Bonus: Replay of The Missing Link LIVE training call #2

Hey, hey. Welcome to another bonus episode of the Unreal Results Podcast. Today's bonus episode is the second live training of the free mini course, the missing link. Um, it is a breakdown of SI joint. Mobility locator, test interpretation, how and as like guidelines for an assessment, guidelines for treatment, what the treatment options are and how they work as well as we touch on.

Si joint pain and hypermobility and what that means for our test, what the goal of our client session is. And I also, um, go over the details for the upcoming online ltap level one course for the spring 2025 cohort. So I hope you enjoy the call and, uh, we'll see you next time.

Hello. Hello. Welcome to the second live training. Okay. How's everybody doing? Good. Good. Have we felt like we got some practice the last few days? Yes. Ola. Hello my friend Brittany. Hey, Cindy. Um, this is the first day in a while. I've done the second call on the Thursday, which is nice because I don't feel like everyone's so like, oh my gosh, gotta get in.

So this way you've gotten like three, four full days of practicing the assessment test, feeling the treatments in your own body, maybe even today, practicing them on your clients, which is awesome. Um, so I love that. I love that. For us, tomorrow's the official last day of the course, meaning like, it's the last day of tutorials and like a new module unlocked.

And um, actually I lied. Saturday. There'll be a module unlocked too, but it's more about like where to go from here and the less about the actual course. And, um, a reminder, um, and this is in the notes too, but a reminder that free access ends end of day on Sunday. So if you are behind in the tutorials or in the recordings of the live call it like no need to panic, you have a full weekend to.

Consume it again if you need to. And at the end of that, you'll just, um, wanna make sure that you download your certificate. So I'll enable the certificates, um, again tomorrow after tomorrow's module drops. And then once you finish that, you'll be able to download the certificate of completion for your CEU records.

I don't have approved CEUs for this course, but of course, um, a lot of you ha are in organizations that you can like submit, um, self-paced type of, um, CEU. So if that's the case, at least you'll have a, a certificate for it. I also then get downloaded, um, like a, um, it's not a serial number, but like a, a number associated with your certificate.

So I can also like confirm for organizations if you actually completed the course. So, um, looking in the chat, I'm gonna drop the note, the notes in the chat too, just in case you didn't see them in the, uh, Kajabi portal. But, um, couple people might have to, uh, leave early today and that's no problem. I'll do, um, just like I did the last, um, live call.

I'll have a poll come up around 45 minutes to an hour into the course so you can. Check in and let me know you're here for the show up bonus. So the show up bonus today is a completely new product, um, a new resource for you. So it's going to be a PDF of some of my go-to favorite treatments. Uh, so hopefully that will end up being a really great resource.

I know a lot of times people want to learn more and more treatments, even though I try to reiterate over and over again. You don't need more treatments. You need to figure out where to start and where to direct a treatment. But, you know, that happens. Kaylee asked, um, when to expect to show up bonus. Um, I think, uh, Lex, my, um, head of operations was planning to send them out at the end of the week.

Um, so you should get them then. And, um, yeah, for those of you who couldn't find the poll, no worries. When I drop the poll, you can also drop your info in the chat if you don't see it too. So, Cindy, I saw your comment and I saw your check-in in the chat the other day, so you were accounted for, I believe. Um, so yeah.

All right, let me drop this in and then we'll get started. As always, we got a lot to cover. I tried to, um. Go through the slide presentation for today and sort of like clean it up and the attempts to have a little less content in there than I normally do. Just so we have room for, um, um, questions and answers and conversations today too, if they come up.

And, um, I wanted to say too, I'm loving the vibe and the sharing and everything in the Facebook group, so thank you to those of you who are participating. Same kind of thing with the course. It's not too late to like introduce yourself and start participating in the group. There's some great questions coming, going on from people with all levels of skillset.

So, but I, what I wanted to reiterate about that too is like, don't be deterred from sharing or asking questions when you see other practitioners who are more familiar with the visceral work, uh, when they ask questions, um, you know, I don't want you to feel like this is like an advanced course. This is not an advanced course by any means.

This is very, um, entry level. This is why we, like I start here. This is actually the beginning. I think I've showed you the educational like, uh. Ascension model for a movement. Rev. This is the, this is where we start. This is the bottom. This is so we're all speaking the same language. And then I can mentor you from here.

So I don't want anybody to get discouraged, especially with some of the case studies that are going on in the Facebook group. I love seeing them, and I, I don't usually ask for case studies till the end of the week, so some people are just like jumping ahead and I don't want to make the rest of you feel like you're behind, you're not.

So, um, just wanted to put that in the ether.

All right. A little bit of overview. So the live training on Sunday, we went over like who you are, like what's happening, why you got here. Right? Why you clicked on the link to join the course in the first place is because we were having, um, some unwanted experiences as a professional with our patients.

Um, and we were sort of caught in a cycle of making s some s same mistakes kind of over and over again and, you know, expecting different results, but getting the same results, which is a very frustrating experience that can lead to feeling pretty uninspired with your work. And, um, just. At a loss of what to do to help your patients.

'cause you talked about too, how most of us, you know, we love to learn and we love to help people. That's, you know, more than likely why you got into these professions. And so it's really frustrating when we get stuck in that loop. So we shared how and went over, you know what I mean when I talk about a whole organism paradigm versus like the whole body and why this whole organism paradigm is a new lens of view, a new model that we need to work in to fix our mistakes, to change our unwanted experiences and get better results for your clients.

And we talked about how there's just one simple change to our assessment to make that paradigm make sense and to demon well to demonstrate how that paradigm is in the body really. Right? So that one change to our assessment is a simple assessment that many of you have probably already learned already with the SI joint mobility locator or the SI joint test.

Like a March test is adding a breath hold to it and being curious how it changes and why it may change like that. And then also being curious about the anatomy of just how many things affect the SI joint and how it's a really great whole body test. And so in today's life training, we're gonna review a little bit of that and then we're going to talk a little bit more about the interpretation, go over some common questions, which the biggest common question is typically about SI joint pain.

And then the other big questions are usually around like, okay, now that I feel more comfortable with this assessment, how do I use it within a session to like guide me? And how long should this take? So we'll talk about that. We're gonna talk about the treatment, um, guidelines and options. We'll briefly go over the treatments that I shared in the videos and sort of like the, the why to some of those work, how to, the why to why some of those work so well.

And then we're gonna review some case studies to, so hopefully like make it a little bit more clear of how you would use it. The daily tutorials you've been going over also is reviewing this whole organism, para whole organism paradigm, the how to do the tests and then the treatment tutorial. So that was really the how.

These live trainings tend to be more of the why and the what now sort of thing. And then. I've been kind of, um, talking about it this whole time throughout this week, both in the course, in the Facebook group especially, and then like on social media and in the emails, you've probably already heard me talking about it.

But, um, next week I open up the doors to the online course and announced the new dates and locations for the in-person full course. So the LTAP level one course. So we're gonna talk about that a little bit at the end and, um, sort of what I'm offering this for this spring cohort. So again, who are you? We talked about this.

You are, uh, a physical therapist or another that trainer or some other type of hands-on or movement trained professional you like to learn. So you likely have a lot of tools in education. Um, maybe you get a little overwhelmed with the complex cases, especially when you feel like you're chasing pain or chasing symptoms.

Session to session, you get good results. I think this is a lot of us that seem to resonate with a lot of us. You already get good results. Um, but good results for this industry is usually like seven outta 10 patients. So it's that two to three patients that sort of leave you. Wondering what you miss. So you have this overwhelming feeling of like, I feel like I'm missing something.

You also might be in a high volume clinic or athletic training room and just feel like you don't have enough time with people if you even knew what you were missing. Um, which make makes you automatically feel like you're not set up for success. Um, some of you may be further along in your career and have a lot of tools in your, in your, uh, tool bag.

You know, you might have already experienced visceral and neural manipulation techniques and going through all those courses, but, um, still not really sure how to blend it in within orthopedics within your session, and to not get, get necessarily like lost in that rabbit hole of just like chasing all these anatomical connections within the viscera as well, because pretty soon you like forget why the patient even came there in the first place.

So we're gonna really talk about that today too, about like what the actual goal of the session is. So the frustrations often, like objectively are needing to treat patients multiple times per week or multiple weeks or months to get results. Treatment techniques not sticking, feeling like you're banging your head against the wall.

This, I gave the example of the like constant feeling like I had to release the hi flexor of my athletes every day in order for them to maintain their Mobil mobility and, and be able to be successful in their exercises, um, and feel better in their body. And it was just like so frustrating that I would do it and they'd have great range of motion one day and the next day they'd wake up the same way.

Right? Um, Jill said in the comments, those people that are 95% better but still complain about those nagging niggles exactly the few outliers that keep you awake at night. And then also the frustration of like, you are being more aware of the visceral in the nervous system and you do con, you do understand how we need to consider them in a full assessment of the orthopedics and musculoskeletal issues, but you just don't know where to start.

So the four mistakes that we make when we get in these unwanted experiences is we keep going to more courses that teach us more and more treatment techniques. We chase the biomechanics, trying to change movement, dysfunctions, movement patterns. We spend a lot of time trying to help our clients manipulate their movement outputs.

We think we often get fall into the fundamental, um, fundamental, I can't even think about the name of it, but the, the tendency towards blaming somebody else instead of taking responsibility for ourselves. The fundamental attribution error is what it's called in psychology, blaming time the client or the pain as the problem.

Um, and then often we find ourselves chasing symptoms session to session, even though we know we shouldn't, because at the end of the day, we just want people to feel like they are listened to and cared for. And sometimes that's the easiest way to do it. So now what? Um, this is you, this is why you're here.

