Jerry Hesch is a Nevada Licensed Physical Therapist with a Masters of Health Science from the University of Indianapolis, Indianapolis, IN.
He developed the Hesch Method over more than 30 years of clinical practice, describing numerous patterns of motion dysfunction. In the lumbopelvic area alone, he has identified more than a dozen faulty motion patterns not yet described in the literature.
Mr. Hesch has taught more than 70 seminars since 1985, instructing clinicians in application of Hesch Method to assess and treat the pelvic, sacroiliac, and lumbar spine. He has also developed learning materials on his advanced body of work; which allows the clinician to apply manual therapy using a whole body approach.
Mr. Hesch is currently involved in teaching and research, and is also accepting patients presenting with complex motion dysfunction.
AWARDS:
New Mexico Physical Therapist of the Year, 1997
NMPTA Service Award, for service on Chapter Council 1992-1994
PUBLICATIONS AND PAPERS:
"Case Studies: Downslip Ilium with Paradoxical Upslip Ilium Appearance, Pudendal Neuropathy, Parainguinal Neuropathy; A New Internal Sensory Diagnostic Test" Poster Presentation for 7th Interdisciplinary World Congress on Low Back and Pelvic Pain, November 2010
"Sacral Torsions About an Oblique Axis: A New Approach to an Old Problem" book chapet, publication pending, October 2010
Case Study:· Palse Positive Pelvic Instability in Pregnancy", IOPTWH Newsletter, July 2010
“Evaluation and Treatment of the Most Common Patterns of Sacroiliac Joint Dysfunction”, Movement, The Pelvis and Low Back Pain, Mooney V., Vleeming A., Stoeckart R, Dorman T: Churchill Livingstone, 1997.
“The Hesch Method: Advanced Course” Video, November 1997
“Evaluating Sacroiliac Joint Play with Spring Tests”, OBGyn PT 20:3;4-7, 1996
“The Hesch Method of Treating Lumbopelvic Joint Dysfunction: An Integrated Approach, Advanced Course” Course Workbook, June 1994
“Manual Therapy Evaluation of the Pelvic Joints Using Paltory and Articular Spring Tests,” Low Back Pain and Its Relation to the Sacroiliac Joint ECO Netherlands, 1992
“The Hesch Method of Treating Lumbopelvic Joint Dysfunction: An Integrated Approach” Course Workbook, January 1991
“Manual Therapy for the Sternum,” Physical Therapy Today, Fall 1989
Numerous Letters to the Editor – available on request
LECTURES:
“Evaluation and Treatment of the SIJ via the Hesch Method.” Lecture and lab presented to DPT Students, Arizona School of Health Sciences, Mesa, Arizona, April 30, 2007
“Treating Soft Tissues in Sacroiliac Syndrome.” AMTA, Atlanta, GA, October 14, 2006
“Science, Our Physical Therapy Heritage: A Philosophy of Inquiry with Inspiration from Contemporary Clinical Research.” Gentive Health Services, Albuquerque, NM, March 30, 2005 and January, 2005
“Evaluation and Treatment of Abdominal Neuropathies.”
Southern Nevada Orthopedic Study Group, Las Vegas, NV, October 2003
“A New Approach to Evaluation and Treatment of the SIJ.”
