Demystifying the Coccyx: Gentle, Effective Treatment for Tailbone Pain

Speaker:: Jerry Hesch, MHS, DPT, PT
Duration:: 2 Hours 22 Minutes
Format:: Audio and Video
Copyright:: Aug 15, 2023
Product Code:: POS065356
Media Type:: Digital Seminar

Price
$169.99 - Standard

Difficult to access. Limited palpation and visualization. Complex pain patterns.
Treating the coccyx is intimidating and many practitioners assume that it must be treated internally.
But with the Hesch Method of correction, you’ll gain confidence in effective external strategies for evaluating and treating mechanical sacrococcygeal joint dysfunction. Developed over decades of clinical experience, it’s a brief and gentle treatment that can help even complex patterns of neuro-musculoskeletal dysfunction and immediately alleviate pain. Explore:

External evaluation techniques for the 4 types of dysfunction
Proven tips for differential diagnosis that traditional evaluations are missing
Simple, gentle & effective manual techniques to restore micromotion and eliminate restrictions
Strategies to appropriately balance between rest and activity and improve sitting comfort
Understand two important x-ray protocols
Appreciate the multi-modal and inter-disciplinary approach for chronic coccydynia
Unique insights for left lower windswept pelvis, which is not recognized in the Muscle Energy Technique model

With the addition of this specialized training, there is great opportunity for physical therapy practices to attract a new patient population, create additional revenue streams and gain referrals as the trusted resource for treating tailbone pain.

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The Hesch Institute

For over 40 years, Jerry Hesch, DPT, MHS, PT, has specialized in treating individuals suffering from acute and chronic pain from hypomobility and dysfunction in joints throughout the body, integrating care within a BPS and Neuro-biomechanical framework. He founded The Hesch Institute for Treatment, Research, and Education in Aurora, CO to treat complex patients and share is evidence-based whole-body approach. A fundamental effort of the Institute is to demystify manual therapy providing simple, effective, user-friendly interventions. This practical approach is one of the safest, most effective methods you will find that dramatically improves cervical spine dysfunction with brief treatment.

Jerry has presented over 100 workshops in the USA, Canada, and Europe, including state, national, and international conferences. He has published books on treating the whole-body and the lumbopelvic complex. In 2020, he published a third book chapter on the upper cervical spine (in Human Movement, Lundgren, Johansson).

Speaker Disclosures:
Financial: Dr. Jerry Hesch is the president of the Hesch Institute. He is a published author and receives royalties. He receives a speaking honorarium and recording royalties from PESI, Inc. Dr. Hesch has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Jerry Hesch has no relevant non-financial relationships.

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Integrate comprehensive and external coccyx evaluation techniques through patient history, imaging, and manual assessment to identify mechanical sacrococcygeal joint dysfunction and contraindications for evaluation and treatment.
Apply appropriate manual therapy techniques for specific types of sacrococcygeal joint dysfunction to alleviate pain and restore micromotion.
Recognize and differentiate between mechanical and non-mechanical coccydynia, understanding associated pathologies.

External Evaluation Strategies for Sacro-Coccygeal Joint Dysfunction

Function and assessing micromotion
Anatomy: boney, ligaments, neurology, muscle
Symptoms: pathology, infection, Tarlov cysts
Imaging
Differential diagnosis
- SIJ pain
- Pilonidal cyst
- Sciatica
- Hemorrhoids
- Piriformis syndrome
- Pelvic floor muscle pain
When to refer for testing/medical intervention
Contraindications for eval and treatment

The Hesch Method of Correction: Manual Mobilization, Manipulation and Soft Tissue Treatment:

Team approach to optimize care
Treatable positional and mobility dysfunctions
- Side bent coccyx
- Rotated coccyx
- Bilateral anterior ilium/anterior pelvic tilt
- Left lower wind-swept pelvis
- Hyperflex coccyx
- Hyperextended coccyx

Additional Conservative Therapies to Treat Coccydynia

Cushions and other tips to improve sitting comfort
Pelvic floor therapy
Postural correction
Balance of rest and activity
Medication

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