PHYSIO SPEAKS: An Interview with the founder of Hesch Method of Manual Therapy - JERRY HESCH

1) Please share in brief what exactly is Hesch Method, how did you invent it and what are the major areas of body which can be dealt by the same and how does it differ from the other manual therapy techniques like Milligan, Maitland, Cyriax etc.?

It started as a way of understanding the pelvis as a structure with its own biomechanical rules that are relevant, and separately the sacroiliac, the symphysis pubis joints and from there going out to the rest of the body and evaluating and treating it as an integrated and interlinked system.  The traditional model of mechanics of the sacroiliac is actually more than 50 years old, and it is an incomplete system, because the pelvis and separately the sacroiliac etc., behave differently than described.  I am finishing a detailed chapter on sacroiliac dysfunction, specifically on sacral torsion, and it has a broad overview of the problem.  The problem with these structures should not be ignored, especially in women. However, last year I saw a 50 year-old male who had seen many top specialists for his vexatious back pain. In spite of that, no one had checked the symphysis pubis, perhaps because problems with that joint are rare in males. But they can and do happen, and it is a very dense structure which is not designed to be glided posteriorly by ¼”, as it was with him. This created a positional instability in the sacroiliac, but the symphysis pubis needed the treatment not the SIJ. Treatment took 5 minutes, a long time to get it to glide back where it belonged using a fulcrum.

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