P5140074

Hip Pointer - Iliac Crest Contusion

Hip pointer i$ a contusion to the muscular attachments of the abdominal muslces as they insert on the iliac crest; The injury occurs front blunt trauma on an unprotected iliac crest. A hematoma may form causing a pinching action on the muscle attachments. It i$ generally very painful and can significantly affect an individuals ability to be physically active.

The Kinesio taping method will assist by reducing effusion, possible hematoma, and pain.

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Initial treatment for inflammation or edema is provided by applying two Kinesio lymphatic corree-tive techniques For complete review see lymphatic corrective technique.

Bogiń by placing the first lymphatic Kinesio fan base approximately 34 inches anterior and inferior to the iliac crest. Angle the fan tails at a 45 degrees in a posterior direction.

The second lymphatic fans base is approximately 34 inches posterior and inferior to the iliac crest. Angle the fan tails at 45 degrees in a anterior direction.

The fan strips should form a crisscross pat tern.

Application of a space correction technique to assist in reducing edema. For complete review see space correction technique. This technique applica-tion will be the same as the lumbar star technique, for complete description see lumbar disk hemiation.

Begin by tearing the center of the paper backing of a 4-6 inch Kinesio 1 strip. Apply 25-50% of available tension to the exposed Kinesio Tex.

Place the Kinesio strip with applied tension directly over the region of pain on the iliac crest. Lay down the ends of the Kinesio I strip with no tension, have the patient move through as much rangę of motion as possible when applying the base of the Kinesio I strip

In an acute iliac contusion 4 space correction strips are recommended. As the patient improves fewer strips may be reąuired.

As the strips are applied, have the patient move through as much rangę of motion as possible when applying the base of the Kinesio I strip. This is to ensure that no tension will be added to the base.

In acute iliac crest contusions the iliac crest may be very sensitive and tender, it is recommend to be careful to not add any downward pressure when applying the space correction technique.

Hip Pointer or Iliac Crest Contusion Combination Techniąue

This technique will combine the Kinesio taping techniąue for hip pointer/iliac crest contusion with extemal protection. Following the application of the Kinesio taping techniąue for hip pointcr/iliac crest, and appropriate rest and rehabilitation the practitioner may determine that additional protection is reąuired for the patient.

The extemal protection may be in the form of a commercially produced Acromio clavicular pad which usually includes a cut out or raised area (donut) directly over the iliac crest. A second option is the fobrication of a pad out of a thermoplastic heat sensitive materiał, in which a pad or donut is placed directly over the iliac crest. Following the application of the protective pad, additional tape is applied to restrict movement of the pad during activity. The practitioner may select to use additional Kinesio Tex tape, or a thicker elastic tape such as elastikon or elastoplast.

Completed application of the Kinesio taping techniąue for hip pointer/iliac crest. For complete application review see hip pointer - iliac crest.

Application of a commercially available AC protective pad. This particular pad is available with straps to hołd the protective padding in place.

The AC pad is used directly over the iliac crest and may reąuire the use of an elastic tape to maintain its position.

Place a felt or foam donut over the contusion on the ilium. Pad should be slightly larger than the area of pain,

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