Sacral Torsion Correction

Type 1 rotation of the sacrum with L5 & L4 rotated in the same direction. (n0n-compensatory)

Sacral Torsion Correction

Type 1 Dysfunction: (20% effort)

  • Involves a group motion restriction that is maintained by muscles spanning several spinal segments.
  • Usually can see imbalance with the naked eye.
  • Involves the large, extrinsic muscle groups.
  • Side bending and rotation usually occur to opposite sides.

Sacral torsions (rotations) commonly cause sciatic nerve pain.


Type 1 rotation: if the sacrum, L5 & L4 were rotated in the same direction.

  1. Side lying with the deep sulcus down.
  2. Straighten the lower leg into neutral. this traction the lumbar spine.
  3. Palpate the sacrum with your downhill hand and with your uphill hand, the spinous process of the upper most rotated lumbar spine (L-4) that is rotated along with the sacrum (non-compensatory)
  4. Place arm behind back and instruct the patient to take 2-3 deep breaths to relax and let the L-spine rotate.
  5. Rotate the top shoulder(spine) backward to a pathological motion barrier to induce lumbar rotation all the way down to the uppermost rotated L-spine segment. (L-4 in this example)
  6. Move the sacrum in opposition to the lumbar spine, by taking the top leg into flexion until you feel movement at L-4.
  7. Place your uphill hand on the front of the patient's shoulder.
  8. Lower the patient's leg into adduction. Place your downhill hand on the outside of the patient's thigh just above the knee.
  9. Instruct the patient to push into both of your hands with a 20% effort. Hold this contraction for 6-8 seconds.
  10. Following complete relaxation, increase the rotation of the spine and the adduction of the thigh slowly to the new pathological motion barrier.
  11. Repeat 3-5 times.