Um, I was there too. And so it's like, okay, if the, if we, if we have those problems and we're making those mistakes, you know, what is it? And I keep telling you that the treatment tools you have work really well. It's just a matter of like finding the right timing and sequence of them, right? So what you're really missing is this whole organism paradigm, this new paradigm.

So being able to step out of this biomechanical, orthopedic based paradigm that the industry really lives in and step into one that considers that movement is an output that orthopedics and biomechanics is an output. And regulated by information being driven by the whole organism's drive for survival.

And so then that brings in the value and the importance of, uh, the viscera and the nervous system and the role that the musculoskeletal plays in protecting them, protecting them so they don't get hurt, which would threaten our chance of surviving. And then realizing too that because the, the, the human body works in this whole organism paradigm focused on survival being the number one most important thing.

Everything it's doing, it's doing for a reason. The body is working for you, not against you. And so if we're limited in mobility, if we have a muscle that's not quote unquote turning on, um, or. A muscle that's testing weak, it's often on purpose because the body is protecting something else. So it is arranging itself in a way to limit the risk of injuring that tissue in injuring that organ or that entire organism.

Right? A really good example of this is just when we have a high level of pain or injury to the tissue, our body turns like, literally like inhibits our muscles from contracting to limit our function, right? I had an athlete recently going through this. He, we could just not like strengthen his hamstring, post hamstring graft, ACL, and we're like doing all the things and wondering what's going on.

Well, it turns out he had a ton of cartilage, um, tears underneath his patella te patella, um, and like eventually blew up on us, has like 12 loose bodies. And it was like, oh, no wonder your hamstring was not doing its job because your body was trying to avoid going into knee flexion. 'cause every time it did, it was tearing away at that really important pristine, hy cartilage, right?

And so the body knows better than us if it's avoiding a range of motion, it is for a bigger reason than just being a pain in the ass. Right? So, um, understanding that understanding that the body has this high level of knowledge makes us also open our eyes to like, okay, if we had an ability to, to test and see this within the body so the body could guide us where that protection pattern was so we know we could start treatment in that area, then we're going to have a better outcome.

And that, that's what this is all about, right? Uh, assessment that leads us to where to start based on what the body wants to do, and then to assess and reassess and see how it continually changes our objective measures that we know may be driving their issue, whether their issue is an orthopedic complaint or even like a functional complaint, like incontinence or something like that.

So remember, you have the tools and techniques to help. This is why I don't give you a ton of treatments because I don't want to like add more stuff on you thinking that you don't have what you already need to get the results. What we need needed was an assessment that can identify if there's a protection pattern and where it's originating from the viscera, the central nervous system or the peripheral neurovascular system, or the musculoskeletal system itself.

And that's where the locator test assessment protocol comes in. This protocol is five orthopedic based tests utilized with osteopathic principles to explore the influence of the viscera to influence musculoskeletal system. The ltap helps to listen to the body to determine the sequence of treatment.

What you've been learning here this week in the missing link is the first assessment test of the locator Test Assessment Protocol. So it's the first step, right? So you see it right there on the left hand side. Five orthopedic based assessment tests. Number one, the SI Joint Mobility Locator test. We have been focusing all of our attention on this test because this test is the perfect whole body test.

And we knew it was influenced by all of the things, all of the parts, the viscera, the central nervous system, the peripheral nervous system, and the um, biomechanics. And so we knew that we could use that as our traffic cop, right, to answer these questions really on where to go. So we're asking questions to the body.

This is what I mean by listening to the body. If we're gonna listen to the body, we gotta ask it something. So these are the things that we're asking. We're asking, Hey. Are you protecting anything? Like is your body in a rest state or a protection state mode, right? Is the body focused on survival right now or rest and digest?

And then that's basically asking, can I treat wherever I want or do I need to help you out? Because if the body is asking for help and we just ignore it and go right where we wanna go, do you see how that is a threat in itself? Right? Like if I'm a, like even in regular life, if I'm asking for something and someone completely ignores it, like if I'm like, I mean you see this with kids all the time, right?

Like siblings, my younger sibling, she's five, my older, the middle one is 14. And what happens is the 14-year-old, like when she wants to like love on the 5-year-old, she like smothers her and like, you know, hugs her and squeezes her. And sometimes the 5-year-old is like, I don't want to be touched. And so she's like freaks out.

'cause she's like, no, no, no, don't touch me. And the 14-year-old is like, oh, but you're so cute though. I just wanna squeeze you. And she, right? Like the four year, the five year old's, like, I didn't give you consent. And the 14-year-old is like, I don't fucking care what you're like, I didn't ask for your consent.

Right? How bad does that feel in your body? That like no wonder, so that we're, we're doing literally exactly the same thing when we go to do treatment on somebody in the spot that we think that they need versus asking them like, what do you need? So that's really what this test is asking is, are you protecting something and what is it?

And the rest of the assessments, the LTAP number 2, 3, 4, and five, those help us figure out what exactly it is. And some, some of you have been asking that in the Facebook group and the comments of the course, and like messages to me is like, okay, well now that I know it's visceral, or CNS, like how do, like, which one is it?

Right? Because you know, there's like the brain, the liver, the lungs, the heart, the pancreas, the stomach, the intestines, the colon, there's, but the bladder, the uterus, there's so many to pick from, right? So the rest of the tests help narrow it in. So the first question is, are you protecting something? Okay, yes, that narrows us.

And then it's like, is it visceral or, and central nervous system or peripheral and musculoskeletal. And then we get narrowed in even more. And then now, now we use the other question, the other test to be like, okay. Is it central nervous system, yes or no? Oh, it's not. So is it thoracic, is it pelvic or is it abdominal?

Right. And we're getting folk more and more focused. Or is it the lower extremity? Like where and what, or is it just truly musculoskeletal joint?

So this week, that's what we've been playing with, right? We've learned that first step, and by learning that first test and using the breath hold and being curious to see how it changed and to change our treatment just a little bit. So like if somebody came in with foot pain instead of starting at their foot or at their hip or at their knee, you were like, what happens if I start at their rib cage and then you checked out their foot again and saw how it changed, right?

Just doing those one changes, adding in the breath hold to let it inform you where to start starting somewhere differently and seeing what changed. This was you demonstrating the potential of a visceral protective pattern on the musculoskeletal system and demonstrating this concept to yourself of this whole organism lens of view.

We also learned yesterday in the module, simple interventions that you might have already even done before. Or maybe you've done an exercise or intervention that looked very similar or had like a similar focus, but which is a different name, right? Like the breathing in into the cortisol at the lower part of the liver or the lower part of the rib cage.

Like you might have done that before and called it like thoracic mobility or a breathing exercise. You've not thought about it as like mobilizing the liver necessarily or mobilizing the stomach or whatever it may be. So it's simply seeing old interventions, old things that we do and we knew were helpful in a different lens, we're being like, well, what organs would be affected by that?

And we we're exploring that by understanding the anatomy better. And then we're also understanding it and exploring it by reassessing things. Because chances are, if somebody came in with foot pain, if on the off chance you did do something in their thoracic spine area, did you remember to then instantly go back and recheck their foot to see how it was affected?

Probably not because most clinicians assess somebody once and then kind of not again until maybe the next session or you know, a week or two down the road. They're not, many clinicians are really good about constantly assessing and reassessing to see how their interventions are landing on people. We just assume that they work and we do.

And the tendency towards this comes from this mediocrity that we settle for in the industry of believing that things take time. Like why would you check before and after on a thoracic mobility exercise for somebody with foot pain if you believed that? Well, the thoracic mobility is affecting it, but I can't change the thoracic mobility, um, quick enough to have an effect on their foot.

And so I'm never gonna check. Right? So you miss an opportunity to actually see that changes can happen in an instant. So sometimes the most powerful thing out of understanding this lens of view is understanding that everything is connected. It was once one cell. And so there is an ability to treat somewhere seemingly unrelated and have an immediate effect on range of motion, pain, strength, or function.

And so that's really been what this is week has been about too, is like, don't trust me. Trust your own eyes. Trust your own hands, right? So start to see it with your own eyes. I can talk about this until I'm blue in the face. And it's not until you see it and feel it that you're like, oh, oh, wow. This is really challenging, a deeply be held belief I have about how the body works.

So another question that comes up is like, how do I explain this to a client? How do I explain to the client that comes in with toe pain or foot pain, or let's say like, I don't even know, like, um, elbow pain. How do I explain to them like, I'm gonna start at your SI joint. No matter what you come in with, we're always gonna start here.

Well, um, it's not as complicated as you think. You just say, Hey, I, you, you kinda give them the same spiel I game given you as like, hey, you know, sometimes when your body is protecting something old or something seemingly unrelated to your actual elbow pain or what, you know, insert whatever they came in for, it can be coming from somewhere else, right?

Being driven from somewhere else. Or your body can be so focused on that other thing that it just is not ready to heal your elbow yet. So I'm gonna do this assessment at your pelvis and we're gonna see how your pelvis moves with and without a breath hold because it's going to tell me, it's gonna gimme some good information on what system is in a protection mode.

And the reason I care about your pelvis is your pelvis is the intersection of your. Whole body, the middle, the upper, and the lower. And so everything we do, whether it is something in your elbow or something in your foot, the force gets transferred through the pelvis. And so the pelvis is uniquely whole body.

So this is a whole body assessment. And usually by then the client's like, I don't care what you do, just do like, do just start. Right? And so, and it's like, okay. And then I ask consent for like wherever I put my hands. And then we continue. That's all it is. Um, I just saw this question in the chat from Nancy.

What year did I start teaching the L top to people? In 2018 is when I started within my mentorship program, and then I pulled it out as its own course in, uh, 2022. Yep.

All right. So what this test is a quick review because I know you've been practicing it or I know it's in the first training and the tutorials, but basically we're using a March test, which everybody's like, but Anna, it's not reliable. So Yep, you're right. But in this lens of you, I wouldn't expect it to be reliable.

