Sciatica Net

$15 $15
ADVANCED ADVANCED
MYOFASCIAL MYOFASCIAL
TECHNIQUES TECHNIQUES
SCIATICA SCIATICA
Pelvis Pt III Pelvis Pt III
A D VA N C E D - T R A I N I N G S . C O M A D VA N C E D - T R A I N I N G S . C O M
TIL LUCHAU, DIRECTOR TIL LUCHAU, DIRECTOR
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CONTENTS CONTENTS
Acknowledgments and Disclaimers....................................................................... iii Acknowledgments and Disclaimers....................................................................... iii
The Advanced Myofascial Techniques Series.......................................................iv The Advanced Myofascial Techniques Series.......................................................iv
Certification Information..........................................................................................v Certification Information..........................................................................................v
Other Learning Options......................................................................................... vi Other Learning Options......................................................................................... vi
Table: Types of Sciatica........................................................................................vii Table: Types of Sciatica........................................................................................vii
Causes of Axial Sciatic Entrapment..................................................................... viii Causes of Axial Sciatic Entrapment..................................................................... viii
Axial Sciatic Signs................................................................................................. ix Axial Sciatic Signs................................................................................................. ix
Axial Sciatica Considerations................................................................................. x Axial Sciatica Considerations................................................................................. x
Sciatica Stats......................................................................................................... xi Sciatica Stats......................................................................................................... xi
Appendicular Sciatica Signs................................................................................. xii Appendicular Sciatica Signs................................................................................. xii
Contributors to Appendicular Sciatica.................................................................. xiii Contributors to Appendicular Sciatica.................................................................. xiii
Appendicular Sciatica Entrapment Sites..............................................................xiv Appendicular Sciatica Entrapment Sites..............................................................xiv
a. AXIAL SCIATICA Sequence.......................................................... A-01 a. AXIAL SCIATICA Sequence.......................................................... A-01
Lumbar Tests....................................................................................................A-02 Lumbar Tests....................................................................................................A-02
Piriformis Test...................................................................................................A-03 Piriformis Test...................................................................................................A-03
Iliac Crest..........................................................................................................A-04 Iliac Crest..........................................................................................................A-04
Lumbar Space: Obliques.................................................................................. A-05 Lumbar Space: Obliques.................................................................................. A-05
Lumbar/Visceral Space Decompression.......................................................... A-06 Lumbar/Visceral Space Decompression.......................................................... A-06
Psoas: Medial Aspect ...................................................................................... A-07 Psoas: Medial Aspect ...................................................................................... A-07
SI Release: Anterior/Posterior.......................................................................... A-08 SI Release: Anterior/Posterior.......................................................................... A-08
b. APPENDICULAR SCIATICA Sequence........................................ B-01 b. APPENDICULAR SCIATICA Sequence........................................ B-01
Sciatic Nerve Glide Test................................................................................... B-02 Sciatic Nerve Glide Test................................................................................... B-02
Gluteus Medius, Minimus (Side-lying).............................................................. B-03 Gluteus Medius, Minimus (Side-lying).............................................................. B-03
Leg Rocking (prone)......................................................................................... B-04 Leg Rocking (prone)......................................................................................... B-04
Piriformis Pool-Cue...........................................................................................B-05 Piriformis Pool-Cue...........................................................................................B-05
Sacrotuberous Ligaments II..............................................................................B-06 Sacrotuberous Ligaments II..............................................................................B-06
Biceps Femoris/Adductor Magnus....................................................................B-07 Biceps Femoris/Adductor Magnus....................................................................B-07
Sciatic Nerve: Prone......................................................................................... B-08 Sciatic Nerve: Prone......................................................................................... B-08
Sciatic Nerve: Supine A.................................................................................... B-09 Sciatic Nerve: Supine A.................................................................................... B-09
Neck Core/Sleeve.............................................................................................B-10 Neck Core/Sleeve.............................................................................................B-10
x. SUPPLEMENTAL TECHNIQUES...................................................X-01 x. SUPPLEMENTAL TECHNIQUES...................................................X-01
Lumbar Test Variations..................................................................... XA-02 Lumbar Test Variations..................................................................... XA-02
L4/L5/S1 Decompression (Prone)..................................................... XA-03 L4/L5/S1 Decompression (Prone)..................................................... XA-03
Psoas: Prone.....................................................................................XA-04 Psoas: Prone.....................................................................................XA-04
Iliolumbar Ligaments: Anterior Aspect.............................................. XA-05 Iliolumbar Ligaments: Anterior Aspect.............................................. XA-05
L4/L5/S1 Decompression (Side-Lying)............................................. XA-06 L4/L5/S1 Decompression (Side-Lying)............................................. XA-06
Twists................................................................................................ XA-07 Twists................................................................................................ XA-07
Lumbar/Viscera Decompression II.................................................... XA-08 Lumbar/Viscera Decompression II.................................................... XA-08
Leg-Over Twists................................................................................ XB-09 Leg-Over Twists................................................................................ XB-09
Piriformis & Rotators......................................................................... XB-10 Piriformis & Rotators......................................................................... XB-10
Medial Hamstring Origins.................................................................. XB-11 Medial Hamstring Origins.................................................................. XB-11
Pigeon Pose...................................................................................... XB-12 Pigeon Pose...................................................................................... XB-12
Pigeon Pose (Supine)....................................................................... XB-13 Pigeon Pose (Supine)....................................................................... XB-13
Rotator Stretch (Seated)................................................................... XB-14 Rotator Stretch (Seated)................................................................... XB-14
Sacrospinous Ligaments, Coccyx..................................................... XB-15 Sacrospinous Ligaments, Coccyx..................................................... XB-15
Sciatic Nerve: Supine B.....................................................................XB-16 Sciatic Nerve: Supine B.....................................................................XB-16
Sequence Page Answer Keys...........................................................XB-17 Sequence Page Answer Keys...........................................................XB-17
Advanced-Trainings.com Adv. Myo. Techs: Sciatica p. i Advanced-Trainings.com Adv. Myo. Techs: Sciatica p. i
About this Notebook About this Notebook
This notebook can help you organize your notes, and serve to remind you of the This notebook can help you organize your notes, and serve to remind you of the
key points for each technique you learn in your workshop or DVD study. Please key points for each technique you learn in your workshop or DVD study. Please
note that it is NOT intended to serve as a complete course manual or note that it is NOT intended to serve as a complete course manual or
comprehensive instruction book -- key instruction for the techniques we cover comprehensive instruction book -- key instruction for the techniques we cover
happens only in class, and the photos and brief notes in this book, even when happens only in class, and the photos and brief notes in this book, even when
used with our DVDs, cannot substitute for this important personal instruction. used with our DVDs, cannot substitute for this important personal instruction.
Acknowledgments and Disclaimers Acknowledgments and Disclaimers