Southern District NV Chapter APTA, Las Vegas, NV, September 2003
Repeat Presentations 1987 - 2000
“Basic SI Evaluation and Treatment”, University of New Mexico, Senior Physical Therapy Class, and PT Club, Albuquerque, NM
AMTA, Albuquerque, NM, October 29, 1994 3-hour intro lecture
Keynote Speaker – The 10th Annual Rex McMorris Memorial Lecture on Rehabilitation, Institute of Physical Medicine & Rehabilitation, Peoria, IL , November 11 1994
Keynote Speaker – Canadian Athletic Therapist National Conference, Oakville, Ontario, May 1994
“Manual Therapy Evaluation of the Pelvic Joints Using Palpation and Articular Spring Tests”. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint, University of California San Diego, San Diego, November 6, 1992
“The Pitfalls Associated with Traditional Evaluation of Sacroiliac Joint Dysfunction and Their Proposed Solutions.” APTA Annual Conference, Anaheim, CA, June 1990
“Soccer Injuries Involving the Hip and Pelvis”, 2 hour lecture, TVI, Albuquerque, NM, April 14, 1990
HESCH SEMINARS: ADVANCED MATERIAL:
“Evaluation and Treatment of Sacroiliac Joint Dysfunction: Integrating the Pelvis, SIJ, Symphysis Pubis, Hip, and Lumbar Spine”:
St. Vincent Hospital Rehab Department, Indianapolis, Indiana, November 2-3, 2002
St Joseph Hospital Rehab Dept., Albuquerque, New Mexico, February 24, 2001
Colorado PT Institute, Broomfield, CO, September 23-24, 1995
NM Chapter APTA Spring Symposium, Albuquerque, NM, May 1989
HESCH SEMINARS: BASIC AND INTERMEDIATE MATERIAL
“Evaluation and Treatment of Sacroiliac Joint Dysfunction: Integrating the Pelvis, SIJ, Symphysis Pubis, Hip, and Lumbar Spine”:
Aquacare Rehabilitation hosted at University of Maryland Eastern Shore, Princess Anne, MD, June 25 and 26, 2011
Total Fitness Physical Therapy & Fitness, Bowling Green, KY, May 14 and 15, 2011
Cambridge Health Alliance, Somerville, MA April 2 and 3, 2011
Physical Therapy Rx PT Inc., Huntington Beach, California, March 5 and 6, 2011
Allegiance Health, Jackson, Michigan, February 5 and 6, 2011
Tina Baum Physical Therapy and Rehabilitation, Las Vegas, NV, November 6 and 7, 2010
Gold Coast Physical Therapy and Sports Training, Huntington, New York, October 23 and 24, 2010
CHS Midwest Health Strategies, Muncie, Indiana, August 2 and 3, 2003
Idaho Chapter of the American Physical Therapy Association, Sun Valley, Idaho, May 2 and 3, 2003
Virginia Mason Medical Center, Seattle, WA, Sept 28-29, 2002
Lovelace Health Systems, Albuquerque, NM May 4-5, 2002
St. Joseph’s Hospital and Medical Center, Phoenix, AZ April 19-20 2002
Brooks Outpatient Rehabilitation Center, Jacksonville, Florida, February 16 and 17, 2002
St Joseph Northeast Heights Hospital Pavilion PT Dept. Albuquerque, NM, December 1-2, 2001
The Physical Therapy Clinic, Jacksonville, North Carolina, June 2-3, 2001
Sheltering Arms Physical Rehabilitation Hospital, Richmond, VA April 6-7 2001
Sports Medicine & Occupational Orthopedic Clinic, Decatur, IL, May 2-3, 2000
St Vincent Outpatient Rehab Center, Indianapolis, IN, March 25-26, 2000
OP Services Memorial Hospital Rehab Institute of Chicago & SIH Rehab, Carbondale, IL, January 15-16, 1999