And that's why we're using it is because it has this ability to change and it is influenced by everything. And it has movement, but not so much that it leaves a lot of room for interpretation. So we're gonna test the March test, which is basically looking at does the a nominate bone move freely from the sacrum and the spine?

And if it doesn't, if it's hypomobile, we're gonna do it with a breath hold and then see how it changes or if it changes. And when I say change, I mean if it goes from hypomobile to mobile, right?

So, and this is the interpretation. If the breath change changes the hypo mobility to mobile, you start treatment directed at affecting the viscera or the central nervous system. Or if you had the rest of the ltap, you would move on to really narrow it down. If the breath hold does not change the hypomobility, it stays hypomobile, then you start treatment on that same side of the lower extremity.

This means if somebody comes in with. Right foot pain and it's their left SI joint that is hypomobile. And when you do a breath hold, it's still Hypomobile. You're starting on their left side. So when the patient's like, oh, it's my left side, you're like, I understand that. But since we're everything is connected in our body, we started as one cell.

There is no left and right in the body. Really it is all one. So I'm gonna treat here, but, but before I do that, I'm gonna test the injured side and then I'm gonna treat the non-injured side. And then we're gonna retest the injured side and we're gonna be curious together and see what's changed. Because honestly, I have no idea if it will or will not, but the body is telling me we need to start here and we need to honor that because the body is way smarter than either one of us.

So, and then if both sides of the SI joint are mobile, then that is basically the body being like, we're not protecting anything. So you can go ahead and treat wherever you want. Because going back to that scenario of my 14-year-old smothering, my five-year-old with love, that is the body giving us consent of like, yeah, you can go ahead and smother us with love or whatever.

Like we, we don't care. Okay, so this is what I mean by a traffic cop. That's what it's telling us. The traffic cop is this interpretation. Do we need to go to the viscera or the nervous system? Which then it's like, do we need to narrow it down even more? Can we go wherever we want? That's the star. Or can we, or do we go to the lower extremity on the side of the hypomobility?

Diane asked, have you ever had both joints show hypomobile with the breath hold? Um, yes. Yes. I'm just gonna say yes. But if both are hypomobile with the breath hold, then you ask yourself a few questions. I've had it once in all of my time practicing, but also you gotta remember my population of people I work with.

What you do when you get to that scenario, the first question you ask yourself is, one, do I feel confident in my assessment skills and my palpation skills? And was it a good test? Number one, if I'm assuming that's checking the box. Next, next question would be, is this a good, good like, like good test in terms of does this test have the ability to give me information?

So then we might have to ask some questions to our patient. We might have to say, have you had an SI joint fusion? Do you know of if you have any SI, joint arthritis? If they don't know of it, would it be a patient that could have some SI joint arthritis? Have you had a, been in a motor vehicle accident or like some sort of accident that affected your pelvis at one time?

Do you have ankylosing spondylitis? Do you have um, other like rheumatoid issues that might cause this joint to be hypomobile structurally and not be a good test for us? The same goes for someone with bilateral um, mobility, especially if it's a lot of mobility. In the case of hypermobility, if they have a hypermobility syndrome and it's affecting their SI joints and they're always mobile, then that's not a good test.

And does that mean, oh, I'm screwed and I have nowhere to go? And no way to determine if they're protecting something? No. It just means that I don't have a traffic cop quickly telling me, and this is when the rest of the ltap comes in handy because then I can just continue on to figure out if the body's protecting something else Christina asked or a really old spondylothesis and protective movement patterns for decades.

Mm, maybe, but a spondylothesis, unless I'm incorrect, it's usually more in the lumbar spine than it is in the sacrum. So unless it's like at L four, at L five, which it can be like, I think if it's old, I wouldn't expect it to affect it. If you think you can put your finger on the sacrum instead because there's a ligament there too.

So if you feel like the ileal lumbar ligaments, the the lumbar segments are not giving you good information, just go to the sacrum because what we care about is really a nominate movement on the sacrum.

Tony asked, so did tailbone fall possibly make this a bad test? No, I'm talking about structural hypomobility that cannot change. So think like joint fusion. That's basically what arthritis is. Joint fusion in that. So if they had a fall and needed surgery and had their joint fused, absolutely. Yeah. Okay, so let's go over the assessment guidelines then.

I have the assessment guidelines laid out for the clinician for the sake of time and the sake of like, this is what I'm usually speaking to. This doesn't mean it doesn't work for massage therapists and movement practitioners, and I can speak to that when I have, if we have time, or I've also answered it in some of the questions in the Facebook group.

But in general, like how this fits into your assessment session is a little bit how up to you on how your sessions usually go. But how I recommend using it is you always start first with this. You start with the SI, joint mobility locator test, or if you have the whole ltap, the whole ltap before you take a subjective history, you do this because you don't want your, you don't want to be biased by what you think you're going to feel.

When we start thinking about what we should feel, we're gonna miss feeling anything, and then we're just going to sort of prove what we're feeling. Right? A life coach said this to me once about like, searching for like a, a good, um, partner in romantic relationship. She's like, if you have this, if you tend to tell people, like all men are bad or all women are bad, then when you go outside, it's basically like you're putting on glasses.

Like, you know, lens cuddler, glasses of all men are bad. And so then what you're, what you're gonna see is like all the bad things. So that's why we don't like a subjective history first, because if I know they have. Crohn's disease or I know they have A-T-B-I-A history of A TBI, I'm going to be assuming everything's coming from their small intestines or assuming everything's coming from their central nervous system.

It's gonna bias what I feel. So the more unbiased I can be, the clearer information coming through my hands and the clearer the body has an opportunity to actually tell me what's going on. Right? So the only questions that I might ask first before I touch my hands to someone besides explaining to them what I'm going to do, I also explain to them, I'm going to talk to you about your story and what brings you in today, but I don't wanna be biased.

So I'm gonna start with the assessment first and then we're gonna pause and talk before I do treatment. So I let them know and then I ask consent, and then I might ask like some scenarios of like if there's a red, possible red flag. I honestly can't think of a specific red flag right now for the SI joint.

There are some for the other tests in the ltap, but for this one specifically, like should be fine. And if somebody is in such high level pain that it might not be fine. Like they're probably going to look like they're in pain when they l when they stand up, like when they're mo walking into your facility and then standing there, right?

If they can't stand, I guess that would be a contraindication for the standing test is if they can't stand. Then I'm not gonna do it because I already know it's not gonna be a good test. Does that make sense? Like it doesn't have to be that complicated. So then you do the assessment and you're like, is there hypomobility?

Does it change with the breath hold? Yes or no? So now you have your answer of are you going to visceral, central nervous system, are you going to the same side, lower extremity? What side is it or are, can you treat wherever you want? Then we're gonna pause and we're gonna take a subjective history. Hey, why do you come in today?

What's going on? And then they're like, oh, my shoulder hurts. I'm like, okay, great. So then I'm going to take them through my regular shoulder clinical exam. I might it, which may include provocative tests. If we're trying to figure out like what it is it will likely improve in, include joint mobility, passive active, um, arthrokinematics.

It will look at strength and motor control. And I'll look at some global movement patterns, right? So all the things that I'm normally already doing, if you're not doing any of that, I suggest you do something, at least some range of motion or strength test or something like that. And then you're going to treat, so this is what this next thing is, is telling you the round.

So that's one round is SI joint mobility locator test. Subjective history for the first round, assess the ortho that they came in for or the ortho related to what they came in for, right? So if it's a TBI, then maybe you're checking like balance and cervical range of motion and vision and those kind of things.

If it's prolapse or incontinence, maybe you're checking like hip mobility and uh, breath capacity, pelvic position, that kind of thing, right? I don't know. I don't typically see those patients, but I know there's some orthopedic things that you know, correlate to that stuff. So that's what you're testing.

Then you treat it. So here's the treatment guidelines you treat where the body directs you. Everybody always asks me on this slide, what is A OI or A-O-C-A-O-I is area of injury. A OC is area of complaint. Okay? After you treat, then you reassess both the SI joint again, and then also reassess orthopedic tests.

Sometimes I flip flop these sometimes, especially if they're on the table and you're using the march test. I do the march test. It directs me where to go. I've gotten all the information I need. Orthopedically, I'm ready to treat. So I treat where the SI joint directed me, and then I reassess the orthopedics related to the whatever they're complaining about, that I gathered all the objective information from.

And then I reassess the SI joint. Now I get to know one, how did that treatment affect the thing that they care about? And then two, where to go next. That's why we do it a second time and we go through it in the same way and then we do it a third time. Okay, SI joint now wear and you'll be, it'll be interesting because sometimes you'll start with like right side hypomobility change with a breath hold.

Then it'll be right side hypomobility doesn't change with a breath hold and then it'll be left side hypomobility change with a breath hold, it doesn't mean you did anything wrong. If you don't end the session with two mobile SI joints, that is not the goal. I will say that again, the goal is not two mobile SI joints.

The goal is the goal. The goal is, hi Anna, I'm coming to see you today 'cause my shoulder hurts and I can't lift it up over my head without seven outta 10 pain. So what's the goal of a session? Being able to lift Anna's shoulder up overhead with less pain, right? Not my SI joints being mobile. Don't forget what the goal of the session is.

Remember two mobile SI joints, which sounds nice, is only telling me that we've gotten to a layer of the onion. Remember the onion scenario? I talked about the Shrek principle. It just means that we've gotten to a layer of the onion that the body is like, we're good. We're not protecting anything else that needs your attention right now.

So you can treat wherever you want. That's all that the two mobile SI joints mean. And I know some of you are like, but Anna, you just said that SI joints make us uniquely human and it's a whole body thing and it expresses good movement patterns. Yes. But remember when I said that the, that the idea we have in our head about the biomechanics fixing everything is not true, right?