Many thanks to past participants, assistants, colleagues, teachers, and Many thanks to past participants, assistants, colleagues, teachers, and
collaborators for their assistance in the development of this work and manual. collaborators for their assistance in the development of this work and manual.
Teachers whose influence can be seen here include Jan Sultan, Dub Leigh, Ed Teachers whose influence can be seen here include Jan Sultan, Dub Leigh, Ed
Maupin, Emmett Hutchins, Jeff Maitland, Michael Salveson, Jim Asher, and many Maupin, Emmett Hutchins, Jeff Maitland, Michael Salveson, Jim Asher, and many
others. Special acknowledgment goes to the inspiration provided by Dr. Ida Rolf, others. Special acknowledgment goes to the inspiration provided by Dr. Ida Rolf,
founder of Rolfing®, Philip Greenman, DO, and many other manual therapy founder of Rolfing®, Philip Greenman, DO, and many other manual therapy
pioneers and innovators. Photography credits for the manual go to Loretta pioneers and innovators. Photography credits for the manual go to Loretta
Carridan Luchau CMT, John Gillies CMT, Dameron Midgette CAR, and Larry Carridan Luchau CMT, John Gillies CMT, Dameron Midgette CAR, and Larry
Koliha CR CAMT. Special thanks goes to Larry Koliha CR CAMT, Jeremy Sutton Koliha CR CAMT. Special thanks goes to Larry Koliha CR CAMT, Jeremy Sutton
CR CAMT, and to Gary Burns CR CAMT for their many contributions.. CR CAMT, and to Gary Burns CR CAMT for their many contributions..
DISCLAIMERS: This course teaches soft-tissue myofascial techniques for DISCLAIMERS: This course teaches soft-tissue myofascial techniques for
practitioners and advanced students of hands-on body therapies, and is not a practitioners and advanced students of hands-on body therapies, and is not a
course in Rolfing® structural integration or Rolfing technique. Rolfing is a service course in Rolfing® structural integration or Rolfing technique. Rolfing is a service
mark of the Rolf Institute® of Structural Integration, which is the sole trainer and mark of the Rolf Institute® of Structural Integration, which is the sole trainer and
certifying body for Certified Rolfers. Please note that not every scheduled course certifying body for Certified Rolfers. Please note that not every scheduled course
is associated with the Rolf Institute. The Advanced Myofascial Certification is associated with the Rolf Institute. The Advanced Myofascial Certification
Program is administered by Advanced-Trainings.com and is not associated with Program is administered by Advanced-Trainings.com and is not associated with
the Rolf Institute. This course does not teach osseous adjustments or chiropractic the Rolf Institute. This course does not teach osseous adjustments or chiropractic
techniques. techniques.
The methods taught do not constitute medical treatment and a physician should be The methods taught do not constitute medical treatment and a physician should be
consulted in advance about any conditions which might contraindicate this work. consulted in advance about any conditions which might contraindicate this work.
While every attempt is made to insure the safety of the techniques taught, While every attempt is made to insure the safety of the techniques taught,
participants assume all risk for participation and subsequent application of participants assume all risk for participation and subsequent application of
methods learned. methods learned.
Advanced-Trainings.com, the Rolf Institute, and most other sponsors are approved Advanced-Trainings.com, the Rolf Institute, and most other sponsors are approved
by the National Certification Board for Therapeutic Massage and Bodywork by the National Certification Board for Therapeutic Massage and Bodywork
(NCBTMB) as Continuing Ed. Providers under Category A. Rolf Institute and other (NCBTMB) as Continuing Ed. Providers under Category A. Rolf Institute and other
types of CE credit are also available: please inquire. types of CE credit are also available: please inquire.
All reproduced photo and diagram copyrights are retained by original sources. All reproduced photo and diagram copyrights are retained by original sources.
Special thanks to Primal Pictures Ltd., Jeff Linn, Tom Myers, and others for Special thanks to Primal Pictures Ltd., Jeff Linn, Tom Myers, and others for
permission to use their graphics. permission to use their graphics.
Manual and material copyright ©2005 Manual and material copyright ©2005
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The Advanced Myofascial Techniques Series The Advanced Myofascial Techniques Series
Since 1989, this popular series of seminars presents practicing somatic Since 1989, this popular series of seminars presents practicing somatic
therapists and qualified students with advanced and little-known therapists and qualified students with advanced and little-known
myofascial techniques which can be easily incorporated into existing myofascial techniques which can be easily incorporated into existing
personal styles. Drawing on a wide range of disciplines, the focus is on personal styles. Drawing on a wide range of disciplines, the focus is on
unusual, interesting, and fresh approaches that will both expand technique unusual, interesting, and fresh approaches that will both expand technique
repertoire and inspire creativity and innovation. Potential topics include: repertoire and inspire creativity and innovation. Potential topics include:
• Specific techniques for common structural and functional complaints • Specific techniques for common structural and functional complaints
• Relieving pain, restoring lost function, and getting lasting results • Relieving pain, restoring lost function, and getting lasting results
• Utilizing both active and passive movement to enhance effectiveness • Utilizing both active and passive movement to enhance effectiveness
• Precision in working with specific tissue types and body layers • Precision in working with specific tissue types and body layers
• Combining indirect or subtle work with deep or direct work • Combining indirect or subtle work with deep or direct work
• Tracking subtle psychophysiological and nervous system responses • Tracking subtle psychophysiological and nervous system responses
• Ways to work sensitively, safely, and comfortably at very deep levels. • Ways to work sensitively, safely, and comfortably at very deep levels.
The Advanced Myofascial Techniques workshop series presents a The Advanced Myofascial Techniques workshop series presents a
comprehensive system for working with the body in its entirety, comprehensive system for working with the body in its entirety,
encompassing over 20 session sequences and more than 200 techniques, encompassing over 20 session sequences and more than 200 techniques,
tests, and procedures. tests, and procedures.
Workshops in the series may be taken individually, or combined in any Workshops in the series may be taken individually, or combined in any
order. The five principle courses include: order. The five principle courses include:
• Arm, Wrist, & Shoulder • Legs, Knees, & Feet • Arm, Wrist, & Shoulder • Legs, Knees, & Feet
• Pelvis, Hip, & Sacrum • Neck, Jaw, & Head • Pelvis, Hip, & Sacrum • Neck, Jaw, & Head
• Spine, Ribs, & Low Back • Spine, Ribs, & Low Back
Specialty courses include: Specialty courses include:

• Whiplash (2 days) • Scoliosis (2 days) • Whiplash (2 days) • Scoliosis (2 days)
• Sciatica & Disc Issues • Advanced Knee Issues • Sciatica & Disc Issues • Advanced Knee Issues
• TMJ • Headaches • TMJ • Headaches
• Myofascial Essentials • Myofascial Mastery • Myofascial Essentials • Myofascial Mastery
• Adv Ilia & Sacrum (2 days) • ...and others. • Adv Ilia & Sacrum (2 days) • ...and others.
These courses are intended for trained practitioners and students of These courses are intended for trained practitioners and students of
hands-on body therapies (for example, Bodyworkers, Physical Therapists, hands-on body therapies (for example, Bodyworkers, Physical Therapists,
Rolfers, Chiropractors, Structural Integration Practitioners, Massage Rolfers, Chiropractors, Structural Integration Practitioners, Massage
Therapists, Neuro-Muscular Therapists, and other somatic practitioners, Therapists, Neuro-Muscular Therapists, and other somatic practitioners,
etc.) etc.)
Completion of the 5 principle courses plus electives leads to optional Completion of the 5 principle courses plus electives leads to optional
Certification in Advanced Myofascial Techniques (CAMT). Certification in Advanced Myofascial Techniques (CAMT).
Organizer and In-service inquiries invited Organizer and In-service inquiries invited
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Get CERTIFIED in Advanced Myofascial Techniques Get CERTIFIED in Advanced Myofascial Techniques
Top-Quality Training, Simple and Flexible Program Top-Quality Training, Simple and Flexible Program
Designed for practicing manual therapy professionals and advanced Designed for practicing manual therapy professionals and advanced
students, the Advanced Myofascial Techniques Certification Program students, the Advanced Myofascial Techniques Certification Program
allows you to earn a credential that will set you apart from other allows you to earn a credential that will set you apart from other
practitioners in the eyes of clients, referral sources, clinics, and schools. practitioners in the eyes of clients, referral sources, clinics, and schools.
Simply complete the 5 weekend seminars in the Advanced Myofascial Simply complete the 5 weekend seminars in the Advanced Myofascial
Techniques series, complete at least 4 days of specialty workshops, and Techniques series, complete at least 4 days of specialty workshops, and
earn additional Elective CEU's through a variety of local or at-a-distance earn additional Elective CEU's through a variety of local or at-a-distance
methods. Go as quickly or as slowly as you wish: there is no deadline for methods. Go as quickly or as slowly as you wish: there is no deadline for
completion. completion.
Credit for past trainings and work is available, and enrollment in the Credit for past trainings and work is available, and enrollment in the
Certification Program makes you eligible for discounted tuition on many of Certification Program makes you eligible for discounted tuition on many of
our trainings. Your savings and increased earning power will pay for your our trainings. Your savings and increased earning power will pay for your
investment many times over. investment many times over.
Advantages and Benefits Advantages and Benefits

