Cislo S, Ramirez M, Schwartz H. Low back pain: treatment of forward and backward sacral torsions using counterstrain technique. J Am Osteopath Assoc 1991;91(3):255. doi: https://doi.org/10.7556/jaoa.19220.127.116.11.
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The sacral foramen tender points are newly identified, specific indicators of somatic dysfunction. The use of counterstrain to release these tender points and relieve the associated somatic dysfunction is a safe, specific, and nontraumatic means of treating any patient even in the presence of illness or acute trauma. These new tender points and their releases provide a means of treating sacral torsions with counterstrain.
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