It is not true that we need two wonderfully moving hi mobile SI joints to function well in life. Our body is made to compensate. Our body is made to compensate and organize itself however it sees fit for the task in front of us. So don't get the goal of the session confused between making their SI joints move or improving their shoulder pain or whatever the pain they came in for.

Okay,

Sarah, I see you saying, uh, you're so confused. Can you embellish on what you're confused about?

I am gonna check a couple more of the questions too here in the chat.

Sarah, we're gonna test a little bit more about H. We're gonna talk about hybrid mobile folks in a second here. So hold on with me. Sarah, you also asked if it's possible to do the locator test on yourself. You can always film a video though. It's better to have somebody else test you.

Lena, can I review why the breath hole would change? The hypomobility would indicate visceral or central nervous system because when we hold our breath, even just a small breath, it changes the pressure within all of our cavities of our cranium, our neck, or our thax, our abdomen, and our pelvis. It increases the mechanical receptor information to the organs, including the essential nervous system organs, and the body has a clearer message so it changes the output.

The output is the joint mobility, so that tells us that if the organs had better mechano reception information, maybe more space in their containers or better movement, that their body wouldn't be protecting something.

Sarah says she's confused with the results from the test. The results from the test is the SI joint either moves or it doesn't move. If it doesn't move one or both sides. If it doesn't move, we test with the breath hold. If the breath hold makes it go from not moving to moving, that indicates central nervous system or a visceral protection pattern.

That's where we're gonna direct our treatment. If the joint goes hypomobile and does not change, so it stays hypomobile, we're going, it's directing us to the peripheral neurovascular structures or entrapment areas of the lower extremity on the same side and or the SI joints itself. If both SI joints are mobile, that's the body letting us know.

It's not protecting anything. It's not in a protective pattern. And so we can treat wherever we want. We can do whatever we want. If they came in for a Pilate session, we're doing a Pilate session. If they came in for shoulder pain, we're just going right to their shoulder, right?

All right,

so like I said, the client session goal, decreased pain and improve function of whatever their complaint is. Why did they come see you today? What was their goals in your subjective, um, time with somebody? You should probably ask, what's your goal for today? How can I help you today? If I could do anything for you today, what would it be?

The magic wand theory. They will tell you what they need. I am guilty of assuming that everyone wants their pain to go from 10 to zero in one session. Some people just want a little hope that it is possible that they will feel a little bit better by seeing you. So sometimes they're just interested in, will you listen to me?

Will you be different than the last person I asked for help? And can you make me feel a little bit different than I am at the end of the session? Then we're starting. Right? But you don't know that until you ask. Okay? And remember, the goal is not to have two mobile SI joints. The SI joint mobility locator test is the way their body is communicating with us.

That's it. It is our communication tool. Not to say this is like a Ouija board because it isn't. It is a very mechanical, physical thing that's happening in the body that is giving us this message. However, it's kind of like the tool on the Ouija board that's just moving us around. That is all the SI joint is doing is like telling us the secret code to unlock the protection pattern.

Okay? Tree Make guidelines and options. Treatment options for the viscera and the central nervous system. We got a lot of 'em. Breathing exercises, self massage techniques, self massage. It can be really anywhere, but like the visceral self massage that we did with the cords ball. Really helpful because it changes our interoception, our awareness of where we, in our, our in space.

It helps our nervous system downregulate because of where it's interpreted in our brain. We do neurology exercises. Neurology exercises are things like, um, eye vision exercises, vestibular exercises, um, accuracy, balance and coordination exercises to target cerebellum function, spine mobility. Spine mobility is huge.

It's a lot of bang for your buck. That's why it's one of the things I gave you in the, um, interventions. This is also like my plug for why I think Pilates is such a great movement modality and why people who failed at physical therapy or traditional rehab often go to Pilates and have great results, probably because of the segmental spine mobility focus, because the spine moving the spine well, having good spine function means you have a happy, central nervous system.

It means you have happy peripheral nerves going to the viscera. So good, visceral, sympathetic and parasympathetic input. And then it also means. That all the fascial containers are getting mobilized 'cause they all attach to the spine. And then also your peripheral nerves are very happy 'cause it's, they are getting the, as the spinal cord glides in the canal, we're often making more space or setting them up for it.

Less impingement coming out of the neural forams. So spy mobility is great. Use the tools, you know, use the tools you love. Think about why some tools you, you like migrate to more than others, right? I used to be like, early on in my career I used to be like, I don't know why, but whenever I start with um, pelvic clocks, which is like lying on your back and hook, lying with a ball under your sacrum and doing just pelvic, like anterior posterior tilt or sacral mutation, counter mutation, everybody responded so well to it and it would set us up for so much success.

So I found myself programming that for like everyone at the beginning of their exercises. And it wasn't until I learned about the visceral anatomy and the central nervous system anatomy better that I realized like, oh, there's some other reasons why the pelvic CLS are so powerful. Right, like they stimulate a paras very parasympathetic response.

They are addressing the peripheral nerves. It's part of the central nervous system container. It's affecting the pelvic organs quite a bit and the colon. So I'm like, there's so many reasons besides hip mobility and core control, which is why I was program that programming them to why it works. But I didn't know that until I had a lens of you to put over it, right?

So think about the tools that you already know work and love and like why they might work well from a visceral lens of you or a central nervous system lens of you. Because also, remember that the treatment tool or system is less important than knowing where to use it, which is another way of saying that assessment is the most important part, not the treatment.

But if you look at most clinicians today, you go in and you're flying the wall at a clinic or an athletic training room. The thing that you see most happening is treatment, not assessment. All of my athletes will tell you if we have an hour together, I'm spending 45 minutes assessing them and 15 minutes treating them.

Because I know the more precise and specific I can get with where I need to direct my focus, the easier the treatment. When I'm lazy and I skip assessment, I end up paying for it by having to do more treatment. So I might as well just do the assessment to begin with treatment options in when it comes up with the same side of the lower extremity of the hypomobile SI joint.

So this is when the breath hold does not change the hypomobility. I want you to think bigger than the SI joint. Remember, as soon as we treat the SI joint, it's no longer a good test. We just mobilized it. So it's not going to be a very good Ouija board anymore. Doesn't mean you can't do it. Sometimes it is needed, but I'm just here to tell you that it's not needed very often.

It is rarely the SI joint itself, it's the SI joint itself, maybe five to 10% of the time. And if you're like, well I still dunno where to start in the lower extremity, rely on your orthopedic tests. Where are you drawn to start treatment in this leg? You know, you gotta start in this leg somewhere. So check their ankle mobility, check their foot mobility, check their knee, check their hip.

You have many options of where to start and many ways to get there. The benefit of doing visceral treatment options is you get a nervous system relaxation because of our popular, popular prom king. The vagus nerve. Everybody likes to talk about the vagus nerve, but that's part of the reason why doing, like visceral massage is so good.

Um, the benefit of doing central nervous system treatment, so things affecting the head and spine, you get also nervous system relaxation and decreased tension on the cial meninges. And a benefit of spinal mobility in general is it treats both the essential nervous system and the spinal dura and reflexively the viscera by the visceral somatic reflexes.

So IE the nerves that go from the spine to the nurse or to the organs. So here is a little visual of like the visceral referral cheat sheet that I give out to people. So these are all the organs and the associated spinal levels. So this is another way that you might not know how to treat the, um, stomach, but do you know how to treat the thoracic spine at the levels of 5, 6, 7, 8, and nine?

Like yeah, you could probably figure out an exercise or a manual therapy to treat those spots, right? That's going to affect the stomach because of the neural connections to it, because of the vascular connections to it. That's an important spot. Okay. What I provided you in the lecture treatment options for the viscera was sideline visceral massage with the cords ball.

I did restoring upper thoracic flexion for the mediastinum, so a thoracic exercise, and then liver focused spine mobility with book opening. All great exercises. You don't have to use the cords ball. You can use a pillow, you can use a beach towel. Rolled up a, a large bath towel rolled up like a, a Pilates ball.

It's again, the tool is less important than the wear. Okay? If you don't have any of that, you can just, you use directed breathing. You can just use movement like side bend, rotate, um, uh, flexion extension, all the options for the central nervous system. I provided you the basic exercise by Stanley Rosenberg.

It's in the book accessing the healing power of the vagus nerve. I believe the, uh, a class favorite, uh, everybody loves this. I don't, I, I personally like full disclosure, don't even use it very much. Maybe I should 'cause everybody gets such good results from it. So, um, basic exercise, scalp massage. This is targeting the trigeminal nerve and the upper cervical nerves and the relationship to the innervation of the spinal or the cranial dura, and then segmental spine mobility in quaded.

For treatment options for the lower extremity, I gave you lateral ankle tilt. This is a great one because it mobilizes the fibula and the fibula is part of the ankle, the knee and the SI joint. It affects the lateral hamstring quite a bit as well via that connection from the fibula to the SI joint. So it's a really good one.

And then, um, superior gluteal nerve fascial mobilization. Um, this is gonna affect the SI joint, the TFL glutamate, glutamine and the piriformis. So, um, again, anywhere in the lower extremity, that technique I use for the superior gluteal nerve would be appropriate. So, um, a lot of you asked me in the Facebook group and in the comments of the class, like the treatment position.

It can be whatever you want. It can be standing, it can be on their back, it can be on their side, it can be on their stomach.

So let's talk about SI joint pain. And this is when we're gonna talk a little bit about hypermobility as well. First of all, remember, don't get distracted by their pain. Oh, actually be, this is a good stop, a good place to stop check questions again, and then also, uh, share the poll with you. So I'm gonna do that.

Oh.

So the poll is live where it goes for you all. I don't know, if you don't see it, just drop your name and email in the chat that's associated with the courses so I can get you the show up bonus. And then let me come back to the chat. Oops. And check our questions.

I did that.