* Flexible program: individually tailor your learning * Flexible program: individually tailor your learning
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* Full credit available for past Myofascial courses * Full credit available for past Myofascial courses
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* No renewal fees or membership dues * No renewal fees or membership dues
* Four-year term with easy, automatic renewal * Four-year term with easy, automatic renewal
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leader in the manual therapy field since 1985 leader in the manual therapy field since 1985
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Institute and other types of CE Credit are available. Institute and other types of CE Credit are available.
Sign up now to start getting your discounts Sign up now to start getting your discounts
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LEARN MORE LEARN MORE
Earn Additional CE Credit Earn Additional CE Credit
A variety of distance learning options are available. Many online options A variety of distance learning options are available. Many online options
are free, or charge only if a Certificate of Completion or CE is desired. are free, or charge only if a Certificate of Completion or CE is desired.
• Advanced Myofascial DVDs • Advanced Myofascial DVDs

• 1-Hr Study Guides and Certificate Courses • 1-Hr Study Guides and Certificate Courses
• ‘Ethics for the Real World’ series • ‘Ethics for the Real World’ series
• Live and recorded webinars • Live and recorded webinars
• Articles & Books • Articles & Books
• YouTube Technique Library • YouTube Technique Library
• ...and more. • ...and more.
Visit our site or your course’s sales table for more info. Visit our site or your course’s sales table for more info.
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vii
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A-02
Lumbar Tests
Lumbal-Tests P
Instructions / Intentions / Feel or Watch For:
Straight-Leg Test (SLT) or Lasègue Test: client raises straightened leg at the
hip (with knee extended). Increased pain can indicate lumbar or disc
involvement. (Pain in opposite leg can be due to more severe disc herniation
and is cause for referral).
Criteria for positive SLT:
1. Sciatic pain at 30 to 70 degrees of hip flexion (70° is pictured);
2. Aggravation of pain with ankle dorsiflexion;
3. Relief of pain by knee flexion.
Movements / Cues:
Slump test variation: client curls spine and neck into slight flexion, while raising
leg. Increased pain with slumping considered positive for dural tethering at
nerve roots.
Positional variations: Client can also be supine, or tests can be performed

passively.
Notes:
Bowstring variation: with practitioner stabilizing client’s hip at angle of maximum
change in sciatic symptoms, knee is slightly flexed, usually relieving symptoms.
Pressure with thumbs into the popliteal space will worsen symptoms when
sciatic nerve is involved, due to stretch on nerve. Positive sign indicates
peripheral sciatic nerve involvement.
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A-02
Lumbar Tests
Lumbal-Tests P
Straight-Leg Test (SLT) or Lasègue Test: client raises straightened leg at the
hip (with knee extended). Increased pain can indicate lumbar or disc
involvement. (Pain in opposite leg can be due to more severe disc herniation
and is cause for referral).
Criteria for positive SLT:
1. Sciatic pain at 30 to 70 degrees of hip flexion (70° is pictured);
2. Aggravation of pain with ankle dorsiflexion;
3. Relief of pain by knee flexion.
Movements / Cues:
Slump test variation: client curls spine and neck into slight flexion, while raising
leg. Increased pain with slumping considered positive for dural tethering at
nerve roots.

