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Anterior superior iliac spine manipulation In many cases lumbar problems' cause sacroiliac dysfunction so one of the treatment methods make manipulation asis Knowing the history of the pain ..how is it started ? which time and positions does it increases or decreases? Specific motions increases pain? Is rest effective ? Your differential diagnosis to use your manipulative tool effectively From standing postions On your assessment look ant pelvic tilt or post pelvic tilt and shifting superior or inf misalignment of sacrum and sij Normal flexion extention lumbar? Your special tests specially patrick's and wuadrant test Palpate the joint itself Acute or chronic case ? Weak and tight muscles? Look to the thoracic and lumbar region ? correlation between them Mechanics abnormality on sedentary life or related jobs or bad hobbits lead to faulty positions affects body mechanics Abnormality mechanics illium and sacrum play important role in low back . Pain . Each bone has assessment and treatment as mobilize and manipulation Sometimes visceral problems affects sij We have to relief any restriction before start any bony treatment Use the manipulative tool sure among our treatment program Some techniques for sij problems ..sure exclude according to the case nature not all of them can be used in all cases -release & gliding mov. -rotation method from sidelying (psis) -prone&semiflexed knee fascia stretch -knee in & out isometric exs -thomas position -kneeling stability -cat position + its grades -pelvic bridging -supine leg over leg -manipulation asis