Um, Tony asked what do I do if I don't get the green light from the SI joint to address the area complaint or client's goals? I make sure I save time for it at the end of the session for sure. So, you know, if you do one round and you, you know, you only have or one or two rounds and you only have like 20 minutes left, I would just move on to the area of complaint.

Oftentimes when you're assessing the area to get the reassessment, um, the patient thinks that you're treating it. They don't know the difference sometimes between assessing the joint and treating the joint. So sometimes you can get away with it a little bit of like not doing too much at there because they feel like you're touching it all the time so you're doing something.

Um, but yes, definitely make sure with every session you're marrying what they need with what they want for sure.

Um,

Deborah asked, would I ever have an exercise of strengthening, like a step up? Sits hand squat as part of their plan of care? Absolutely. I guess basically after you find where to treat and followed it up with. Yep. Exactly. Yep. Still put that stuff in. It can be great. Yep. Cool. All right. Going back to the lecture here,

I'm gonna, oh, now the poll's in my way.

Okay.

Sometimes I hate zoom. You lose your, you lose your cursor when you play press play and it, it gets very confusing. All right. So don't get distracted by their pain or their history of pain. You may, if they do have SI joint pain and that is what they're coming in for, for treatment, you may need to include more testing of the joint.

If you suspect a true hypermobility that may need to be referred back to a physician or for surgery or injections, then I would use the pain for vocation tests described from Vander Wharf and Lizette because these are the only true clusters of tests that can try to definitively diagnose the SI joint itself being a pain generator.

Now the gold standard though, is actually a injection, a pain injection to the joint to see if that gets rid of their pain. So these clusters of tests are helpful, but not the end all be all by any means in my experience, in my experience of, I'm trying to think if I have it on here. Yeah, well we're gonna talk about my experience with SI joint pain in a second, but to show you the cluster of tests, I'm not gonna show you all the tests, but to know that where they're out there, EDIA has a great, um, uh, EDIA is a great reference, um, website and they have them all listed out there.

But in general. It is, um, multiple tests designed to help clinical decision making. Clinical decision making is going to be like, is this pain truly coming from their SI joint? Is it truly hypermobile? And do I need to refer them back for an injection or surgery or some sort of thing like that? Okay, so these tests you do, it's either, um, if two to four of them are three or more, it depends on what study.

It's either three or more, or two to four of them. Um, increase, right? Provoke the person's pain. It means it's more indicative of the SI joint itself being a pain generator. If all five to six tests are negative, it's actually a very strong indicator that no, the SI joint is not the problem. But there is no single test or cluster correlated with post injection pain relief.

So the injection continues to be the gold standard for determining if the joint is the thing that's causing the pain. The five tests, or six tests that tend to be used are the thigh thrust, um, genes, lens test, favors test, also called Patrick sign. The distraction test. The compression test, and the sacral thrust.

Um. I've, again, I don't use them very often. I've had to use them once, um, in a baseball player that had a true, um, SI joint hypermobility causing his pain. And it was still extremely hard to convince the doctor that that was what was going on. So this is not a fun spot to be in for your patients by any means.

Now, when we look at typical pain patterns of the SI joint, we see why they can be so hard to diagnose sometimes because they mimic a lot of other things. And the reason for that goes back to what I shared in the live training. Number one, it goes back to all the nerves that innervate the SI joint. So every single pain referral area of the SI joint that you see in the picture correlates to the nerves that innervate the joint.

Okay? So this is, this is makes sense, right? When you understand the anatomy of the SI joint and uh, the anatomy of the nerves that innervate the SI joint, it makes sense why these are the common pain patterns for it. So if you're seeing people with these pain patterns, I would like consider that the SI joint might be driving pain.

Now you can have pain from the SI joint, these pain patterns, pain being driven from the SI joint without a. Pathological hypermobility, but just a little bit of a hypermobility. And that's what I see most of the time. Most of the time I see that the painful side is actually the hypermobile side, not the hypomobile side.

So it's often the opposite side of where they need treatment. But what happens, people chase the pain and so they do a lot of treatment on the side of the pain and then wonder why they never feel better. I'm like, yeah, do the other side. Right? But so pain is often on the side that moves versus the hypomobile side.

Most si, like most literature will tell you this too, people who are hypermobile have a lot more tendencies for pain in their joints, in their body from the hypermobility problems. Stiffness is a good thing, not a bad thing. So, um, like I said, however, this is really a true hypermobility. What I mean with that is maybe a pathological hypermobility.

So like my baseball player, he had a pathological hypermobility from a high velocity injury that actually injured the ligaments and made the joint hypermobile. Someone with hypermobility syndrome would be more like a pathological hypermobility, potentially not everybody with a hypermobility syndrome will have hypermobile SI joints.

Yeah. I'm like a nine out of 12 on the bitton scale for hypermobility and there are parts in my body that are not hypermobile. So sometimes people can have hypermobility syndromes and not everywhere be hypermobile. So don't just make the assumption that the test will not be good. You still, like you test and see.

Okay. When there is pain on the hypomobile side, it's a little less common. I'd say it's usually clonal nerve pain coming from the thoracolumbar junction or if it's the SI joint itself, it could be bone spurs or arthritis. Commonly in the front of the joint you get an entrapment of the obterator nerve, which can cause um, groin pain along with it.

So again, this can be from SI joint nerve irritation. So that's sort of what I see. So that's why this slide is titled Movement rev observations. So everybody that's come to me with SI joint pain, only one of them has been a true SI joint pain generator.

If, before I do the slide, if you have someone who does have two mobile joints and you suspect them being a hypermobility syndrome type person, I would question the. SI joint tests and being a good test to be our Ouija board to give us the information that we need. And in that case, I might ignore, ignore it, and just move on to the next test of the L ltap to see is there a central nervous system tension pattern, and then go on through there.

Okay. So it's kind of like the scenario of somebody with fuse, like arthritic SI joints. It's not a good test anymore, so I need to take one or two more steps to figure out what's going on with them. I can't use it as a traffic cop anymore.

So remember, this is a test for the whole organism. We're not using the SI joint mobility locator test to diagnose SI joint pain. We're not using it to diagnose a structural hypomobility versus strategic or functional, like we're just using it to guide us where to go. We're using it to let us know if there's a protection pattern.

And just that next bullet says exactly what I said. If it's not a good test, that doesn't mean we're screwed. It just means that we need to gather more information about a possible possible protection pattern before we start treatment. John Pierre Baral, the osteopath that founded the Baral Institute and put all that visceral manipulation work out in through the world, neural manipulation out into the world.

I learned last year that he considers the SI joint a visceral joint. That's awesome. Me too. He thinks that he sees, um, and I agree this is kind of what I see clinically is 75% of the time the SI joint is a hypomobility driven by the viscera or the central nervous system. And about five to 10% of the time the SI joint itself, the rest of the time it's that same side lower extremity.

So some of you're asking kind of in the Facebook group, like, what do I tend to see? This is what I tend to see. Most of the time it changes with a breath hold, handful of times it doesn't. And then very minimally, is it the SI joint itself?

So we have some cases here. I'm looking at the time. I might, I'm probably gonna go over a little bit, but please if you can stay on, stay on with me, the ca uh, the um, cases here, just scenarios just so you can kind of see me work through that assessment guideline. So somebody comes in with right knee pain, do the SI joint mobility locator assessment, hypomobile on the right, improved with breath hold.

So that directs me to the visceral and central nervous system Before I do treatment there, I check some orthopedic stuff. They've got limited right ankle dorsiflexion, limited right prone knee bend, uh, pain with the rear leg in a lunge position and maybe the left hip flexion is limited. The treatment I chose was the sideline visceral massage and then I retested.

Now the SI joint mobility locator test is hypomobile on the other side, the left, but doesn't change with the breath hold. I retest the orthopedics. It's improved right ankle dorsiflexion. The right prone bend is still limited and I did not test the lunge treat. I picked the lateral ankle tilt for the treatment and then I retested this time both SI joints move and then the orthopedics that improved.

There was an improvement of the prone knee bend on the right improvement of left hip flexion and I retested the lunge and there was no more pain in the knee. So with the foot right foot pain, hypomobile on the left improved with breath hold. That directs me to the central nervous system and the viscera.

Limited ankle, right ankle dorsiflexion on the right limited right hip adduction, limited left hip flexion. This time I chose prone thoracic breathing. Retested SI joint mobility Locator test was still hypomobile on the left. Still improved with the breath hold retested. The orthopedics, the hip flexion improved but the right ankle dorsiflexion and hip adduction were still limited.

Next treatment I chose central nervous system since I had just tried the viscera. Did the basic exercise after the um, that retested. Now it was hypomobile on the right but it did not change the breath hold. So it's directing me to treatment on the right side of the lower extremity retested. The orthopedics improved right hip ad deduction and right ankle dorsiflexion was still limited.

So the next thing I did was treat that right ankle dorsiflexion. So it took all these orthopedic things and narrowed me down. So I had very precise thing to do at the very end to fix their problem. Left sciatica

a hypomobile on the right, improve a breath hold. So that tells us central nervous system or viscera. Hip flexion was limited on the left external rotation was limited on the left and um, right side had a limited prone knee bend. Treatment was on the liver around the liver, specifically at the spine, so T seven through T nine retested SI joint mobility locator test showed us that both sides were mobile.

So that's telling me the body telling me there's no more protection pattern. I can treat wherever I want. I still retest the orthopedics improved left hip flexion, improved external rotation, no limit on right pro knee bend and sciatica. Pain gone now. Treatment was movement exercises to decrease fear.

Breathing and thoraco lumbar rotation to reinforce the visceral treatment we did that was so powerful. Shoulder pain come in which left shoulder pain is hypomobile on the right, improved with breath hold. So that's directing us to the viscera and the central nervous system. Um, limited right hip flexion, limited left prone bend, left shoulder flexion limited with pain with decreased glenohumeral joint Internal rotation.

