![]() One thing I specialize in is the sacroiliac joint. The sacrum is at the base of your spine. Your ilium is your hips. They come together to form the sacroiliac joint. You can read older blog entries on the sacroiliac joint for a basic understanding. I recently attended another seminar which addressed the way the muscles of the body relate to this joint and how that relates to the ligaments that hold the joint together. Basically, the joint is held together by ligaments. In a sacroiliac joint injury, the ligaments are stretched. The joint becomes hyper-mobile. In an attempt to stabilize the joint, the body will activate a multitude of muscles and people will experience this as a multitude of symptoms. Some of them include:
![]() But there are so many muscles that attach to the pelvis that symptoms far away from the pelvis can actually be being caused by this sacroiliac joint problem. Some of these symptoms are:
Ultimately, the joint needs to be stabilized. It needs to be held together. This is contrary to much of the "standard of care" thinking in orthopedics, physical therapy and chiropractic, which focuses on mobilization of joints. Mobilizing the joint may give temporary relief, but ultimately it creates a perpetual problem with no end because the joint cannot heal. ![]() Part of the way I decrease mobility in the joint is using wedged-shaped blocks that are placed under the pelvis. They help close the joint and compress the ligaments together. Sometimes this is enough to resolve the issue. Other times, patients need extra support. This is done by having the patient wear a trochanteric belt. Worn around the pelvis, it helps hold the joint together so the muscles don't have to. The muscles are then able to relax and the pain goes away. Exercises can also be given to strengthen some of the weak muscles that contributed to the injury occurring in the first place. Healing of the joint can take 4-6 weeks. Sometimes additional nutritional support can be given to help the joint heal. So many of my patients have sacroiliac joint problems and this is one of my specialties. If you would like to know more or set up an appointment, call the office at 727-509-3760 or send an email to thedclcsw@gmail.com. You can also schedule appointments online.
5 Comments
Maigan LaVallie
4/19/2021 01:27:22 am
2 back to back pregnancies
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Ann-Marie Mignone
1/9/2023 07:18:35 pm
I just wanted to say thank you as this article is the best I’ve found in actually touching all bases with what problems SI joint dysfunction can come with. The photo is also extremely helpful. Been having issues finding sources which connect IT band syndrome and SI joint hypermobility together.
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Dan Tuttle
1/9/2023 09:46:56 pm
Hi, good question! Yes, the IT band is often opposite the injured SI joint, but not always. You can also have both sides involved.
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I never remembered to be the way that the whole body's models would be an enormous part to check too while treating carpal passage issue. Ideally, I can search for the best hand physiotherapy treatment now that I as of now experience torment in the left wrist. It could at this point be an indication of that issue, and I truly need it watched out for by an expert at the earliest entryway before it could disintegrate.
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Dr. Tuttle
1/31/2023 12:53:03 pm
Carpel tunnel problems can be a symptom of an underlying sacroiliac joint problem. You need to treat both the wrist and the rest of the body including the SI joint.
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AuthorI'm a Chiropractic Physician, Psychotherapist and researcher. I'm interested in helping people live their lives to their full potential. That could be simply without pain. Or it could be without more complicated physical or mental health problems. Or it could be getting help in making changes in their life so that they can achieve their dreams. Archives
December 2022
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