Below is a very good video where a Pelvic Floor Physical Therapist explains palpation of the sacrospinous ligament on physical exam.
The sacrospinous ligament (SSL) is a connective tissue structure that spans from the sacrum to the ischial spine, hence the name sacrospinous (i.e., sacro – spinous).
However, despite being called the “sacrospinous” ligament, this ligament also has attachments to the coccyx.
Here is the link to the video:
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