Course Information

Unlocking the Mystery of the SI Joint: Practical Evaluation & Treatment of Sacral Restrictions

Low back pain has become an epidemic in today’s society with sacroiliac joint dysfunction being reported as the cause of up to 30% of low back pain in the adult population. This course is intended to teach systematic, hands on evaluation, assessment and treatment of sacral restrictions that can lead to a variety of dysfunctions. Included will be the presentation, discussion and hands on assessment and treatment of backward and forward sacral torsions, as well as unilaterally flexed, unilaterally extended and compound sacral dysfunctions. Palpation skills and sacral biomechanics will be emphasized for accurate diagnosis while treatment techniques will focus on manual therapies such as muscle energy techniques and joint mobilizations. These practical skills will allow participants to effectively identify and treat sacral dysfunctions in the clinic resulting in improved patient outcomes. 

Upon completion of the course participants will be able to: 

- Identify and confidently palpate sacral/pelvic bony landmarks and ligaments 

- Describe sacral biomechanics and the dysfunctions that may occur 

- Correctly use palpation and motion testing to accurately diagnose sacroiliac joint restrictions 

- Select and perform appropriate manual therapy techniques to successfully restore sacral mechanics 

- Immediately apply concepts and skills learned into clinical practice 

About the Instructor 

Leanne Reed is the owner and operator of Still Water Physical Therapy and Wellness, a private physical therapy clinic established in 2006 that emphasizes personalized, one on one treatments with a strong manual therapy base. Her background consists of advanced training in manual therapy including joint manipulation, muscle energy techniques, soft tissue mobilization, and trigger point dry needling as well as assessing and retraining movement dysfunctions. In addition to the clinic, Leanne has worked with highly skilled and experienced instructors in order to provide expert, hands-on training that has immediate application to patient care. Leanne graduated from Northeastern University in Boston, MA in 1999 with her B.S. in physical therapy. She went on to complete a 525 hour massage therapy certification from the Center of Advanced Therapeutics in Denver, CO in 2000 and completed her manual therapy certification from The Manual Therapy Institute in February 2015. In 2017 Leanne achieved her Doctorate in Physical Therapy from Rosalind Franklin University and is currently a lab assistant for 1st and 2nd year physical therapy students at the university. In addition, Leanne became a certified Kinetic Control Movement Therapist (KCMT) in 2017. Over the last decade, she has completed numerous trainings including functional dry needling and functional movement as well other manual therapy techniques such as myofascial release, craniosacral therapy and lymph drainage therapy. Leanne's specialties include working with complex spine and sacroiliac joint dysfunctions along with chronic pain and movement dysfunctions. 

Course Agenda



Biomechanics of sacrum 

Review of anatomy 


Self-Locking Mechanism 


Manual Therapy 

Defined Systems to be used in this class - Joint Mobilization 

- Muscle Energy 

- Sustained Force Loading 



- Palpation techniques 

- Building a Map of the Pelvis and Sacrum 

- Location of Landmarks

Lab - Demonstration and practice of finding landmarks and ligaments 

10:15 Break


Sacral Dysfunctions Discussion

Sacral Torsions 

- Sacral Side Bends (Unilaterally flexed/extended sacrums) 

Motion Testing/Special Tests 

11:30 Lunch 


Sacral Dysfunction Lab

Demonstration and practice of special tests and identifying sacral dysfunctions 


Treatment of Sacral Dysfunctions 

Discussion of manual techniques used to correct sacral dysfunctions presented 

Lab – Demonstration and practice of manual techniques 

3:00 Break 


Discussion of Compound Sacral Dysfunctions 


Patient examples and long term management Discussion of HEP 

4:45 Question and Answer

5:00 Adjourn