Idaho PT Association, Boise, ID, September 12-13, 1998
Cardinal Hill Healthcare, Lexington, KY, August 21-23, 1998
Arizona School of Health Sciences, Mesa, AZ, March 20-22, 1998
Springfield Clinic, Springfield, IL, February 6-8, 1998
Gila Regional Medical Center, Silver City, NM, January 17-18, 1998
Valley Medical Center, Seattle (Renton), WA, October 31-November 2, 1997
NM Chapter APTA, Las Cruces, NM, October 17-19, 1997
Wood River Medical Center, Sun Valley, Idaho, September 5-7, 1997
Covenant Rehab Services, Milwaukee, WI, May 17-18, 1997
KCOM SWST Center for Osteopathic Medicine & Health Sciences, Mesa, AZ, February 21-23, 1997
Riverview Hospital, Wisconsin Rapids, WI, September 27-29, 1996
Cardinal Hill Rehabilitation Hospital, Lexington, KY July 26-28 1996
Hesch Seminars, Albuquerque, NM, May 17-19, 1996
Frost Street Physical Therapy, San Diego, CA, March 1-3, 1996
Union Hospital Performance Center, Terre Haute, IN, February 2-4, 1996
Frost Street PT, San Diego, CA, September 16-17, 1995
Cardinal Hill Rehab Hospital, Lexington, KY, August 18-20, 1995
Virginia Rehab, Richmond, VA, July 15-16, 1995
Carle Foundation Hospital, Urbana, IL, June 9-11, 1995
Los Alamos Medical Center, Los Alamos, NM, May 5-7, 1995
Colorado PT Institute, Broomfield, CO, April 22-23, 1995
IPMR, Peoria, IL, November 12-13, 1994
Northeast District California chapter APTA, Sacramento, CA, November 5-6, 1994
THEREX PT, Denver, CO, September 17-18, 1994
Ontario Athletic Therapist Association, Toronto, Ontario, August 19-21, 1994
Valley Medical Center, Seattle (Renton) WA, July 15-17, 1994
Virginia PT Assoc., Richmond, VA, May 21-22, 1994
Hesch Seminars, Albuquerque, NM, April 15-17, 1994
Hesch Seminars, San Diego, CA, March 18-20, 1994
Cardinal Hill Rehab Hospital, Lexington, KY, February 18-20, 1994
Institute of Physical Medicine & Rehab, Peoria, IL, November 19-21, 1993
St Patrick Hospital, Missoula, MT, October 22-24, 1993
Chicago Institute of Neurosurgery and Neuroresearch, Chicago, IL, October 13, 1993
San Juan College, Farmington, NM, July 31, 1993
Hesch Seminars, Albuquerque, NM, July 16-18, 1993
Lovelace Mountainview PT, Albuquerque, NM, April 23-25, 1993
Hesch Seminars, Tempe, AZ, March 26-28, 1993
Rehab Institute of Chicago, Chicago, IL, March 6-7, 1993
Hesch Seminars, Albuquerque, NM, January 29-31, 1993
Univ of Wisconsin-Madison, Madison, WI, October 9-10, 1992
Montana Deaconess Medical Ctr, Great Falls, MT, September 19-20, 1992
Hesch Seminars, Santa Fe, NM, July 17-19, 1992
Hesch Seminars, Albuquerque, NM, April 4-5, 1992
Sharp Rees Stealey, San Diego, CA, February 15-16, 1992
Rehab Management, Richmond, VA, October 26-27, 1991
The Triangle Orthopedic Study Group, Research Triangle Park, NC, September 28-29, 1991
Hesch Seminars, Albuquerque, NM, July 13-14, 1991
RIOH Medical Group, Redding, CA , April 20-21, 1991
Lovelace Medical Center, Albuquerque, NM, March 22-24, 1991
Hospital of the Good Samaritan, Los Angeles, CA, February 10, 17, 1991
HealthSouth, Albuquerque, NM , September 7-8, 1990
Indiana Chapter APTA, Indianapolis, IN , May 10-12, 1990
NM Chapter APTA Spring Symposium, Albuquerque, NM, May 1988
Medical Arts Physical Therapy, Albuquerue, NM, February 15-17, 1985
