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Sacroiliac Joint Dysfunction And Lumbopelvic Pathomechanics

The Hesch Method is an innovative approach, making the complexities of the pelvis and sacroiliac understandable with a relevant, clinical useful approach. 

SIJD is fraught with confusion and misunderstanding.  Yet 25-30% of the back pain population is reported to have a component of SIJD.  Evaluation and treatment needs to evolve with the science and research.

This method, a unique subset of Orthopedic Manual Therapy, presents a new approach to evaluation and treatment, in which spring tests are enhanced to a kinesthetic skill known as“Springing with AwarenessTM”. The practitioner can thoroughly assess the lumbopelvic structure in all planes of the body, thus demystifying complex pathomechanics. Treatment using gentle, low-load, long-duration input goes beyond brief elastic deformation into long lasting (plastic) reorganization of dense connective tissue. This facilitates efficient neuromotor reprogramming.

Our goal is to make it easy for you to apply this material in the clinic for effective, efficient patient care. By using this approach, most simple and complex pelvic and sacroiliac joint dysfunctions are resolved in one to three visits. Clinicians are then free to address other issues such as strengthening, spinal stabilization, etc. Furthermore, this approach is very logical and very easy on the clinician and the client. We do not use long levers or grade 5 manipulation. Application of Hesch Method has been clinically proven to contribute to positive patient outcome in cases of pelvic and sacroiliac dysfunction.

Several Independent studies and a research thesis demonstrated that brief Hesch Method treatment results in significant pain relief and increased SLR. Multiple studies showed poor to fair inter-tester reliability of palpation & movement tests, whereas this approach has moderate intertester reliability. This approach is very efficient and by the third visit the pattern resolution is stable and is easily maintained such that focus can then be directed on overall rehabilitation with much greater efficiency.

Who should attend?
Physical Therapists, Manual therapists, Chiropractors, Osteopath's.

Course Outline:


8:00am            Registration

8:30am            Intro, anatomy, joint mechanics, research, outcome studies,historical perspective

10:30am          Break

10:45am          Pelvic Side Glide and Posterior Glide Fixation Hip

11:15am          Most Common Pattern, theory

12:00am          Palpation & spring testing on anatomical models

12:30pm          Lunch 

13:15pm          Palpation & spring testing on lab partners*

15:15pm          Break

15:30pm         Treatment lab*, Q & A

17:30pm          End


8:00am            Lab review Most Common Pattern

9:30am            Signs, symptoms, indications & contraindications

10:00am          Break

10:15am          Demystifying Sacral Torsion theory & lab*

11:00am          Upslip, Downslip Ilium and symphysis pubis, lab*

12:00am          Lunch 

12:45pm          Q & A, Lumbosacral mechanics: theory & lab*

13:45pm          Second Most Common Pattern: theory & lab*

14:45pm          Break

15:00pm          Integrating exercise paradigms, patient self-care and education, proper body mechanics

15:45pm           Detailed review of Most Common Pattern

16:15pm           Efficiently integrating Hesch Method in the clinic

17:00pm           End and Q&A

Upon completing this course, participants will be able to:

  • Analyze the significant limitations of the symmetrical/asymmetrical and alignment theory of SIJD
  •  Discuss studies which undergird this method
  •  Identify distal compensations within a whole-body perspective
  •  Describe joint, neuromuscular, posture and movement models
  •  Proficiently perform palpation and spring testing and treat hypomobility and hypermobility
  • Using Clinical Prediction Rules, competently evaluate and treat common patterns of symmetrical and asymmetrical  dysfunction and prescribe effective exercise, and self-care
  • Competently address pathomechanics of the entire pelvis as separate and distinct from the sacroiliac joint .


“In 8 years of practice I took 3 SI courses but never felt comfortable enough to properly assess & treat SIJD. I’m very comfortable & confident treating SIJ now!” Ridhima Wason, DPT, Indianapolis, IN

"Much less confusing than the traditional and muscle energy model. I can apply it right away in the clinic and quickly achieve lasting change.” John Bolin, San Diego, CA

“I’ve had nothing but positive feedback. All of the therapists tried it and were so excited that it actually made sense and seemed to just make everything about the patient’s problems CLICK.” Jill Irion, PT Supervisor, Norwalk, OH



Location of the course: HumanMotion BV

Klaaskampen 19C
1251KN Laren


Recommendations to stay during the course:



Less than 300 meters from our office we have a nice Bed&Breakfast called: Het Hof van Laren.
For more information go to: 

Hotel de Witte Bergen in Eemnes is for some courses HumanMotion does in the Netherlands; it is 5 minutes away (by car) from our office.