passively.
Notes:
Bowstring variation: with practitioner stabilizing client’s hip at angle of maximum
change in sciatic symptoms, knee is slightly flexed, usually relieving symptoms.
Pressure with thumbs into the popliteal space will worsen symptoms when
sciatic nerve is involved, due to stretch on nerve. Positive sign indicates
A-03
Piriformis Test
Piriformis-Test P
Increased pain with hip flexion and adduction can indicate piriformis or
hamstring involvement in sciatic pain.
Movements / Cues:
Variations:
Client can be sitting (as pictured) or supine.
Test can be active (as pictured), or performed passively.
Increased pain with resisted active external rotation of a straight leg can also
indicate piriformis involvement.
Notes:
Some sources suggest that including the passive and supine variations in
assessment increase the accuracy of the Straight Leg and Piriformis Tests.
Other sources purport that positional differences in results suggest
“malingering” (purposeful feigning of physical symptoms for secondary gain).
A-03
Piriformis Test
Piriformis-Test P
Increased pain with hip flexion and adduction can indicate piriformis or
hamstring involvement in sciatic pain.
Movements / Cues:
Variations:
Client can be sitting (as pictured) or supine.
Test can be active (as pictured), or performed passively.
Increased pain with resisted active external rotation of a straight leg can also
indicate piriformis involvement.
Notes:
Some sources suggest that including the passive and supine variations in
assessment increase the accuracy of the Straight Leg and Piriformis Tests.
Other sources purport that positional differences in results suggest
“malingering” (purposeful feigning of physical symptoms for secondary gain).
A-04
Iliac Crest
Crista iliaca D
Movements / Cues:
Notes:
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A-04
Iliac Crest
Crista iliaca D
Movements / Cues:
Notes:
A-05
Lumbar Space: Obliques
Lumbalraum: Mm Obliqui D
Movements / Cues:
Notes:
A-05
Lumbar Space: Obliques
Lumbalraum: Mm Obliqui D
Movements / Cues:
Notes:
A-06
Lumbar/Visceral Space
Dekompression Lumbal- / Viszeralraum D
Feel for anterior release of viscera from lumbars, while counter-rotating lumbars
by lifting knees (or rolling pelvis with ASIS--lower photo).
Movements / Cues:
Notes:
Modified version of one of Peter Schwind’s “Fascia & Membrane” techniques.
Variation: client supine with knees up; counter-rotate knees and viscera (as in
side-lying version).
A-06
Lumbar/Visceral Space
Dekompression Lumbal- / Viszeralraum D
Feel for anterior release of viscera from lumbars, while counter-rotating lumbars
by lifting knees (or rolling pelvis with ASIS--lower photo).
Movements / Cues:
Notes:
Variation: client supine with knees up; counter-rotate knees and viscera (as in
side-lying version).
A-07
Psoas: Medial Aspect
Psoas: Medialer Aspekt D
Drop both knees off to one side to roll psoas away from lumbars.
Movements / Cues:
Passive or active.
Notes:
Ventral nerve roots of L3 and L4 nerves run through and medial to psoas. (L4
joins nerves L5-S3 to form the sciatic nerve.)
A-07
Psoas: Medial Aspect
Psoas: Medialer Aspekt D
Drop both knees off to one side to roll psoas away from lumbars.
Movements / Cues:
Passive or active.
Notes:
Ventral nerve roots of L3 and L4 nerves run through and medial to psoas. (L4
joins nerves L5-S3 to form the sciatic nerve.)
A-08
SI Release: Anterior/Posterior
Lösen der ISG: anterior / posterior I
Lift on one side of sacrum from under client, while applying counter-pressure on
ASIS; feel for anterior/posterior release.
Movements / Cues:
Notes:
A-08
SI Release: Anterior/Posterior
Lösen der ISG: anterior / posterior I
Lift on one side of sacrum from under client, while applying counter-pressure on
ASIS; feel for anterior/posterior release.
Movements / Cues:
Notes:
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B-02
Sciatic Nerve Glide Test
Ischiasnerv: Gleittest P
Direct client to compare the sensations of straightening the affected and
unaffected legs. If straightening the affected leg increases sciatic pain, nerve
tethering could be a factor (at or proximal to the site of reported pain).
Use Sciatic Nerve techniques to locate and release neural sheath adhesions. In
general, work proximal to distal, retesting to track improvement.
Movements / Cues:
Straightening leg (extend knee).
[If pain increases with knee extension:] “Where do you feel it most?” (Can often
indicate site of tethering.)
Can be helpful as a take-home client exercise/stretch. Clients should be

cautioned not to overdo it, so as to avoid irritating an inflamed sciatic nerve.
Notes:
Variations (not pictured):
1. Positive test result when bringing leg across the body (knee extension with
hip flexion with adduction) can indicate piriformis or hamstring involvement.
2. Placing the sole of the passive leg on the table by raising the knee can help
differentiate between lumbar and non-lumbar tethering. Since knee-up position
decreases lumbar extension, suspect tethering at lumbars if having passive
leg’s knee up decreases pain.
B-02
Sciatic Nerve Glide Test
Ischiasnerv: Gleittest P
Direct client to compare the sensations of straightening the affected and
unaffected legs. If straightening the affected leg increases sciatic pain, nerve
tethering could be a factor (at or proximal to the site of reported pain).
Use Sciatic Nerve techniques to locate and release neural sheath adhesions. In
general, work proximal to distal, retesting to track improvement.
Movements / Cues:
Straightening leg (extend knee).
[If pain increases with knee extension:] “Where do you feel it most?” (Can often
indicate site of tethering.)
Can be helpful as a take-home client exercise/stretch. Clients should be

