SI Joint pain

[Lindsay Killer Cherry]

I have a client who complains of bilateral sacroiliac pain that radiates up to the 12th rib and down to glute med and some of piriformis..Walking for any certain period of time is painful. She gets sharp pains if she bends over (90 degrees) and then back up again.. then she gets the quick sharp pain. She says when she wears those low rider jeans it helps (I am thinking kind of a brace) and then she takes them off and she hurts bad.I am thinking QL, SI ligaments, Lumbar ligaments, glutes, and psoas/iliospoas.what do you think?thankskearse

 

[FAiiRY FLOSS]

Ok, you got me...it's me right?But seriously, this is me to a tee.It, for me, is an L-5/S-1 herniation, an SI "slip separation", and definately involves all the muscles you mentioned.A Chiro gave me a Sacro belt to be worn for two weeks...it helped but it shouldn't be used too long.  Afterall when the belt is on, the muscles are not doing their job.  I do throw it on now and again.I get frequent massage, stretch ALL the time and I love ice.I use BioFreeze, Sombra and Dr Schultze's DTO as a topical.It would do me good to lose about 50 pounds.I have an exaggerated anterior pelvic tilt.When I do get massage I must either be sidelying or have a small pillow/towel under my pelvic region while prone.Is she having any Sciatic symptoms? I would give extra attention to Piriformis and QL.Robyn

 

[Eiginh]

Robyn,Yes piriformis is SENSITIVE!! as well as other lateral rotators. She had an adjustment today and told me that it "popped" in the lower back just above S1. AMAZING!!  the pain subsided and now a dull throb on the left side..Ok, i worked QL, pirfms, and PSIS edge.. and lots of ice.. she felt much better.scarey.. is that "slip" permanent? or will it go back? and stay there> just worried for her she can go weeks with nothing then she is disabled with pain.. walking, ADL's and just sits and that makes it worse b/c she doesnt move.thankskearse

 

[Ramin]

SI Joint pain

severe anterior pelvic tilt? I remember in class we did self alignment exercises...

lay in bed knees up feet flat on the bed.

"roll" the flat of your back to the bed and hold count of five. release breathe on the push. and do a few sets of 5

it really helped me stregnthen my A.P.T. and get my ASIS and PSIS even and I don't have that sway back look anymore.

try that Robyn might help.

 

[Pompal 09.]

Hi there!I have had clients with bilateral SI joint pain and have had great results using muscle energy techniques along with deep work/GTO release  to lumbar paraspinals, QL.  Have you tried that route?  Have you checked a leg length discrepancy and blocked/sacral joint mobilization appropriately for pelvic tilting?  The low rider jeans could be a temporary nerve block for the lateral femoral cutaneous nerve which is sometime affected in bilat. SI joint pain.  The low riders can also help in "bracing" the low back.  You can obtain the same "popping" effect in the clinic using muscle energy techs to self-traction the SI joints.  This type of thing can also be used as self care.  Try it, it is not only in your scope of practice (it is in RMT's scope of practice in Canada, check with your area legislature) but it really has helped MANY of my clients as it seems to be a common problem.Regards,Krystyne

 

[baby face]

krystyne,No, I have never heard of the GTO release. Can you tell me more?I assume you are from Canada and are a RMT? That is exciting, what does that take (schooling etc)back to the subject: I was a bit floored to say the least. (humble way of saying I was impressed with the knowledge base)  I have checked leg length and sometimes they are off but not by much. Knee tracking is decent, but noticed her lateral rotators where Way off.. (clutch operator) this is common which compresses her SI joints. Can you tell me more rg" MET to self traction the SI joints? That might be very helpful.Thanks for you imput, you have made me think!I thank you very much,Kearse

 

[mgdagent79]

SI Joint pain

Oh CRAP Kearse!I totally got sidetracked on life and forgot to answer you....Give me a few more days and I'll do so...I have some things that have come up (unexpectedly)...but I will get back to you...

 

[Nicole C]

SI Joint pain

hockeygirlquite allright... when you get a chance looking forward to the info..have a good one

 

[Warren T]

SI Joint pain

Krystyne,It's good to see that they instruct massage therapists in Ontario a few good mobilizations. Klowe, what are the findings when you assess the sacrum as far as landmarks and movement?Is there a bilateral anterior pelvic tilt? It could be a bilaterally extended sacrum in conjunction with the pelvic tilt.Jay

 

[LabGrrl .com]

Just wondering if you've had more success addressing the problem.
(and bumping up the thread)