Amsterdam, is only 35 kilometres from the hotel. Amersfoort and Utrecht are only 20 kilometres away. The airport is 48 kilometers from the hotel.


From the Airport / Amsterdam city center.
We advise to travel by train from Schiphol airport to Hilversum and get a taxi from the trainstation Hilversum to Klaaskampen 19C. Total cost would be around: (1 way) € 10,00 for the train from Schiphol to Hilversum and approximately € 22,50 for the taxi from train station Hilversum to our location (all prices are estimated prices)

the phone number to make a taxi reservation is: +31 35 531 8080 (taxi Eemnes) Mostly there are also taxi’s on the station as well you can ask them for their rates.

You can by your train ticket at the train stations


Dr. Jerry Hesch

Dr.Jerry Hesch is a Colorado Licensed Physical Therapist with a Bachelors of Science in Physical Therapy from University of New Mexico, a Masters of Health Science from the Universit ... 

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Dr.Jerry Hesch is a Colorado Licensed Physical Therapist with a Bachelors of Science in Physical Therapy from University of New Mexico, a Masters of Health Science from the University of Indianapolis. Dr. Jerry Hesch completed a Doctorate in Physical Therapy from AT Still University. 

Dr.Jerry Hesch developed the Hesch Method over more than 35 years of clinical practice. The Hesch Method is a distinct and more gentle approach than the joint adjustment model, and has described numerous patterns of motion dysfunction which exist in patterns throughout the body. The Hesch Method treats from a whole-body approach rather than focusing only on where it hurts.  In the lumbopelvic area alone, Dr. Hesch has identified more than a dozen faulty motion patterns not yet described in the literature and developed treatment methods. He has reinterpreted the mechanics of traumatic birth named pubic symphysis diastasis (or pubic joint or symphyseal diastasis) and has developed unique treatment.

Dr. Hesch has taught more than 100 seminars since 1985, instructing clinicians in application of The Hesch Method to assess and treat the pelvic, sacroiliac, and lumbar spine.  He has also developed learning materials on his advanced body of work; which allows the clinician to apply manual therapy using a whole body approach.

Dr. Hesch is currently involved in teaching and writing, and is also accepting patients with complex chronic pain.



Pubic joint dysfunction, pubic symphyseal diastasis and sacroiliac joint dysfunction: Where should we apply pelvic compression supports? In submission Acta Medica International, December 20, 2015.
2011 Chapter; Sacral torsion about an oblique axis; A new approach to an old problem, in Dynamic Body; Exploring Form and Function, Erik Dalton, editor.2011 A novel test and treatment of the forgotten hip rotators in piriformis syndrome: and relation with upper cervical spine restriction. Physiotimes. 2011;3(2)48-50.
2011 An Interview with Jerry Hesch. Physiotimes. 2011;3(1)18-21.
2011 DVD The Hesch Method of treating lumbopelvic dysfunction, integrating the pelvis, SIJ, hip and lumbar spine. Advanced material.
2011 DVD The Hesch Method of treating lumbopelvic dysfunction, integrating the pelvis, SIJ, hip and lumbar spine. Basic and intermediate material filmed at October 2010 Long Island, NY seminar.
Nov 2010 Case Studies: Downslip Ilium with Paradoxical Upslip Ilium Appearance, Pudendal Neuropathy, Parainguinal Neuropathy; A New Internal Sensory Diagnostic Test" Poster Presentation for 7th Interdisciplinary World Congress on Low Back and Pelvic Pain
Jul 2010 Case Study: “False Positive Pelvic Instability in Pregnancy", IOPTWH Newsletter
1997 “Evaluation and Treatment of the Most Common Patterns of Sacroiliac Joint Dysfunction”, Movement, The Pelvis and Low Back Pain, Mooney V., Vleeming A., Stoeckart R, Dorman T: Churchill Livingstone
Nov 1997 “The Hesch Method: Advanced Course” Video
1996 “Evaluating Sacroiliac Joint Play with Spring Tests”, OBGyn PT 20: 3;4-7
Jun 1994 “The Hesch Method of Treating Lumbopelvic Joint Dysfunction: An Integrated Approach, Advanced Course” Course Workbook
1992 “Manual Therapy Evaluation of the Pelvic Joints Using Palpatory and Articular Spring Tests,” Low Back Pain and Its Relation to the Sacroiliac Joint ECO Netherlands
Jan 1991 “The Hesch Method of Treating Lumbopelvic Joint Dysfunction: An Integrated Approach” Course Workbook
Fall 1989 “Manual Therapy for the Sternum,” Physical Therapy Today