Treatment chose central nervous system so I did the scalp massage. Retested SI joint mobility Locator test is hypomobile on the right. Did not change with the breath hold. So now it's directing us to the right side of the lower extremity. Retested the orthopedics improved left hip pro knee bend improved left shoulder flexion and decreased pain.

Decreased internal rotation still and still limited right hip flexion. Next treatment was the right superior gluteal nerve, fascial mobilization and then retested SI joint moved on both sides. Retested the shoulder improved. Glenohumeral joint internal rotation and improved right hip flexion. Treatment then with shoulder strengthening exercises to decrease fear of pain returning and ensure proper mechanics and strengthening.

So hopefully those are helpful kind of scenarios to kind of see it. So every single, every single scenario, shoulder pain, sciatica, foot pain, knee pain, it was, we started in the same spot because we're letting the body dictate us where to go. The body, the sequence of repeating it gives us the sequence of the treatment.

It's like the combination code that opens the lock. I can give you all the numbers, but without the right combination, they're not gonna help. Right? You could do the same exact treatments, but in a different order and not have the same results. So now what are you starting to see how this new paradigm can be valuable for getting better outcomes for you and your patients?

Do you see how possible, how it is possible with your current skillset, your current tools, treatment tools that you already have to get better results by knowing where to start and knowing the sequence and which the body wants you to help them with the protection patterns. If you, if you see this possibility.

Um, the next question really is like, are you ready to dive deep and commit to this path of becoming the calm and confident Go-to practitioner, right? This is the thing that most people say after learning this paradigm and operating in this paradigm is like they feel more confident, they feel calmer and more awe inspired by every patient, which is great.

But as I told you on Sunday, it's sort of entering a journey of letting go of this idea that we're the expert about somebody else's body and honoring that their body is actually the expert. And it has a lot to teach us when we have a way to actually listen to it and follow it. And when we stay curious about checking and rechecking.

So what are the next steps to take even less time with our treatment and to get even better outcomes? Then we already are seeing this week with just using the SI joint mobility locator test. It is to become even more precise with both our assessment and our treatment. So not just knowing that it's the viscera or the central nervous system, but knowing if it is the central nervous system or it is the lungs, or is the liver, or is the bladder or whatever it is, being able to narrow our focus.

And that's exactly what the ltap, the whole ltap, the Locator Test Assessment Protocol does. It narrows our focus to answer these other questions. What exactly is it and what is the sequence of the treatment? Okay, so this is what the whole ltap looks like in a whole flow sheet, but it's those five different tests.

Now, you don't do all five of them for everybody we already know, right? That when the breath hold changes or the when the hypomobility changes with the breath hold, it directs us to this central nervous system in the viscera. So we're just looking at the second ltap, third ltap in the fourth ltap potentially to figure out where to start.

When the SI joint is hypomobile and it doesn't change with the breath hold, we're directed to the fifth ltap test. So those are the two pathways, right? So you're not going through all five. You're sometimes not even going through all four. You might get two of 'em, or you might get three of them. It just depends on what comes up.

But they're organized like that. Based on our organ hierarchy, our sequence of treatment is based on the onion, and that's exactly what we see here, right? Doing this multiple rounds throughout your session with somebody unlocks the layers of the onion, gives us the combination to get the best outcomes right?

So I said before when I talked about like feeling like a beginner or like kind of where you are in your career and what tools you have, I didn't want you to feel like this was an advanced course because even though it might feel advanced for you because it's in a new paradigm, a new lens of view you've never seen before, whether you are three years out of school or 30 years out of school, it might be new to you, okay?

But also know that when it comes to learning from me and the 20 plus years of experience I have blending all of things together. This is where we start. We're starting here. We start with the ltap level one course, and that's what the missing link has been is like starting with where to start in the starting course, if that makes sense.

We're just pulled out the first step. I've just told you one step of five to get you to start seeing this lens of view, but knowing that it's like a very minimal, tiny little bit of what I could teach you eventually if you wanted to learn it. But also know that the results you got with this, for some of you are super powerful and you don't necessarily need more right now unless you want it.

That's for you to decide. People who have gone on to do the LA course from here, both, either the online or the in-person or both are getting really great results. So the person on the left here. Um, she's the physical therapist on the East coast. She had taken one visceral manipulation course and just not really knowing how to like integrate it with her work.

And then she took the LT a from me and it like totally changed the game for her. So she said, you know, that's her, I'm not gonna read all these testimonials, you can in your notes, but she's like, it's a game changer. The one on the top, she's a physical therapist up in la, she works with like, um, young youth athletes.

She's like implemented with a client today. Results blew my mind. The other two are actually talking about the financial RAM ramifications for their business, adding in the ltap. These people both just went through the Ltap last round and um, or last year, one last spring and one last fall. And, um, one of them increased her prices because she was starting to get such good results and such quicker results for her clients.

She was a massage. She is a massage therapist. The other one is an athletic trainer who has a sports medicine practice in Bend. And she was in her, I love her quote in the middle of there. She said, Anna, I'm discharging patients like crazy 'cause they're doing so well with the ltap. What a good problem to have.

And I'm like, yes, it is a good problem to have, but now we need to get you more patience. But what happens when you start discharging people? They're gonna tell their friends, go see Maria because she fixed me in two visits. Right. So this is what we want and, and we don't want it to make more money. We, I mean, that's nice.

Like there's nothing wrong with making more money, but we also want it because at the end of the day, we were doing this 'cause we just wanna help people get better and it's way more fun when it's quick. Way more fun. When it's quick. So this is some comments from other people, but like overwhelmingly, most people are like, every day I get messages from people that are like, this is blowing my mind.

Things change so much fast. Like this is amazing. This is unreal. Like I'm in awe of all my patients. My patients think I'm magic. They think I'm like doing voodoo stuff. And I'm like, yep. My football player used to try to tell his teammates what I did. And he's like, you know what? I don't know. I tell her my knee hurts, she sticks her finger in my ear and then my knee doesn't hurt anymore.

That's all I know. That's all I care about, right? And I'm like, he is not wrong. I did that once on him and that is what happened. And I'm like, yeah. It's hard to explain because the body is so wise and intricate and so much smarter than we are, we can ever think. It is so egotistical of us to think that we will ever understand how the body does what it does ever in our, not in my lifetime, will we ever know.

So anyways, inviting you to join the next cohort of the online course and then also announcing the next in-person locations, uh, for the rest of the year. I'm switching the online course to seven weeks. It used to be six weeks. I decided that the first module had too much in it and I wanted to slow down a little bit.

So it's actually seven weeks. Um, this week on the podcast, I actually go over the LA level one course core beliefs. So if you didn't listen to that, maybe give that a listen. Um, but it's, you know, starts with where we started here. The SI joint connects everything. Where you start matters, the sequence to treat matters and specif specificity and precision matters, both in assessment and treatment, prerecorded tutorials of assessments, anatomy and treatments and cases.

The reason why I had you do this course inside of Kajabi is because I wanted this free course to mimic what it is like in that course, so you could test it out to see if you liked this learning mo model. To see if online learning was for you. So it's the same exact thing. It's obviously slower, slower pace since it's over seven weeks instead of six days.

Each week we focus on one test. So the first week will be a repeat of this test. The second week will be the next SI joint locator test. This supine test the next week will be the central nervous system. The next week will be the thorax. The next week will be the abdomen and pelvis. The next week will be the lower extremity, and then we'll talk about the upper extremity and putting it all together.

So over the seven weeks, you have a lot of practice time built in and learning of the anatomy. So, and of course I give you treatment, more treatment options at each one of those steps. So there's weekly live Zoom calls. They will be recorded just like this. They're every Wednesday at 12:00 PM Pacific. I do that in the hopes that West Coast people can do it on their lunch hour, maybe take a little extra time.

And East Coast people can maybe end their day a little early and finish their day with some education. Everybody in the middle are on the outskirts. I'm sorry, is the best I can do. I can't make it work for everyone, but that's why they recorded. Also though, when you enroll in the online course, you get lifetime access to the course content, but you also get lifetime.

Invitations to come to the next cohort cohorts live calls. So you can always retake the course as many times as you want to continue your learning. And if you can't tell, whenever you learn from me, I'm always just like speaking off the cuff and from the heart. So I'm, every time I speak, whether I'm talking about the same thing 10 times, it's gonna be 10 different things, right?

10 different ways to say it. It also has its own private Facebook community that actually has a ton of alumni in it, and they're making it so great because like I said, my biggest limitation is I only work with professional athletes. So they work with people that you probably work with and can give you better advice sometimes than I can give you.

And then there is an opportunity to add on Voxer access, um, for 10 people if you would like for some extra coaching, one-on-one and accountability, that kind of thing too. Like I said, lifetime access, lifetime re-invite to all future live calls, lifetime access to the private community. And then also you check the box for fulfilling a prerequisite to, uh, the certification to become a certified LSO provider.

And then also, if you want to learn more from me. And go to my mentorship program or in-person mentorship stuff. This is a prerequisite as well. So the modules are just the individual tests, so I'm not gonna spend a lot of time going over those, but know that that is how it's broken down. The in-person courses, the in-person courses two days, only 9:00 AM to 6:00 PM on Saturday, and then 9:00 AM to 4:00 PM on Sunday.

It is one hour of like talking, and then the rest of the time it's hands-on, hands-on for two days, practicing the test, getting feedback on your hand placement, getting feedback on your own body of how it should feel. Ex experiencing treatment from different clinicians, sharing treatment ideas with each other.

I really love this in-person course. It's really fun. People get a lot out of it. And again, if you want to become a certified provider, you need to do both the in-person and the online course. The, the downside of the in-person course is we don't have as much time to talk about all the anatomy and stuff that we do in the online courses.

