Hesch Institute

11/11/2025

Off to teach tomorrow in Manhattan, course is Fr--sat Nov 14-15. I am covering common patterns throughout the body in addition to my lumbopelvic-hip-coccyx material. It is an experiment to see if my health issues will allow me to travel, so I am adding an extra day in advance. Southwest cancelled my flight, and I was able to get a better outbound time.

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09/02/2025

Spontaneous feedback on my Lumbopelvic-hip online course August 2025
"This work, your work, is powerful, valid, and important.
Thank you so much for this work - I'm so excited to see someone has gone further
I always felt there was more to learn in this sacral pelvic hip lumbar area - more angles and types of testing that I hadn't learned or worked out yet.
I'd started some kind of rudimentary springing (perhaps Brian Tuckey of Fascial Strain Counterstrain introduced the concept to me some years ago) on major bony landmarks on pelvis myself and had started to notice that even though positionally people were corrected their bones didn't FEEL like they wanted to stay corrected - this was my sense of the positive springing beginning. I see that you have developed it keenly and wonderfully, and I fully intend to investigate it thoroughly.
The likelihood of me doing your whole-body course is very high, but not just yet - a lot to digest and apply already in this course, and many repeats and revisions needed - thanks again!"
Kind Regards,

Kyle Grimshaw-Jones
B.App.Sc.(TCM), Dip.App.Sc.(Nat), ND, Dip.RT, Dip.Shiatsu, Dip.Yumeiho Therapy Grade 2

06/20/2025

Sacroiliac Nonsense. I am consulting with a woman whose MRI shows severe nerve root impingement at the L4-5 nerve root. She goes to a pain doctor who does not look at the MRI but pushes her to get a sacroiliac injection and starts selling her on his sacroiliac stabilization surgery $$$$$$$ I have no idea why. She picked up on the inappropriateness of his offerings and cancelled the follow-up. Wise call.

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05/20/2025

Hello everyone,

I am thrilled to share some exciting news about tonight's Clinical Excellence lecture series. This concept has been a real game-changer for me—simple but not easy. We are delighted to have the incredible Dr. Jerry Hesch joining us to share his expertise.

Join Us for the next Clinical Excellence Night Lecture Series — Featuring Dr. Jerry Hesch
Tuesday, May 20th | 8:00 PM EST | Live on Zoom

We’re thrilled to welcome Dr. Jerry Hesch of the renowned Hesch Institute for an exclusive evening discussion on the Hesch Method—a unique, whole-body manual therapy approach that began with sacroiliac joint dysfunction and evolved into a comprehensive system of care.

In this session, Dr. Hesch and Rob Shapiro will explore how to bring “Springing with Awareness” into clinical practice—enhancing palpation, precision, and treatment outcomes.

Whether you’re new to the Hesch Method or looking to deepen your understanding, this conversation promises both insight and application.

Don’t miss it!
Date: Tuesday, May 20th
Time: 8:00 PM EST
Location: Zoom https://us02web.zoom.us/meeting/register/lV7blyslRhOJApNcCrUBYQ


Check out an example of his method: https://youtu.be/7M2heoRNY4w?feature=shared.

While you are there, Dr Hesch has over 200 other videos to check out.

Featuring Jerry Hesch, DPT, MHS, PT

04/20/2025

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Professional Seminars' complete list of current continuing education courses available for healthcare professionals.

10/30/2024

Run Forest run! It has "reality" in the title. https://painlosophy.wordpress.com/2024/10/29/why-pain-cannot-be-a-bodily-protector-applying-a-first-principles-approach-to-aligning-concepts-with-reality/?

Authors: John Quintner & Milton Cohen Consider these quotations: “Pain protects us and promotes healing” [Essential Pain Fact 1, Pain Revolution, Available at “… to shift one’s conceptual…

10/30/2024

Now free access. https://www.sciencedirect.com/science/article/pii/S152659002200284X?

Effectiveness in academic and clinical communication depends upon agreement on what words and concepts denote and on the consequent ability to argue l…

10/24/2024

Yesterday's patient presented with all positive signs for lumbar radiculopathy. It was her second visit and I had not made much impact, ditto for chiropractic and traction. Found blocked superior glide of the ilium, blocked inferior glide and the key is that her sacrotuberous ligament was rock hard. I concluded it to be a downslip but it could also be a side bent ilium pattern imaging date with this clinical presentation is lacking. Some say downslip does not exist but they do not use the Hesch load-spring-recoil micromotion testing. I found the ideal angle for superior glide through the lower extremity which was about 15 degrees adduction in supie. She can now stand and walk with 50% reduction in foot numbness and tingling and she can now rotate right and extend without enhancing local and referred symptoms.
If downslip/side bent ilium fixation is a valid construct the mechanism might be traction on the sciatic nerve or its blood supply at the sciatic notch. I owned an anatomical specimen and I could have cut steak with the sharp roof of the sciatic notch, surely an under-appreciated anatomical attribute.

10/23/2024

Help w Microsoft 365
They want you to sign in to tell them you need help signing in!
They have their phone numbers hidden until you sign in!
I call the local Microsoft store, no answer.
Do any of you have a legitimate phone number to call for help?
thank you

10/11/2024

How exciting we now have 60 sacroiliac joint fusion systems to fuse your main shock absorber and force transducer, why because a general injection and sloppy tests say go for it - it is the standard of care! (A very small % do need it from severe trauma). Greed and ignorance drives the bus.https://thespinemarketgroup.com/updated-202460-mis-sacroiliac-joint-fusion-systems-to-know/

10/09/2024

No, you DO NOT NEED A SACROILIAC FUSION!!!!! Bilateral hip impingement patient with sitting intolerance.
today's patient presented with signs and symptoms of bilateral hip impingement. Based on the Hesch Posterior rotation spring test applied to the hemipelvis with the patient supine (Hesch J 1981), she presented with blocked mobility and also blocked inferior glide to the hemipelvis in prone. Did she have fused sacroiliac joints due to inflammatory arthritis such as ankylosing spondylitis. No, her sacrotuberous ligaments felt like bone so I knew it to be what is named "Bilateral anterior ilium".
I taught her self-treatment and 6 minutes later she was significantly improved, with better sitting tolerance, no more inguinal pain, normal load-spring-recoil tests, and normal sacrotuberous ligament tone. Time to play the 1960's Kaboom cereal ad! KABOOOMMM! Incidentally, her alignment was good, no asymmetry, and looking at her posture one would not suspect an anterior pelvic tilt. An "anterior tilt" is based on observation. A bilateral anterior ilium is not based on visual guesswork, but rather it is based on precise joint micromotion testing, and testing ligaments similarly. We teach this in our online coursework. Yes, her doctors were shuttling here down the pathway to a sacroiliac fusion. Hesch Method rocked her world as it does mine.

At Hesch Institute, we provide comprehensive Sacroiliac Joint Treatment, Physical Therapy, Research, and Education. With over 43 years of experience, Dr. Jerry Hesch specializes in sacroiliac joint dysfunction, p***c joint dysfunction, hip, and lumbar s