cautioned not to overdo it, so as to avoid irritating an inflamed sciatic nerve.
Notes:
Variations (not pictured):
1. Positive test result when bringing leg across the body (knee extension with
hip flexion with adduction) can indicate piriformis or hamstring involvement.
2. Placing the sole of the passive leg on the table by raising the knee can help
differentiate between lumbar and non-lumbar tethering. Since knee-up position
decreases lumbar extension, suspect tethering at lumbars if having passive
leg’s knee up decreases pain.
B-03
Gluteus Medius, Minimus (Side-lying)
Gluteus medius, minimus (Seitenlage) D
Movements / Cues:
Notes:
B-03
Gluteus Medius, Minimus (Side-lying)
Gluteus medius, minimus (Seitenlage) D
Movements / Cues:
Notes:
B-04
Leg Rocking (prone)
Beinschaukeln (Bauchlage) P
Rhythmic femur rotation at hip joint.
Feel for release of hip and leg tonus.
Movements / Cues:
Notes:
Client can be supine or prone.
B-04
Leg Rocking (prone)
Beinschaukeln (Bauchlage) P
Rhythmic femur rotation at hip joint.
Feel for release of hip and leg tonus.
Movements / Cues:
Notes:
Client can be supine or prone.
B-05
Piriformis Pool-Cue
Piriformis: Billardstock D
Movements / Cues:
• Passive internal and external femoral rotation;
• Passive traction with abduction (by wrapping lower leg around practitioner’s
back);
• Active external rotation.
Notes:
SI variation: slight leg abduction, passive hip flexion (lifting leg off table). Keep
lumbars long and in neutral.
Thanks to Erik Dalton (”Piriformis and SI Joint Release Technique”).
B-05
Piriformis Pool-Cue
Piriformis: Billardstock D
Movements / Cues:
• Passive internal and external femoral rotation;
• Passive traction with abduction (by wrapping lower leg around practitioner’s
back);
• Active external rotation.
Notes:
SI variation: slight leg abduction, passive hip flexion (lifting leg off table). Keep
lumbars long and in neutral.
Thanks to Erik Dalton (”Piriformis and SI Joint Release Technique”).
B-06
Sacrotuberous Ligaments II
Ligamentum sacrotuberale II D
Ligament lies anterior to Gluteus Maximus.
Working from opposite side, press into inferio-medial margin of ligament and
wait for release.
Movements / Cues:
Since some fibers of piriformis attach to the sacrotuberous ligament, use
passive or active femur rotation to differentiate tissues around ligament.
Notes:
Explain and ask for permission first.
B-06
Sacrotuberous Ligaments II
Ligamentum sacrotuberale II D
Ligament lies anterior to Gluteus Maximus.
Working from opposite side, press into inferio-medial margin of ligament and
wait for release.
Movements / Cues:
Since some fibers of piriformis attach to the sacrotuberous ligament, use
passive or active femur rotation to differentiate tissues around ligament.
Notes:
Explain and ask for permission first.
B-07
Biceps Femoris/Adductor Magnus
Biceps femoris / Adductor magnus D
Roll biceps femoris laterally, adductor magnus medially to free the
“passageway” for the sciatic nerve.
Movements / Cues:
Notes:
B-07
Biceps Femoris/Adductor Magnus
Biceps femoris / Adductor magnus D
Roll biceps femoris laterally, adductor magnus medially to free the
“passageway” for the sciatic nerve.
Movements / Cues:
Notes:
B-08
Sciatic Nerve: Prone
Ischiasnerv: Bauchlage D
Passively flex and extend knee to glide nerve.
Movements / Cues:
Notes:
B-08
Sciatic Nerve: Prone
Ischiasnerv: Bauchlage D
Passively flex and extend knee to glide nerve.
Movements / Cues:
Notes:
B-09
Sciatic Nerve: Supine A
Ischiasnerv: Rückenlage A D
Knee up. Feeling between hamstring bellies for nerve track.
Movements / Cues:
Client gently pulls knee towards chest; or extends knee; or brings leg across
body (hip flexion with adduction).
Notes:
Hamstring variation: work bellies of hamstrings themselves.
B-09
Sciatic Nerve: Supine A
Ischiasnerv: Rückenlage A D
Knee up. Feeling between hamstring bellies for nerve track.
Movements / Cues:
Client gently pulls knee towards chest; or extends knee; or brings leg across
body (hip flexion with adduction).
Notes:
Hamstring variation: work bellies of hamstrings themselves.
B-10
Neck Core/Sleeve
Hals: Kern / Hülle I
Movements / Cues:
Notes:
B-10
Neck Core/Sleeve
Hals: Kern / Hülle I
Movements / Cues:
Notes:
X-01
SUPPLEMENTAL TECHNIQUES
(Demonstrated on DVD)
X-01
SUPPLEMENTAL TECHNIQUES
(Demonstrated on DVD)
XA-02
Lumbar Test Variations
Lumbal-Tests P
1. Slump test variation: client curls spine and neck into slight flexion, while
raising leg. Increased pain with slumping considered positive for dural tethering
at nerve roots.
2.Bowstring variation: with practitioner stabilizing client’s hip at angle of

maximum change in sciatic symptoms, knee is slightly flexed, usually relieving
symptoms. Pressure with thumbs into the popliteal space will worsen symptoms
when sciatic nerve is involved, due to stretch on nerve. Positive sign indicates
Movements / Cues:
Notes:
passively.
XA-02
Lumbar Test Variations
Lumbal-Tests P
1. Slump test variation: client curls spine and neck into slight flexion, while
raising leg. Increased pain with slumping considered positive for dural tethering
at nerve roots.
2.Bowstring variation: with practitioner stabilizing client’s hip at angle of

