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Pubic Symphysis Direct Technique
AKA Shotgun Technique

Purpose: To treat pubic symphysis dysfunction . 

Start:  The patient starts in hooklying. 

Procedure:  First, the therapist places a fist between the patient’s knees and instructs them squeeze 3 times. Next the therapist places their hands on the outside of the patient’s knees and resists while instructing the patient to try and push out into abduction 3 times. Lastly the therapist places their hands between the patient’s knees to resist adduction, but this time the patient’s hips are placed in slight abduction. The patient is instructed to squeeze in with their hips 3 times.

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