SI Joint Dysfunction Myth Busting | Sacroiliac Joint

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SI Joint Dysfunction Myth Busting | Sacroiliac Joint

#physiotutors #SIJ #Mythbusting

🎶 Intro/Outro Track: Pharien - What You Say
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

[AshLoRo]

As someone in constant agony with both S.I joint dysfunction, I think its easy for you to say. Live in my body for a week. That will teach you.

[Kirasanban]

I want to comment as someone with a severe form of EDS, we can and do fully or partially dislocate all over our bodies daily! Most doctors and even PTs will not believe that someone can have an SI joint dislocation without a severe traumatic cause (car accident, etc). My left hip goes out from simply walking from one room to the next in my house and I just turned 30. Recently the left hip went out but the left side of the pelvis rotated forward and the right side rotated back, so my joint couldn’t pop back in. Luckily I know an excellent PT who taught me how to use my own muscles and movement to correct the pelvic rotation and the upslip on the left side.

[rossianabojinova]

Telling someone with an SI joint slip they actually do not experience such thing is like telling someone with habitual shoulder dislocation it is all in their head.

[lemonbade]

But if the SI joint is joined together with ligaments, and my ligaments are very lax due to hypermobility/EDS, it seems likely that mine is moving. The pain I have is definitely the SI joint.

[grettagrids]

I beg to differ but I can FEEL mine slipping and popping in and out.. a diagnostic injection confirmed it was my SI joint. I also have ehlers danlos hypermobile type.

[vermin]

51 year old hockey player, bowler here. been playing hockey for over 30 years and bowling for around 5. I have an SI joint problem now, this makes me feel much less hopeful for a recovery of anything other than maybe an ability to walk some, reading the comments makes me feel like im now permanently screwed. Just a few weeks ago, I was keeping up with the best 20 somethings on the ice, now I can barely get out of bed and walk.

[michaelrch]

You said that a chiropractic manipulation should not actually move the hip in relation to the sacrum. I a, still trying to figure out what happened to me. Perhaps you have sone ideas.
I had treatment for some pain on my RIGHT SI joint. The chiropractor did 5 drops in the bed.
The next morning, after i started moving, I had severe pain and numbness on my LEFT side - everything from the hip and groin and buttock, and all the way down the back and side of the leg to the foot.
It rendered me bed bound with agonising pain every time i got up. I started using crutches so i could at least walk around the apartment. The pain reduced and localised but i still cannot walk without crutches a month later. The pain is right over the left SI joint.
I am fused L5S1 and have a dynamic stabilisation L4L5.
My doctor has been treating me for SI joint pain with PRP injections.
My question re the video is that if the chiropractic treatment hardly moves the joint, how could a force on the RIGHT hip do so much damage to the LEFT SI joint? Is it possible he accidentally pushed down on the sacrum and this tore the ligaments between the left hip and the sacrum?
Any thoughts welcome?

[zbo]

So to the many commenters here, understand that the therapist in the video is relaying results from scientific studies. You might feel something in your body, no one can refute that, but it is difficult to reproduce in a clinical study, and thus no evidence for that being the case.
And understand, this is a video by physiotherapist, for physiotherapist.

[thatstheguy]

My SI joint popped out and back in last summer. And now again yesterday. It definitely moves. You can feel and hear it when it does.

[krisevans]

When my si joint is "out" for lack of a better word I physically can NOT stand up straight. Not because of pain, it's like its fused. I lay on a massage ball applying full body weight and Slightly rolling i hear a "click" somewhere in between the Si and tailbone. What makes that click noise and why does it provide instant relief? Thank you in advance

[SlotCar]

My si joint / sacrum was locked solid on one side and moving on the other 6 years of agony until I started to go to the chiropractor and it took several weeks to start to unlock everything. Even if there is minimal movement that still is a functional joint.

[lovewins]

I have EDS and my SI joint has been extremely unstable since the birth of my children. For years I thought it was my actual hip (which pops out as well) or my lower back.
These issues have been progressively getting worse and its information like this that have caused me to not get the proper care that I need.
I am now under the care of a PT, Chiropractor and a Phyiatrist, I am waiting for a SI Fusion using the iFuse. If the SI Joint didn't have some issues in some cases why are there specific surgeries to fuse the joints, abolation of the nerves and injections into the joint to relieve pain and correct the problem?

[boundariessetinstone]

Mine pops 20 times a day I’ve been in severe pain since 21 I’m now 41. Drs have just brushed me off letting my life waste a away. I’m too afraid of si fuse so I’m looking into a procedure called cornerloc. And it’s not true mine moves down and up like you wouldn’t believe. I place my fist in si and twist and you’d be shocked at the clunk sound. I can literally feel my si move in and out up and down. Also a technique I’ve evented myself because of what my body instinctively craves. Is where I ask family and friends open their hands in a wing position, press left right left right over and over in a tittertotter way. I then with hard pressure will feel the si move into right position and of course a loud thunk. And it’s my body I know exactly where I feel all this and it’s right smack in si. Drs and pt need to start listening to the patients too in order to learn. I’ve been studying the body for around 7 years so I can help Drs diagnose me and help me because I’ve lost my life. Moment I’ve been sucessful of getting it in place where it feels right I immediately have reduced pain. But in order to keep it I have to not move and not moving forever would be great once I get it in.

[Anthonyprinciotti]

Let's stipulate that if there's movement in the SI joint, it's extremely minimal. This is ensured by the network of ligaments that surround it; instead of automatically looking at the SI joint as a pain source, it might be more sensible to examine whether there's any laxity in/injury to these ligaments (particularly at their attachment points) that's causing the pain.

[justme]

Ha! My orthopedic surgeon actually felt and heard mine pop open. She said I have barely any ligaments left there and I even have huge "back mice" due to the injury. They are talking fusing them because I'm in a wheelchair most of the time. She has never seen them this bad. I have EDS, in bad car wreck and had 3 babies.

[Bessie_Mae]

This may be true for “normal” people, however it is not true for people with Ehlers Danlos syndrome. My SI joint is currently subluxated to one side and I cannot wait to get to my EDS knowledgeable physical therapist tomorrow so he can help reposition it. I cannot relocate myself this time since I currently have a lot of inflammation in the area from an activity yesterday. We know it’s moving because when one side has an upslip, my one leg “seems” to be a full 1/2” shorter than the other side when I do a bridge and he extends my legs. After the manipulation, my legs appear the same length again and there is immediate pain relief in my lower back and pain & pressure relief on the top of the iliac crest.

[AbiliTV]

My friend thank you. You Nailed it. Most all of my doctors all said do not trust anyone saying they can manually assess the SI Joint as you have shown. They have particular tests to put people through that do induce movement.

[StalkAlexHere]

I would just like to say that those of us with connective tissue disorders (such as Ehlers-Danlos Syndrome), can have extremely noticeable SI movement. So much so that my partner with absolutely no medical training can feel a bulging differences on the side of my slips.

[parnazsaatchi]

Hi. this was very helpful. Can anyone tell me if they can feel the bone sticking out more on injured side? or if they see a bulge on the injured side? I have all the symptoms but also i can see a bulge on my lower right back which is very worrying

[petern]

As someone with hypermobility who was taking 6 200mg ibuprofen a day because my leg would buckle and a couldnt walk with out my walker. I went to get that adjustment last week and now I'm off ibuprofen and my leg isn't failing, I walk fine. Still have weeks of treatment but at least I can move again with out my walker.