexor & assists in external rotation of the hip

NERVE/MYOTOME: anterior rami off the lumbar plexus at the levels of L1-L3
ARTERY: Lumbar branch of the iliolumbar artery

Trigger Point

Hand placement: Make sure to look at the patient for depth of tolerance.
Hold pressure for 10-15 seconds, repeat 3-5 times. Apply mild to moderate pressure.

Active Release

To release the psoas, apply pressure with hand/fingers and slowly flex and extend the hip. (do this by having patient slide the foot on the table. Repeat 5-10 times and complete 2-3 sets. Apply mild to moderate pressure.

Manual Stretch

To release the psoas, apply pressure with hand/fingers and slowly flex and extend the hip. (do this by having patient slide the foot on the table. Repeat 5-10 times and complete 2-3 sets. Apply mild to moderate pressure.

Piriformis

ORIGIN: Anterior surface of the sacrum
INSERTION: Upper portion of greater trochanter
ACTION: External rotation of the hip

NERVE/MYOTOME: S1 & S2
ARTERY: Inferior & superior gluteal arteries

Trigger Point

Apply pressure with hand/fingers while the hip is externally rotated and the knee is flexed underneath the opposite leg. Hold for 10-15 seconds and repeat 3-5 times. Apply moderate to moderate pressure

Active Release

To release the piriformis apply hand/finger pressure while internally and externally rotating the hip. Keep leg in adducted position. Repeat 5-10 times and complete 2-3 sets. Apply mild to moderate pressure.

Manual Stretch

Bend knee/hip to 90 degrees, flex hip to same side shoulder while externally rotating hip. Apply pressure cephalad (toward the head) to opposite shoulder. Hold the stretch for 10-15 seconds and repeat 2-4 times (reps).

Gluteus Minimus

ORIGIN: Posterior ilium under the gluteus medius
INSERTION: Anterior surface of the greater trochanter
ACTION: Assists the gluteus medius in abduction & medial rotation
NERVE/MYOTOME: Superior gluteal (L4, L5, S1)
ARTERY: Superior gluteal

Gluteus Minimus

ORIGIN: Gluteal surface of the ilium under the gluteus maximus
INSERTION: Grater trochanter of the femur
ACTION: Abduction & medial rotation of the hip & thigh
NERVE/MYOTOME: Superior gluteal (L4, L5, S1)
ARTERY: Superior gluteal

Trigger Point

Ensure the patient is side lying leaning more towards a prone position than supine (leaning forward rather than back). Apply mild to moderate pressure.

Active Release

To release the gluteus medius or minimus, apply hand/finger pressure and slowly abduct and adduct the hip. Apply mild to moderate pressure. Repeat 5-10 times (reps) and complete 2-3 sets.

Manual Stretch

Internally rotate the hip of the side being stretched.
Hold for 10-15 seconds and repeat 2-4 times (reps).

For Low Back and Pelvic Pain

Assisted Correction Traction

Have patient flex and lift up head to increase activation of the abdominals. Traction force should be at a 45-degree angle and enough traction force to elevate traction side buttock. Hold 5-10 seconds, 4-5 times

Bent Knee Traction

If ankle is injured perform bent knee traction

Have patient flex and lift up head to increase activation of the abdominals. Traction force should be at a 45-degree angle and enough traction force to elevate side buttock. Hold 5-10 seconds, repeat 4-5 times.

EZ Fix Method

for Sacroiliac Dysfunction

Place forearm under knee with hand on top of opposite knee. Place the other hand on top of the foot, applying enough pressure to keep the foot from rising. Apply traction by leaning trunk backward. Traction should be backward and upward 45 degrees. Hold 5-10 seconds, repeat 3-4 times.