Patient's question:
Female, 29 years old, with a 4.6 cm pubic symphysis diastasis postpartum. Difficulty walking. Symptoms improved after one month of bed rest. Later, the diastasis was reduced to 2.6 cm through Chinese massage. In the past month, less massage has been done, and the check-up result has returned to 3.6 cm.Doctor's answer:
Hello, you can adopt the following methods to treat sacroiliac joint dysfunction.1. Manual Reduction by Pressure: The patient lies in a supine position, and the practitioner places both palms overlapping on the sacroiliac joint. A sudden downward force is applied while the patient is breathing, which can achieve reduction. The patient then lies in a prone position, and the practitioner places both palms overlapping on the center of the sacrum. While performing rotational and kneading movements, both hands suddenly apply downward pressure to achieve reduction. The patient lies in a lateral position with the affected side up, the healthy leg straight, and the affected leg flexed at the hip and knee. The practitioner faces the patient, uses one hand and forearm to support the inner side of the affected thigh, and applies pressure to the hip with the other hand. The hip is rotated several circles, and then both hands coordinate force to abduct and press downward, gradually bringing the sacroiliac joint closer to achieve reduction.
2. Oblique Plate Reduction: The patient lies in a lateral position with the affected side up. Perform the lumbar oblique plate method, which is part of the massage techniques for acute lumbar strain. Alternatively, one hand applies downward pressure to the sacroiliac joint, while the other hand lifts the upper trunk. Both hands exert opposite forces to push the plate and achieve reduction.
In summary, regardless of the method used for reduction, the pain in the affected area should be significantly reduced or eliminated after reduction, and the range of motion for flexion and extension of the lower limbs should also be restored.