CO-PRESENTER :
“The Hesch Method of Treating the Sacroiliac Joint”. Hand & Orthopedic Rehab Specialists, Salt Lake City, Utah; Presented by Jerry Hesch, PT and Christine Gregor-Maxwell, PT; November 6 and 7, 2004
Manual Medicine Techniques presented as part of Practical Orthopedics in the Primary Care Setting-1995” UNM School of Medicine, Albuquerque, NM; Presented by R. Dean Bair, DO, Margaret Royson, DO, Jerry Hesch, PT; April 29, 1995
“The Sacroiliac Joint and Lumbar Spine: A Balanced Perspective”. West Texas Rehabilitation, Abilene, TX; Presented by Robert Pattillo, PT and Jerry Hesch, PT; February 7-8, 1992
“The Sacroiliac Joint and Lumbar Spine: A Balanced Perspective” South Plains District Texas Physical Therapy Association, Lubbock TX; Presented by Robert Pattillo, PT and Jerry Hesch, PT; Sept 14-15, 1991
“The Sacroiliac Joint and Lumbar Spine: A Balanced Perspective” SHARP-Rees-Stealy, San Diego, CA; Presented by Robert Pattillo, PT and Jerry Hesch, PT; June 1-2, 1991
“The Sacroiliac Joint and Lumbar Spine: A Balanced Perspective” Arizona Chapter APTA, Phoenix, AZ; Presented by Robert Pattillo, PT and Jerry Hesch, PT; April 7-8 1990
OTHER SEMINARS:
“Evaluation of the Most Common Patterns of Sacroiliac Joint Dysfunction” (Workshop) Second Interdisciplinary World Congress on Low Back Pain, University of California San Diego, San Diego, CA, November 11, 1995
“The Hesch Method of Treating Sacroiliac Joint Dysfunction: An Integrated Approach” American Massage Therapy Association National Convention, Albuquerque, NM October 29, 1994
“An Integrated Approach to managing the Most Common Patterns of Lumbopelvic Joint Dysfunction”. Texas Physical Therapy Association, San Antonio, TX, October 2 1994
“Hesch Method Course Review”. St Patrick Hospital, Missoula, MT; Presented by Rina Luban, PT, and Chris Newman, PT; June 25, 1994
“The Pelvic Girdle Integrating Strain/Counterstrain and Muscle Energy Techniques”. Hesch Seminars, Albuquerque, NM; Presented by Michael Nored, MPT; December 3-5, 1993
“The Hesch Method of Treating Lumbopelvic Joint Dysfunction: An Integrated Approach”. SHARP-Rees-Stealy, San Diego, CA, February 15-16, 1992
“Treating Common Strain Patterns with Muscle Energy Techniques.” St. Joseph Rehabilitation Hospital and Outpatient Center, Albuquerque, NM, November 1990
“Treatment of Spinal and Pelvic Dysfunction With Muscle Energy Technique” Central District Indiana Chapter APTA, Indianapolis, IN, October 20-21, 1990
“The Sacroiliac Joint and Lumbar Spine: A Balanced Perspective” SHARP-Rees-Stealy, San Diego, CA, March 10, 1990
“Treating Spinal Dysfunction With Muscle Energy” Plaza Physical Therapy, San Antonio, TX, February 3-4, 1990
“Treating Lumbopelvic Dysfunction in the Obstetric Population.”
ObGyn Section, APTA, Orlando, FL, December 1989
“The Sacroiliac Joint: Function, Dysfunction, Evaluation, and Treatment.” (2 hour inservice), Albuquerque Orthopedic Associates PT Dept, Albuquerque, NM, August 17, 1989
“Advanced Evaluation and Treatment of the Sacroiliac Joint.”
NM Chapter APTA Spring Symposium, Albuquerque, NM, May 1989
“Muscle Energy for the Spine and Extremities.”
