Massage Technique: The "Sacrum Shaker" [SI Joint Mobilization]

Come check out my weirdest massage technique, and let's get that sacroiliac joint moving!
0:57 Communicating with the massage client and obtaining informed consent
1:28 Sacrum and sacroiliac joint anatomy
2:12 Note of caution for prenatal and postpartum clients (be careful with lax ligaments!)
2:29 Working with the sacrum as an extension of leg massage
3:05 Rocking the leg independently of the pelvis
3:51 Exploring the pelvis
4:18 The Sacrum Shaker!
5:30 Variations: Outer ilium, etc
5:56 Compressing the sacrum down toward the table
6:35 Vigorous sacrum friction
7:05 Manipulating the legs to alter this work
8:16 Tractioning the fascia upward

Massage that involves the pelvis can be a sensitive subject for a lot of reasons. How do you explain the benefits to clients, and how do you get informed consent? How can you be sure the contact won't be misconstrued? Well, the first thing to realize is that most clients will immediately recognize how important their posterior pelvis is to low back pain. The moment you show them the outline of their sacroiliac joint, many of them will say, "that's where my pain is!" From there, you can explain about the muscles that attach nearby and how they connect to the greater trochanter, and the need for posterior pelvis contact will be clear!

When you're mobilizing the sacrum, realize that every change you make to leg placement will change the feel of the work. Bilateral massage feels very different than unilateral, as does cross-table versus same-side work. In other words, if you're having trouble making progress with a client's sciatica or hip pain, try a variety of configurations! Stay in constant communication and let your client guide the work.

Let me know what you think, and feel free to share your tips for posterior pelvis massage down in the comments! Thanks all.

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