maximum change in sciatic symptoms, knee is slightly flexed, usually relieving
symptoms. Pressure with thumbs into the popliteal space will worsen symptoms
when sciatic nerve is involved, due to stretch on nerve. Positive sign indicates
Movements / Cues:
Notes:
passively.
XA-03
L4/L5/S1 Decompression (Prone)
Dekompression L4 / L5 / S1 (Bauchlage) D
Prone, knees up, slowly rolling pelvis with knees.
Use gentle pressure to feel for evenness of left/right lumbar vertebrae mobility.
Avoid pushing lumbars too far forward and so creating more lordosis.
Movements / Cues:
Notes:
XA-03
L4/L5/S1 Decompression (Prone)
Dekompression L4 / L5 / S1 (Bauchlage) D
Prone, knees up, slowly rolling pelvis with knees.
Use gentle pressure to feel for evenness of left/right lumbar vertebrae mobility.
Avoid pushing lumbars too far forward and so creating more lordosis.
Movements / Cues:
Notes:
XA-04
Psoas: Prone
Psoas: Bauchlage D
Movements / Cues:
Notes:
XA-04
Psoas: Prone
Psoas: Bauchlage D
Movements / Cues:
Notes:
XA-05
Iliolumbar Ligaments: Anterior Aspect
Ligamentum iliolumbale: anteriorer Aspekt D
Movements / Cues:
Hip flexion, maintaining length in lumbers.
Notes:
Variation: use knuckles or even forearm (carefully) in clients with longer waists.
Use with caution when lumbar disc issues are known or suspected.
XA-05
Iliolumbar Ligaments: Anterior Aspect
Ligamentum iliolumbale: anteriorer Aspekt D
Movements / Cues:
Hip flexion, maintaining length in lumbers.
Notes:
Variation: use knuckles or even forearm (carefully) in clients with longer waists.
XA-06
L4/L5/S1 Decompression (Side-Lying)
Dekompression L4 / L5 / S1 (Seitenlage) D
Client position: side-lying, knees bent and at table’s edge, lower legs off table to
sidebend and open lumbar spine.
Decompress and de-rotate lumbars with local work on lumbars as well as