Albuquerque Orthopedic Associates PT Dept, Albuquerque, NM, March 1989
LICENSED SEMINARS:
Raleigh Orthopaedic Clinic, Raleigh, North Carolina, September 25 and 26, 2010
Vanderbilt University Medical Center, Nashville, TN July 24-25, 2010
Palmetto Health Baptist, Columbia, SC. June 19-20, 2010
Sisters of St. Francis Health Services, Indianapolis, IN. May 14-15, 2010
Endurance Rehabilitation, Phoenix, AZ. April 17-18, 2010
Sharp Healthcare, San Diego, CA. March 20-21, 2010
Reliant Rehabilitation Hospital, Richardson, Texas. February 20-21, 2010
Hancock Regional Hospital, Greenfield, Indiana, April 18 and 19, 2009
Physical Therapy Innovations Location: Auburn, Massachusetts, March 20 and 21, 2009
St. Vincent Rehabilitation Services, St. Vincent, PT, November 2008
Indiana Athletic Trainers Association Summer Symposium, Conseco Fieldhouse, Indianapolis, Indiana, July 12 and 13, 2008
Schwab Rehabilitation Hospital Location: Chicago, Illinois, March 8 and 9, 2008
Tuomey Health Care, Sumter, South Carolina, January 28 and 29, 2008
Fisher Titus Medical Center, Norwalk, Ohio, November 3 and 4, 2007
University of Indianapolis, Indianapolis, Indiana, July 21 and 22, 2007
The Physical Therapy Clinic, Jacksonville, North Carolina, May 19 and 20, 2007
Palos Community Hospital, Palos, Illinois, April 21 and 22, 2007
Bradley University, Peoria, IL, November 4-5, 2006
St. Vincent Sports Medicine, Indianapolis, Indiana, July 22 and 23, 2006
University of Indianapolis, Indianapolis, Indiana, September 16 and 17, 2005
NATA National Convention, Indianapolis, IN, June 2005
NATA National Convention, Indianapolis, IN, March 30, 2005
Airport University Inn, Albuquerque, NM, January 2005
Indiana Chapter of the APTA, Lafayette, Indiana, October 8 and 9, 2004
CHS Midwest Health Strategies, Muncie, IN, August 2-3, 2003
INVENTIONS AND ENHANCEMENTS:
***Additional details regarding Inventions and Enhancements are available upon request***
2010 – Developed a flexible foot model with AP and superior-inferior axis to demonstrate the significant transverse plane rotation that is greater in magnitude than the frontal plane motion
2009 to present, paper in process - “The Unique Signs, Symptoms, and Objective Measures of 3rd Cervical Nerve Radiculopathy, Discopathy, and DJD”. Explores clinically misunderstood, vast somatic territory, describing significant branching and multiple anastamoses of the 3rd Cervical Nerve.
2008 to present – Developed a Beta Version Distance Learning Program on the Advanced Hesch Method work; which also addresses common patterns of accessory motion dysfunction and pain throughout the pelvis/SIJ, hip, joints of the foot and ankle, rib cage, thoracic and cervical spine, as well as inguinal peripheral neuropathy. Currently training several students in the US and Australia by invitation.
2003 to present –Type II Cuboid Syndrome: Described Type II cuboid syndrome, augmenting the traditional description of “cuboid syndrome”, and identifying a knowledge gap. Type II cuboid syndrome is a complex pattern involving all major joints of the foot and ankle, as opposed to a single articular dysfunction. Described a mobilization sequence (10-steps) for restoring normal talo-crural, sub-talar, mid- and forefoot motion. In contrast with the traditional manipulation for Cuboid Syndrome, this approach is a mobilization into pronation. This is opposite the arthrokinematically vague description and manipulation described in the literature.
1983 to present - Described a dozen new patterns of pelvic/SIJ motion dysfunction, not described in the body of literature.
2008 - Invented device to enhance extension and inferior glide to upper thoracic segments and costovertebral joints, and P-A guide to same.
2007 to present - Developed a Distance Learning Program on the Hesch Method Basic and Intermediate work.
November, 2008 - APTA CSM Poster Presentation accepted for a 3-D Pain Drawing, Las Vegas, NV. Hospitalization prevented participation / presentation.
November, 2008 - Developed unique treatment for side bent coccyx joint fixation.