June 1, 2014: 2hr lecture Whole Body Joint Health, Barefoot Sanctuary, Las Vegas, NV
Poster Presentation: Pelvic joint mobilization for false positive late pregnancy pelvic joint instability. APTA Combined Sections Annual Meeting APTA. Women’s Health PT Section. February 3-6, 2014, Las Vegas, NV USA
Poster Presentation: Reinterpretation of Obstetric Pubic Symphyseal Diastasis Biomechanics. APTA Combined Sections Annual Meeting. Women’s Health PT Section. February 3-6, 2014, Las Vegas, NV USA
Poster Presentation: Three Cases: Predictive Value of Passive Pelvic Motion Testing in Early Inflammatory Spondylarthopathy and in Sacroiliac Fusions from H1N1 Virus Infection and from Hardware Invasion Validated with CT Scan.American Academy Orthopedic Manual Physical Therapy Conference October 18, 2013 Cincinnati, Ohio. USA
Poster Presentation: Obstetric Pubic Symphyseal Diastasis: Imaging Support of a Novel Biomechanical Model. American Academy Orthopedic Manual Physical Therapy Conference October 18, 2013 Cincinnati, Ohio. USA
Research Presentation (6 x 6 Breakout Sessions): Reappraisal of some fundamental manual therapy concepts. AAOMPT Conference, Cincinatti, OH. October 19, 2013
Lecture: Three cases: predictive value of passive pelvic motion testing in early inflammatory spondylarthropathy and in sacroiliac fusions from H1N1 virus infection and from hardware invasion validated with CT scan. AAOMPT Conference, Cincinatti, OH. October 19, 2013
Poster Presentation: 3-D Pain Drawing, APTA CSM. Las Vegas, NV. February 2009. Poster accepted but not presented due to acute illness.
October 2011: Invited Lecturer 40-minute presentation on mechanical pelvic pain at the Annual International Pelvic Pain Society meeting, Las Vegas, NV.
April 30, 2007: “Evaluation and Treatment of the SIJ via the Hesch Method.” Lecture and lab presented to DPT Students, Arizona School of Health Sciences, Mesa, AZ.
October 14, 2006: “Treating Soft Tissues in Sacroiliac Syndrome.” AMTA, Atlanta, GA.
March 30, 2005 and January, 2005: “Science, Our Physical Therapy Heritage: A Philosophy of Inquiry with Inspiration from Contemporary Clinical Research.” Gentiva Health Services, Albuquerque, NM.
October 2003: “Evaluation and Treatment of Abdominal Neuropathies.” Southern Nevada Orthopedic Study Group, Las Vegas, NV.
September 2003: “A New Approach to Evaluation and Treatment of the SIJ.” Southern District NV Chapter APTA, Las Vegas, NV.
1987-2000: “Basic SI Evaluation and Treatment”, University of New Mexico, Senior Physical Therapy Class, and PT Club, Repeat Presentations 1987 – 200, Albuquerque, NM.
November 11 1994: Keynote Speaker – The 10th Annual Rex McMorris Memorial Lecture on Rehabilitation, Institute of Physical Medicine & Rehabilitation, Peoria, IL.
October 29, 1994: AMTA, 3-hour intro lecture, Albuquerque, NM.
May 1994: Keynote Speaker – Canadian Athletic Therapist National Conference, Oakville, Ontario.
November 6, 1992: “Manual Therapy Evaluation of the Pelvic Joints Using Palpation and Articular Spring Tests”.  First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint, University of California San Diego, San Diego, CA.
June 1990: “The Pitfalls Associated with Traditional Evaluation of Sacroiliac Joint Dysfunction and Their Proposed Solutions.” APTA Annual Conference, Anaheim, CA.
April 14, 1990: “Soccer Injuries Involving the Hip and Pelvis” 2 - hour lecture, TVI, Albuquerque, NM.


Price€ 525,00
Including syllabus. A small lunch is served.
Reception Date(s)11-05-2018 at 08:30
12-05-2018 at 08:30
Start time(s)11-05-2018 at 09:00
12-05-2018 at 09:00
Ending time(s)11-05-2018 at 17:00
12-05-2018 at 17:00
LocationLaren (Nh)
Speaker(s)Dr. Jerry Hesch
Terms and conditionsTerms and conditions
LeadJ. Smeenge
Contact Hours14
Min-max participants15-26
Duration2 day(s)