Structural Diagnosis and Management (SDM) is a specialized approach in advanced physiotherapy that focuses on identifying the exact anatomical structure causing pain and applying precise manual interventions. Below are the comprehensive SDM protocols used for targeted musculoskeletal rehabilitation.
Specialized SDM Protocols
SDM (Neck)
- Retraction
- Fist traction
- Cervicothoracic stretching
- Axillary nerve stretch
- Activation (Flexor/Extensor Rotation)
- Trapezius, Levator & Rhomboids (Lt/Rt)
- Pectoralis (Lt/Rt)
SDM (Shoulder)
- Shoulder Gapping (AP/PA)
- Arm Distraction (Inward/Outward)
- Scapula shoulder correction
- Clavicle mobilization
Upper Extremity
- Arm Distraction
- Accessory movement
- Finger stretch
- Wrist flexion stretching
SDM (Low Back)
- Thigh destruction & Dorsal mobilization
- Facet Techniques (Plank, 4 Kneeling, Abdomen)
- Cross leg stretches (Q/L, G/M, Piriformis)
- Tibial nerve stretches (Side-lying)
- Pelvic correction reverse
- Quadriceps Kneeling
- Dorsal Rotation with mobilization
SDM (Knee)
- Knee flexion mobilization with roller
- Knee outward/inward rotation
- Popliteal stretch
- Obturator nerve stretch (Sitting/Lying)
SDM (Ankle)
- Dorsi Flexion Mobilization
- Toes Grip Ankle correction
- Medial Arch Correction
- Plantar stretch with toe grip
Evidence-Based Rehabilitation
These SDM protocols are implemented based on individual structural assessments to ensure faster recovery times and long-term functional stability. Our goal is to provide precise, non-surgical solutions for complex spinal and joint conditions.