2007 - Designed upper cervical motion restrictor. The classic cervical soft collar reduces motion only in the mid and lower regions. Some injuries, albeit rare, emphasize the upper cervical spine. This remarkably simple design has limited marketability.
2005- Developed intra-inguinal palpatory screen for traumatic peripheral neuropathies of the ilioinguinal,iliohypogastric, and genitofemoral nerves.
2005 - Developed diagnostic and treatment tools to address hypermobility and hypomobility in the upper, mid, and lower cervical spine: combining and stacking active motions and active accessory motions.
2005 – Described evaluation and treatment of limitation hip extension with patellar compression, addressing a subtle flexion and posterior glide fixation, not previously described in detail the literature (see Saahrmann et al).
2004 – Discovered that distraction and transverse plane rotation, AKA abduction, is the key to restoring normative calcaneal valgus in majority of clients with a unilateral restriction, either post – trauma, or chronic insidious onset. The correction is the last after restoring normative accessory motions in all other major joints of the foot and ankle complex.
1999 – Developed a vertical SI support, with and without force transducer.
1998 - Described 5 additional motion dysfunctions (eval & rx) in addition to to the usual superior glide fixation of the 1st rib. This can be a pattern involving the other proximal joints: sternoclavicular, AC, costosternal and the C7-T1 motion segment.
1990 – Designed and developed a tool to objectively teach and give feedback regarding forces used on the pelvis and other bony structures and joints, when learning “Springing With Awareness.”
1989 - Described and used an additional grade to the traditional 5 grades of joint mobilization. Similar to Grade IV, but force progressively moves the motion barrier. For some joints a specific amount of force is a beginning point.
1986 - Expanded the traditional method of spring tests, naming it“Springing With Awareness.” In contrast, this approach maintains the slack taken up throughout the spring test, rather than a return zere, thus repeat springing can clarify, and a very important elastic property; spring recoil yields information regarding hypomobility and hypermobility.
1983 to 1985 - Developed Posture Chair, very similar to the Balanz Chair®, except more comfortable and able to accommodate small to very tall users.
1982 - Introduced concept of the Seat Wedge. Manufactured and marketed it locally, Albuquerque, NM, but did not patent it.
Communicated with many authors, educators, researchers and inventors from all over the world on rehab and biomechanical topics; throughout my career.
OTHER
Participated with research planning for an Advanced Master’s Thesis, as well as multiple small studies using the Hesch Method. Several of these were presented at the World Congress on Low Back Pain and the Sacroiliac Joint, in Montreal and Barcelona; and at State Chapter Annual Conferences and World Congress of Physical Therapy, 1994 to present
Article reviewer for J of women’s Health PT, 2006
Proofed an abstract and paper on Ultrasound imaging of abdominal wall in runners
Obtained speakers for the Southern Nevada PT District, 2002-2003
Clinical Educator, supervising students from University of New Mexico, University of Indianapolis, Krannet School of Physical Therapy, and Hardin-Simmons University, 1983-1995, 1997-2001
Reviewer for Mosby / Yearbook, November 1989 – March 1990; and June 1998
Served on the Education Panel and Nominating Committee NMAPTA, 1990-1997
Preconference Planning Committee, First World Congress on Low Back Pain and its Relation to the Sacroiliac Joint, Thomas Dorman, Andry Vleeming, Dick Dontigny, August 12-13, 1992
Pre-publish book reviewer for CV Mosby Publishing Company / William Brooks, DO, August 1987 – November 1989
Founded New Mexico Manual Therapy Study Group, 1989
Private one-day Tutorial, Janet Travell, MD, Courtesy of Suzanne Poole, Albuquerque, NM 1984
APTA Member 1980-2010, Research Section, Education Section, Orthopedic Section, Women’s Health section, Neurology Section, Chronic Pain SIG. Nevada Chapter APTA.
APTA Mentor, 2001 – present
Physical Therapist of the Year Committee June 1997 – 2002
NMAPTA Nominating Committee February 1995 - June 1997