global work between segments. Use listening touch, direct pressure, gentle
twists, etc.
Movements / Cues:
Notes:
XA-06
L4/L5/S1 Decompression (Side-Lying)
Dekompression L4 / L5 / S1 (Seitenlage) D
Client position: side-lying, knees bent and at table’s edge, lower legs off table to
sidebend and open lumbar spine.
Decompress and de-rotate lumbars with local work on lumbars as well as global
work between segments. Use listening touch, direct pressure, gentle twists, etc.
Movements / Cues:
Notes:
XA-07
Twists
Drehungen Torceduras I
Intention: length in lumbar space; integration.
Movements / Cues:
Notes:
Spinal foramen are usually opened by contralateral rotation. For example, left-
side foramen symptoms will typically be relieved by rotating the truck to the
right (lower photo).
Use with caution when lumbar disc issues are known or suspected. Avoid
rotation with acute disc issues.
XA-07
Twists
Drehungen Torceduras I
Intention: length in lumbar space; integration.
Movements / Cues:
Notes:
Spinal foramen are usually opened by contralateral rotation. For example, left-
side foramen symptoms will typically be relieved by rotating the truck to the
right (lower photo).
Use with caution when lumbar disc issues are known or suspected. Avoid
rotation with acute disc issues.
XA-08
Lumbar/Viscera Decompression II
Dekompression Lumbal- / Viszeralraum II D
Feel for lateral release of viscera from lumbars, while counter-rotating lumbars
by dropping knees.
Movements / Cues:
Notes:
XA-08
Lumbar/Viscera Decompression II
Dekompression Lumbal- / Viszeralraum II D
Feel for lateral release of viscera from lumbars, while counter-rotating lumbars
by dropping knees.
Movements / Cues:
Notes:
XB-09
Leg-Over Twists
Beine über Kreuz drehen D
Use position to locate and release any sciatic nerve tethering in hip or leg.
Movements / Cues:
Notes:
XB-09
Leg-Over Twists
Beine über Kreuz drehen D
Use position to locate and release any sciatic nerve tethering in hip or leg.
Movements / Cues:
Notes:
XB-10
Piriformis & Rotators
Piriformis & Rotatoren D
Feel and release rotators around their attachments on greater trochanter, and
piriformis attachments on sacrum.
Movements / Cues:
Notes:
Indicated for sciatica, etc.
Avoid irritating sciatic nerve with excessive direct work on the nerve itself.
XB-10
Piriformis & Rotators
Piriformis & Rotatoren D
Feel and release rotators around their attachments on greater trochanter, and
piriformis attachments on sacrum.
Movements / Cues:
Notes:
Indicated for sciatica, etc.
Avoid irritating sciatic nerve with excessive direct work on the nerve itself.
XB-11
Medial Hamstring Origins
Mediale Ursprünge der hinteren D
Oberschenkelmuskulatur
Movements / Cues:
Pelvic rocking, knee flexion
Notes:
XB-11
Medial Hamstring Origins
Mediale Ursprünge der hinteren D
Oberschenkelmuskulatur
Movements / Cues:
Pelvic rocking, knee flexion
Notes:
XB-12
Pigeon Pose
Taubenstellung I
Movements / Cues:
Notes:
Salamba Kapotasana
Variation: supine
XB-12
Pigeon Pose
Taubenstellung I
Movements / Cues:
Notes:
Salamba Kapotasana
Variation: supine
XB-13
Pigeon Pose (Supine)
Taubenstellung (Rückenlage) I
Movements / Cues:
Notes:
XB-13
Pigeon Pose (Supine)
Taubenstellung (Rückenlage) I
Movements / Cues:
Notes:
XB-14
Rotator Stretch (Seated)
Dehnen der Rotatoren (im Sitzen) I
Equalize contact of left and right ischial tuberosities with the floor.
Feel for stretch in rotators and hip joints.
Variation: forward bend; or, varying amounts of hip adduction and abduction.
Movements / Cues:
Notes:
Guptasana
XB-14
Rotator Stretch (Seated)
Dehnen der Rotatoren (im Sitzen) I
Equalize contact of left and right ischial tuberosities with the floor.
Feel for stretch in rotators and hip joints.
Variation: forward bend; or, varying amounts of hip adduction and abduction.
Movements / Cues:
Notes:
Guptasana
XB-15
Sacrospinous Ligaments, Coccyx
Ligamentum sacrospinale, Coccyx D
The sacrospinous ligament is anterior to sacrotuberous ligament; medial fibers
attach to coccyx.
Movements / Cues:
Notes:
XB-15
Sacrospinous Ligaments, Coccyx
Ligamentum sacrospinale, Coccyx D
The sacrospinous ligament is anterior to sacrotuberous ligament; medial fibers
attach to coccyx.
Movements / Cues:
Notes:
XB-16
Sciatic Nerve: Supine B
Ischiasnerv: Rückenlage B D
From underneath, feeling between hamstring bellies for nerve track, as in lower
photo.
(Upper photo shows hand position only.)
Movements / Cues:
Client slightly flexes and releases knee to lengthen nerve.
Notes:
XB-16
Sciatic Nerve: Supine B
Ischiasnerv: Rückenlage B D
From underneath, feeling between hamstring bellies for nerve track, as in lower
photo.
(Upper photo shows hand position only.)
Movements / Cues:
Client slightly flexes and releases knee to lengthen nerve.
Notes:
SEQUENCE PAGE ANSWERS SEQUENCE PAGE ANSWERS
A. TIBIA/FEMUR Sequence A. TIBIA/FEMUR Sequence
Intentions Intentions
• Assess and release any restrictions to tibia/femur 1. mobility • Assess and release any restrictions to tibia/femur 1. mobility
Indications Indications
• 2. Flexion or 3. extension restrictions • 2. Flexion or 3. extension restrictions
• Knee 4.pain • Knee 4.pain
• 5.Chronic effects of knee Injuries or surgery. • 5.Chronic effects of knee Injuries or surgery.
B. PATELLA Sequence B. PATELLA Sequence
• 1. Assess and release any to restrictions balanced patella • 1. Assess and release any to restrictions balanced patella
mobility mobility
• 2. Patellar pain, discomfort, crepitus, or noise. • 2. Patellar pain, discomfort, crepitus, or noise.
C. LEG INTEGRATION Sequence C. LEG INTEGRATION Sequence
• Assess 1. alignment and balanced tone across knee joint • Assess 1. alignment and balanced tone across knee joint
• Re-establish 2. continuity and supportive capacity of entire • Re-establish 2. continuity and supportive capacity of entire
leg leg
• Knee pain or discomfort when accompanied by genu • Knee pain or discomfort when accompanied by genu
3. valgum or 4. varum 3. valgum or 4. varum
• Pes Anserinus or 5. popliteal bursa pain. • Pes Anserinus or 5. popliteal bursa pain.
• After 6. deep work with knees, ankles, or feet. • After 6. deep work with knees, ankles, or feet.
Advanced-Trainings.com +1 303/499-8811 Adv. Myo. Techs: Knee p.X-12 Advanced-Trainings.com +1 303/499-8811 Adv. Myo. Techs: Knee p.X-12

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Advantages and Benefits Advantages and Benefits

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Positional variations: Client can also be supine, or tests can be performed

Positional variations: Client can also be supine, or tests can be performed

Client can be sitting (as pictured) or supine.

Test can be active (as pictured), or performed passively.

Client can be sitting (as pictured) or supine.

Test can be active (as pictured), or performed passively.

Can be helpful as a take-home client exercise/stretch. Clients should be

Can be helpful as a take-home client exercise/stretch. Clients should be

Feel for release of hip and leg tonus.

Feel for release of hip and leg tonus.

Thanks to Erik Dalton (”Piriformis and SI Joint Release Technique”).

Thanks to Erik Dalton (”Piriformis and SI Joint Release Technique”).

2.Bowstring variation: with practitioner stabilizing client’s hip at angle of

2.Bowstring variation: with practitioner stabilizing client’s hip at angle of

Decompress and de-rotate lumbars with local work on lumbars as well as

Feel for stretch in rotators and hip joints.

Feel for stretch in rotators and hip joints.

(Upper photo shows hand position only.)

(Upper photo shows hand position only.)

A. TIBIA/FEMUR Sequence A. TIBIA/FEMUR Sequence

B. PATELLA Sequence B. PATELLA Sequence

C. LEG INTEGRATION Sequence C. LEG INTEGRATION Sequence

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