The big announcement of the new upcoming courses. So this weekend, if you are a last minute Lucy and ready to jump on a plane or perhaps live in the Denver area, I have two spots left for this weekend. I had a couple people had to back out for personal reasons. So two spots in Denver this weekend it's at Resilience code, which is like south, like Inglewood, um, area Durham, North Carolina in May.

That is almost full. I think we have six spots open and then the three new ones I haven't announced to the public yet. So you are finding out before everybody else, San Diego, September 6th and seventh, which is actually Carlsbad area. So it's kinda like halfway between San Diego and Orange County, Toronto, Ontario in October and then San Antonio, Texas in November.

So I always try to alternate East Coast, west coast and like middle of the country. So, and then this is my first time being able to go to Canada for the in-person course. There is approved CEUs. It is a category A with A BOC, and then it's also approved by the Kentucky A PTA. So if you're reciprocal with Kentucky, that works out.

The provider certification. Um, in addition to taking the in-person and the online course, you complete a case study exam and some written questions for me, and then you'll be featured on my website. And, um, also on my social media, I get a lot of people inquiring about where they can get, where they can see a practitioner that sees the body this way and utilizes my methodology.

So it is a way to capitalize on working with those people because I only see professional athletes. So Sunday, obviously I wanted to let you know that I'm opening the doors, answer any questions about it. But I also just want you to think about those questions that I asked a little bit ago about like, is this something that you wanna do or are you ready for it?

And then also, I don't wanna rush you through the last days of this course, so I'm not going to be like telling you like price details and bonuses until the end of the weekend because I just want you to focus on continuing to get as much as you can out of this course. But know that Sunday morning before I teach in Colorado.

I'll be going live in the Facebook group and I'm gonna announce all of the bonuses. So when you enroll in the online in any of the courses, the first day, you'll get up to $678 worth of bonuses just for enrolling. So just for rewarding like early action and being, you know, ready to go. Um, so enrollment opens Monday morning the seventh at 9:00 AM and then it closes the 10th, Thursday the 10th at the end of the day Pacific time.

So we have four days to get in the spring online cohort and to have first dibs on those new locations. And then there's also a VIP add-on option if you want more support in learning and accountability, that kind of thing. So like I said, the questions would leave to leave you with are kind of what I started with.

And it basically at the end of the day, are you ready? Commit to this journey of letting go of the expert identity and letting the body guide you to work along with its wisdom to do things differently, to change your practice, to change your client's lives, and to change the industry. Like are you ready?

I would love to have you join me. Also, also know that if this class has exposed you to like wanting to learn more about the viscera and the nervous system and those specific tools at the Baral Institute or the Up Ledger Institute teach, I freaking love that. I wish for everybody to go through those courses.

This does not replace them. This does not replace them at all. It will make those make better sense to you and how to integrate it with your work. And also, if you have no desire to learn all those skills, this will still be able to help you get better results with your clients, appreciating that lens of view.

So I really want people in my courses that already and want to learn from me. And so, and ultimately though, my goal is to change the industry and get everyone operating in this whole organism paradigm. And if that means all I've done this week is expose you to that and let you go seek other people that teach it, then I'm freaking excited about that.

I don't like, I don't feel some sort of way, like this is not a salesy sales pitch because this is like a no. I wanna share this with you, and I just wanna share this lens of view with you. That's all I really care about at the end of the day. Okay, so if you didn't check in in the poll still up, please do so or drop your name and email in the chat.

So I can get you that show up bonus. A reminder that the free access to this course ends on Sunday and raffle prizes will be announced Monday, uh, via email and in the Facebook group. And you have one week to claim them. So if you don't claim them, that's not my fault. I'm warning you now like I just, it's hard to keep track of things.

So I want you to claim it as soon as possible. And then I will also be in the Facebook group actively answering questions and coaching and like being support for you until after the, um, course ends. So if you're still working through practicing and have questions that come up, I will be active in the Facebook group until the end of, uh, the day, Friday, next Friday.

So a week from tomorrow. And that's it overall, like, thank you for showing up. Thank you for staying late. I apologize for, oh, I'm like only six minutes late. So, um, I'm really stoked to have spent the week with you and boy, it went by fast. It always does. I will also check in with the questions in the chat.

Um, and also I will, um, take off the, if you wanna, I'm. I'm allowing you to unmute too. So if people have other questions. So one of the questions in here from Nancy, is the LT a certification, a prerequisite for your mentorship program? Yes. How would I describe the difference in Mastery One would expect to obtain from either of these two programs?

Um, the Ltap teaches you the assessment that I operate on. The mentorship teaches you more theory about the autonomic nervous system and polyvagal theory. It also teaches you a lot about movement assessment and like how to integrate everything in this lens of view. It encourages you to do the work in your own body, which will help you better be able to feel in your hands.

So a lot of the times we have a hard time feeling in our hands with assessment because we actually just have a hard time feeling in our body in general because we never take care of ourselves. 'cause as caregivers we tend to put everybody else first. So a big emphasis in the mentorship program is actually doing the work in your own body and that that coincides with also realizing that our own body.

Is the smartest thing in the room too. Not just our patient's body, but our body. And the more that we can learn how to work with it and learn its messages to ourselves and to feel through it, the better off we're going to be for our patients. So that, that's, that's sort of like the big picture of the mentorship.

But then within that, I literally, every single thing I've ever learned over the 20 years I try to teach you in the mentorship. So I expose you to a lot of different, um, education pieces anywhere from like Pilates based stuff. From that I learned from Polestar to like performance and movement patterns that I, you know, was like deep in at Exos to, uh, the mentorship I've done with Philip Beach, the author of Muscles and Meridians and his contractile field theory and the Fascia Rabbit hole.

Like there's a lot in the mentorship. But yes, the Ltap is a prerequisite for it because whenever I mentoring you and you come to me with a case, my first question is always going to be, where did the ltap direct you? Because that is like, I can't help you with a case if I don't know what their body's telling us, right?

So this is like the language. I need us all to speak in order for me to truly like teach you everything I know in that integrated way.

Um, I'm just reading through the questions. Naje said, when you work with athletes, do I find the CNS and viscera or more often the culprit as a result from sport and everything involved? If so, how often do you treat that in season? Um, it kind of depends on the athlete and depends on, yes, the part of the season they're in.

My football players, um, will have some visceral stuff quite a bit from all the impact things. Um, in general, I think I'd say the athletes sort of trend towards having a lot of central nervous system tension as well for the similar reasons. But then also because about halfway through the season, their bodies just get like in major protective mode and um, kind of everywhere.

And so they also have a, a, a high level of autonomic nervous system like decreased vagal tone too. So, but um, yeah, there's doesn't seem to be a ton of patterns other than that. Sarah asks, how long do the results last for? Or would you need to repeat treatments? It depends on how specific and precise I got in the assessment, as well as how specific and precise I got with the treatment.

The more specific and precise I can get, like if I can narrow it down to the liver, great, but if I can narrow it down to the salor ligament better, if I can narrow it down to the portal vein even better, and then do a treatment specifically to the portal vein, I'm going to have a bigger ripple effect on the body from a treatment standpoint.

And potentially it will stay longer, but that means I have to have that precise of treatment, that precise of assessment. So if I don't have those, then there's no need to even figure that out. Right. So you'll kind of see what fits for you. In terms of, in terms of like length of treatment, the more skills the, the more skills I've gotten and the better I've gotten at trusting what I feel, the longer I can go.

But then also it depends on my patients. If it's a football player and they're playing a game in a week and they're gonna get tackled, then it doesn't matter how good of a treatment I did, their body's gonna come up with something the next week. I often. Deborah asked, do I send them home with homework?

Yep. I give them some homework. Usually not a ton. And usually I only give them something if I know it's going to make a change. And so that's the instructions for them too, that they need to do some sort of check-in with range of motion or strength or movement before and after the treatment to make sure it's still working.

'cause I don't wanna waste their time. Nobody likes their time waste with eye wash exercises for no reason.

Lena asked for the left sciatica case. What was my reason for going to the liver? So in every module in the modules of this week, when we started talking about, um, the viscera and the treatments and stuff I shared like visceral referral, treat, cheat sheet, left sciatica and right shoulder pain are often from the liver.

So I was hedging my bets that I went there. But when you have the rest of the ltap, you go to the liver because it directed you to, you don't have to use the visceral cheat sheet. 'cause the visceral cheat sheet is only the visceral referred like visceral, visceral, neurogenic patterns. Not necessarily like sometimes I'll have people, I've had like three athletes with foot pain that their listening actually took me to their lungs, which is not a nor normal visceral referral pattern.

But you could see how if they. Like we're protecting their lung, then their ribcage is sort of oriented over to the right, how that may affect their movement and mechanics and create foot pain down below. Right? So if it was as simple as just chasing the referral patterns, all I would give you is the visceral referral cheat sheet and I'd be like, you're good.

Go on your way. But it's not that simple. Deborah asked the SI joint retest is not to see if it is mobile, but to see where to treat next. Exactly, exactly. I couldn't have said it better myself. The retest is to simply ask the traffic cop One more time. Where do I go next?

Ashley said, if in all three resets the results of the SI joint tests are the same, could that indicate there's more work to do with the viscera and central nervous system? Not necessarily that you didn't do effective work, but you stop at all three interventions with the body assimil? Yes, absolutely.

Absolutely. How's it going? Doing alright. I woke up from a nap. Um,

scrolling down.

I'm excited for the Ltap two.

Deborah said, I love this and excited to take the course. I'm just confused where traditional PT comes in, if it comes in at all. For example, core strengthening, lower extremity strengthening posture, you can do all of that. You can still do all of that. So I use this, so like the other day I have an athlete rehabbing from a knee surgery.

