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SLIDE 1

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Go to:

www.advanced-trainings.com/abmp11s/

Videos of webinar techniques.
Request the free Sciatica Webinar “Mini-

Manual” (30-page PDF of slides, more techniques, and detailed notes).

Links to ABMP, quiz, and optional CE Credit
And more..

Getting the Most out of Your Webinar

Avoid multitasking
Engage your body
Engage your mind

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Webinar Topics:

1. Tests for distinguishing the two main

types of sciatic pain;

2. Understanding peripheral nerve pain

in general;

3. Considerations and techniques for

working with each type of sciatic nerve pain.

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Time for a poll!

Have you ever experienced

sciatic pain?

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SLIDE 2

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Lumbar vertebra position (e.g., spondylolisthesis, scoliosis)
Bulging or herniated disc; degenerative disc disease
Pregnancy
Spinal stenosis (canal or foramen narrowing)
Spinal tumor or infection; prostate cancer
Direct trauma and injury to nerve roots
Psoas entrapment (3rd and 4th lumbar ventral spinal rami)

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SLIDE 3

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SLIDE 4

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1. Pain in back, buttock, and/or thigh, usually not below knee.
2. Positive (painful) SLT
3. “Sciatic scoliosis”: Leaning away from affected side

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Goals:
1. Gently decompress lumbars;
2. Ease overall guarding and effects of pain.
Work slowly: do deep work only gradually, noting response

between sessions.

If you do direct work with lumbar area, get informed consent:

“There’s a chance you could feel worse.”

Avoid longitudinal compression or anterior shearing (listhesis)
f vertebra; use caution with prone or seated positions.
Don’t hesitate to refer to an MD, Orthopedist, Chiropractor,

PT, DO, Advanced Rolfer, other rehabilitation specialist.

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SLIDE 5

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E: Epineurium P: Perineurium

SLIDE 6

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SLIDE 7

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A-02: Piriformis Test

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1. Pain in buttock and/or thigh, sometimes below knee.
2. Positive (painful) Piriformis Test
3. Increased pain with:
Sitting
Stairs
Direct pressure
Active external hip rotation
4. Can be worse at night (from accumulated nervi nervorum

stimuli and decreased efferent nerve activity).

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SLIDE 8

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Time for a poll!

If you have ever experienced

sciatic pain, do you think it was:

1. Axial Sciatica
2. Appendicular Sciatica
3. Both

(If you have never had sciatic pain, skip this poll).

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1. Piriformis issues are twice as common as lumbar

issues in sciatica.

2. Piriformis syndrome is 6 times more frequent in

women than in men.

3. Lumbar disk issues are 2 times more common in

men than women.

1. Filler A, Haynes J, Jordan S, et al. Journal of Neurosurgery: Spine, 2005;2(2):99-115.
2. Carol L. Otis, M.D., http://www.sportsdoctor.com/articles/sciatica3.html
3. Noordeen, Hilali et al. Interactive Spine v1.66. Primal Pictures Ltd, 2009

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Sitting: pressure from wallets, bucket seats
Driving: sitting; gas pedal (also a risk factor for disk

issues)

Pregnancy
Sacral position and freedom (piriformis acts on sacrum)
Leg length differences, ankle pronation, hip rotation
Direct trauma and injury to sciatic nerve
Connective tissue hardening or hypertrophy of rotators /

hamstrings (from over-use or postural strain)

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B-02: Sciatic Nerve Glide Test B-02: Sciatic Nerve Glide Test

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1. Under, over, through, or around the piriformis

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SLIDE 9

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1. Under, over, through, or around the piriformis

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1. Under, over, through, or around the piriformis
2. Between rotators and gluteus maximus

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SLIDE 10

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XB-08: Piriformis & Rotators Technique XB-08: Piriformis & Rotators Technique

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1. Under, over, through, or around the piriformis
2. Between rotators and gluteus maximus

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1. Under, over, through, or around the piriformis
2. Between rotators and gluteus maximus
3. In the intermuscular septum between biceps

femoris/adductor magnus in the posterior thigh.

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SLIDE 11

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B-07: Biceps Femoris/Adductor Magnus Technique B-07: Biceps Femoris/Adductor Magnus Technique

SLIDE 12

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B-10: Sciatic Nerve Technique: Supine “B” B-10: Sciatic Nerve Technique: Supine “B”

SLIDE 13

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Visit: www.Advanced-Trainings.com/abmp11s

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Links to ABMP, quiz, and optional CE Credit

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www.advanced-trainings.com/abmp11s/

Getting the Most out of Your Webinar

Webinar Topics:

types of sciatic pain;

in general;

working with each type of sciatic nerve pain.

Time for a poll!

sciatic pain?

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sciatic pain, do you think it was:

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