HPFRT — HEMMETT PELVIC FLOOR RELEASE TECHNIQUE
Hemmett pelvic floor release technique (HPFRT) is a diagnostic and treatment protocol, developed by Vicki Hemmett DC, that focuses on joint and soft tissue dysfunction within the female low back, pelvis, hips and sacrum that may lead to a variety of conditions such as chronic pelvic pain, pain with intercourse, prolapse, urinary and fecal incontinence and low back pain. A HPFRT medical practitioner first utilizes their dynamic motion palpation skills to assess muscular tone, joint mobility, fascial restrictions and nerve entrapment within the joints and soft tissues of the low back, pelvis, hips and sacrum as it pertains to the muscular hammock of the pelvic floor. They then treat the dysfunctions found using a specific combination of chiropractic joint manipulation, dynamic manual soft tissue release and neuromuscular reeducation rehabilitative strengthening exercises.
Medical providers use HPFRT to assess for muscular tone within the pelvic floor. Muscles are diagnosed to be normal, hypotonic (weak or low tone) or hypertonic (tight or high tone). Most conditions have some combination of hypertonic and hypotonic soft tissue with a predominance of one or the other. Hypotonic muscles are treated with neuromuscular reeducation strengthening exercises to increase their tone or strength to a neutral baseline. Hypertonic muscles are treated with soft tissue release techniques to lower their tone or loosen the tissue to a neutral baseline.
Chiropractic joint manipulative is performed to the sacroiliac, low back and hip joints to normalize movement within these joints and stimulate a neurological feedback loop to the pelvic floor muscles to further achieve normalization of tone, joint movement and pelvic function.
HPFRT is frequently used in collaboration with an OBGYN or PCP practice so that the physicians referring for HPFRT have ruled out visceral gynecological conditions that may be the cause of the patient’s condition. Part of being a HPFRT medical provider is helping these OBGYN and PCP medical providers to become confident in soft tissue palpation of the pelvic floor. HPFRT can be an invaluable referral asset for all OBGYN and PCP practices and their patients.