So we started with the ltap to know like, can I dive in to do the soft tissue, run your knee like I want to, or do I have to start somewhere else? So his, his SI joint was hypomobile on the right. His knee was the left knee, so his SI joint was hypo mobile on the right, a change with the breath hold. So that tell tells me, mm, it's something in the visceral or essential nervous system first, before I went to the visceral essential nervous system to see what it was, I went ahead and evaluated his knee to see how his knee was doing.

And he had some tightness or some discomfort, stiffness, inflection and extension. And like, um, his hip extension was a little limited, like his hip flexors quad were, were tight. So that's sort of like where I wanted to target my soft tissue. And then his ankle dorsiflexion was a little limited. So tho that's my list of things I wanted to treat on him before we went into the gym and did his strengthening exercises because he's.

Four weeks post-op knee scope. So we, we need to get his quad stronger again. And so then I did the next test of the ltap, which is the central nervous system tension pattern test. And he had a central nervous system tension pattern, so I knew that's where I was treated. So I treated in his cranium, I used my neural manipulation skills, but if I hadn't had those skills, I could have done like the scalp massage or the basic exercise or segmental spine mobility, any of those would've been appropriate.

And then I retested his SI joint and now it was hypomobile on the left and did not change the breath hold. And now I was like, great, now I can do all the stuff on the left that I wanted to do. But before I just jumped into the old objectives that I wanted to fix, I reassessed. And what did I find? His ankle mobility was fine, his knee flexion was better, his knee extension was better.

And then his quad hip flexor was just a little bit limiting his hip ex extension now. So now I just took five things I wanted to do and I knocked it down to one thing I need to do. So then I did like asked him to his quad and I released his hip like iliacus, and then that cleared that up and then I retested his SI joint just to make sure there wasn't something else that I was missing.

And it was his normal joint mobility on both. So I was like, okay, great. Now we can go in the gym and work out. That's what we did. So yes, still do all the normal stuff you would. It just should save you time. 'cause instead of 10 objective dysfunction, things that you wanna work on from a manual therapy standpoint, you might have two.

Or even from an exercise standpoint, let's say I just wanted to jump right into exercises instead of doing the manual therapy I did on him, then I would've done a quad hip flexor stretch and like, you know, some sort of like hip mobility thing first as the first exercise, not the third, but the first 'cause that's where the body was taking me.

And then I would've jumped in the exercises I had planned.

Helen asked, can you talk more about what signs stick out as tightness or pain really being a symptom of something like cancer? What are the big dots that lead to diagnosis of cancer or something other than just the tight upper body? Um, Helen, I'm going to direct you to my podcast episode about red flags.

If you know, if you go to my podcast website, unreal results pod.com, all of the episodes are listed in there. So scroll through, I'm not sure how far back it is, but scroll through, find the one that talks about red flags. That's going to answer those questions for you. If for some reason you can't find it, drop me a message in, um, the comments of this module on Kajabi or in the Facebook group, and I'll find it for you.

Christina said, I have no idea what Voxer is. Voxer is like a messaging app that's kind of like a walkie-talkie, but it's basically a way you can text voice message back and forth, send pictures, et cetera. There are no approved CEUs for the online course, only the in-person course, but um, depending on what profession you are, you still get a certificate for completion, much like this that you can use for cuus if your professional organization grants it.

So for like athletic training, it would be category D, cuus?

Yes, definitely. You can add, yeah, and you, you don't have to buy the bundle at the same time. You can always do the online course and then do a in-person course at a later time or do an in-person course now and then do an online course at a later time. It kind of is up to you. I offer the online course twice a year in the spring and in the fall.

Then, like I said, once you buy it, you have access to it forever. So if you fall off or something comes up and you need to do it as a self-paced course, you'll have it whenever you want and then you can always jump on the next cohorts live calls. Nancy s is the recertification fee the same as the initial certification fee?

No. The recertification fee will be like $75. It's more of like an admin fee, whereas the $300 fee for certification basically is just the cost of a, um, one-on-one phone call with me. So we can go over all the cases and do your exam. Another question, do you have to do an in-person course to be certified?

Yes. Yes, yes, yes. Both. That's so I can check your hands. I'm very particular about telling pe, referring patients to people that I've not like put a stamp of approval on their skills. So this is why Yeah, online twice a year.

Oh, you're welcome. Sweet. I think that, oh. Denise asked, so is the portal vein assessment treatment something in the ltap? No, that is very precise and specific to visceral manipulation assessment and treatment. And so that would, that's taught in the RAL Institute and some of their advanced courses. We talk about the anatomy of it and how you could affect it from the treatment tools we might already have, but I don't teach, I'm not teaching you the bral work in any of my classes.

I might teach one thing here and there, but like I said, they're not a substitute for each other.

Nancy asked what the ltap level two consist of getting even more precise and specific with the treatment. So I just did a level two course this last weekend with my mentorship alumni as a beta and it wouldn't not this last weekend, two weeks ago. And it was excellent and we spent a lot of time with spine assessment and getting clear about how to use the spine to help us with the central nervous system and the viscera, how to like really assess the pelvic container and the si the rest of the SI, joint ligaments, why you would do it when you would do it, et cetera.

It, it turned out really great. I'm not sure when I'll offer an ltap level two with the public. I'm thinking towards the end of this year, but might not be till 2026.

Christina asked, I just put this in the Facebook group, but how would I test si joint in a patient with a C five, C six, uh, spinal cord injury, um, in the supine position, right? So if I, if they, obviously it could get them out of their chair either on the floor or on a table. And in the supine position, um, Stephanie, my friend, uh, Stephanie Camella, who is the, um, one of the co-founders of Zebrafish Niro, who, who works with SCI patients and uses this work a lot too.

She's, I think she's also been playing around with a sideline version of the March test that's assisted with Springs in the Pilates apparatus too. So Christina, I know you know Stephanie, so you can ask her, but, um, yeah. Um, and I can tag her too in the group, but, um, she has very innovative ways to do it.

Rachel asks, could I dive a little bit more into using this during pregnancy when it comes to A to SPD pain? I don't know what SPD pain is, back pain, sciatic or anything pelvic floor related? Maybe when you can use it up to, is it just as useful? I'm gonna have you, um. Well, I'll just tell you that it just depends on the person and their pregnancy and their situation, which I think is probably what happens in just general orthopedics when it comes to this too.

So the questions you have to ask yourself is one, do I think the SI joint is a valuable test right now? Like a good test? Do I feel like their pregnancy hormones are making them a scenario of maybe hypermobility and it's not helpful? Um, so then would I not use it? Right? Uh, from a March test standpoint, do you feel like in a standing position they can adequately not lock their butt into posterior tilt because they're holding their belly up Right, to be able to do a test?

Because in that scenario, that's not gonna be a good test either, because if they're just binding their pelvis up to hold their belly, then you can do a March test all day long and it's not gonna move, right, because they've just bound it down. So those are the first two questions I would ask regarding the March test.

Now we also have the supine test that we could do on them. And again, that would de depend on can you lay them on your back, on their back, right? Or is it contraindicated for where they are in their pregnancy journey? More situational. And then also, um, know that you can put them on like a osteoporosis wedge.

If they can't be directly supine, they could be in a reclined position and you could still do the supine test on them. Um, and then it kind of depends on like how big their belly is and how distended their tissue is. And if just the pull on the tissue is binding up the SI joints and we'll give you a good test or not, if the SI joint is not a good test for them, then we would move on to the other tests of the ltap and they're fine to do.

So you can still do this with them for sure.

Someone asked, oh, Rachel, same thing. The locations you mentioned, those were the locations that aren't new ones, aren't the new ones being announced on Monday? Those are the new ones. The three, well two of 'em are old, Denver and Durham. And then the new ones are San Diego, Toronto and San Antonio.

And yeah, they'll be announced on Monday to the public. So the same day you guys get access to everything, it's the same day. Everybody gets access to things. You just get to hear about it first and then get this free education too. Do I offer continuing education credits for this mini course? Not approved, but you can download this certificate for your own records and it's five hours.

Oh, pubic synthesis. Yeah. Yeah. Yep. Same, same answer applies for that. Yep. Got it. Cool. All right. Anybody else have any questions?

Can I ask one more question? Yeah, of course. I have a client that has, um, she has a knee problem, but so her knee is already bent within like 10 degrees or so. She, so she can't straighten her leg. Yeah. So she's already going to be tilted, right? She, her si joint's already gonna be shifted in some way, shape or form.

Would the SI joint test still be efficient enough to kind of direct me as a traffic cop if they're already in some form of side bending position? Yeah, I think so. Um, okay. Pos? Yeah, I think so. Yes. So you just test it and see, and if it gives you like a funky result, then you ask the questions of is there a reason why this wouldn't be a good test?

But I'd say two degrees is not that much and Yep. And it could be even coming from some, like part of the reason the 10 degrees is like, that might be coming from something going on affecting the pelvis too, so. Right. Okay. Hard to know. Thank you. Exactly. Right, right. Yeah. Yep, yep. Yep. Sarah, the, uh, prices and, and bonuses and everything I'll be announcing, um, the end of the week.

I promise. It's not like a, it's not super, it's not a ton of money. There'll be payment plans, lots of bonus options, that kinda thing. I don't want it to like be a distraction to like actually thinking like, is this the next step for you? Right. So,

all right. I think that's it. Um, it's been a pleasure. Like I said, I'm still in the Facebook helping you all out for another week. The course modules end on Sunday, so if you're behind, no big deal, just catch up. You'll have till Sunday. Like I said, you'll also wanna download the certificate by Sunday, so I'll send a reminder email out and you'll be hearing more from me Sunday.

I'll also announce the bonuses in the Facebook group. We are done with the live calls, but we are not done together, so it's been a pleasure. Thank you for being here. I can't wait to hear about the cases, more cases towards the end of the week. If you have more questions, need more clarity, need more help, please let me know.

Have a great day.