Causes
The causes of ISG blockade can be different. Most often the ISG blocks by a step into the void when overlooking a stair step or jogging over uneven ground. Likewise, athletes can block the ISG by a strong compression load when jumping off during high jump or long jump due to a lack of stabilizing muscles.
Through gardening, housework, one-sided activities while staying in one position for a long time, the ISG can be blocked by the tension of the muscles. A difference in leg length can also promote a ISG blockade, since it comes to a muscle imbalance.If there has been a ligament injury in the foot in the past, this can also lead to an ISG blockade. Due to the downward pulling of the calf due to the bending process, there is an increased pull on the M. Biceps femoris, which has its origin in the pelvis. This increased traction pulls the pelvis backwards and holds it in place.
Osteopathy for ISG blockage
In the sense of osteopathy, an even more comprehensive report is prepared for the ISG. For the exact determination of the lesion, 7 different tests are carried out for the ISG and it is decided whether manipulation or mobilization has to be performed first in the follow-up treatment. If a manipulation should take place, all safety tests are done to ensure the safety of the treatment.
As mentioned in physiotherapy, the mobilization is done by a mobilization adapted to the lesion. The decisive difference, however, is that in the osteopathic way of thinking the organs are also treated. By shifting the pelvis, the supporting structures for the organs in the pelvis can be put under stress.
By palpation of the corresponding structures, the mobility of the organs to each other and their own movement can be tested. If there is any tension, it can be released with direct techniques or treated indirectly via the leg lever. In addition, the osteopath looks at the patient’s overall statics and asks about past accidents.
Due to various injuries, a distortion of the musculature or even joint surfaces may have occurred. As mentioned above, the fibula may have been pulled downwards by bending the foot, which may have caused increased tone in the M. Biceps femoris. These causal chains are the task of osteopathy to remedy. As in physiotherapy, soft tissue techniques or stretching techniques are used to treat the muscle structures of the pelvis. Depending on how the pelvis is positioned, hypertonus may occur on the corresponding side.