Which of the following is an OMM technique used for dysmenorrhea?

• A. Ischial tuberosity spread
• B. Pelvic myofascial release
• C. Sacral rocking and balancing
• D. Ischiorectal fossa release

Answer: (C)

Dysmenorrhea in osteopathic manipulation is often best addressed by techniques that normalize sacral motion and improve pelvic autonomic drainage, which can reduce uterine hypertonicity and pelvic floor tension. Sacral rocking and balancing directly targets the sacrum’s motion and the way the pelvic ring moves as a unit. By gently rocking and balancing the sacrum, you help relieve restrictions in the sacral base and improve lymphatic and venous outflow from the pelvic organs. This normalization of sacral mechanics can lower sympathetic drive to the uterus and reduce cramping, leading to menstrual pain relief.

Other pelvic techniques may help with surrounding tissues or different pelvic complaints, but they don’t specifically address the sacral mechanics and pelvic autonomic balance that are most closely linked to dysmenorrhea.