Sacroiliac(SI) Dysfunction

Ok, the SI joint…… The SI joint is the joint that connects the top/back of the hip, the ilium, and the last part of the spine, the sacral spine.  So there are 2 sacroilac joints.  In PT school, we were taught all kinds of ways to determine if these joints weren’t matching up properly.  So when the right ilium is rotated too far forward for example, the right leg might be longer causing a leg length discrepancy.  When someone has back pain, it’s common to look for problems with the sacroiliac joint.  But when I became certified in Mechanical Diagnosis and Therapy, I learned differently.  The Mckenzie people said that sacroiliac pain is usually some kind of referred pain from the spine, that it’s rare to have an actual SI dysfunction.  I tend to agree with that.  I think most pain is spinal related.  However, I had one patient who had ankylosing spondylitis and there is no question that his SI joints were causing him pain and shifting position.  It’s really common in patients with this condition, and pregnant women.  Pregnancy causes all of your ligaments to become a little lax so the ligaments connecting the sacrum to the ilia are looser than they should be causing shifting of the bones.  So watch out for this Vicki and Elizabeth.  🙂  If you think your SI joint is causing problems, there are all kinds of muscle energy techniques that you can do.  Then the goal is to keep the thighs parallel.  So no crossing your legs, no W sitting, no sitting indian style(is saying indian style still PC to use?)  I hope that’s not offensive.  So whatever one thigh is doing, the other thigh should do the same thing.  After a stroke, I can see this being a problem.  I myself never had this problem but after a stroke your muscles don’t work well causing the bones to do weird things which might stretch out the ligaments.

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Categories: Health, Rehab, Stroke stuff

Tags: , , , , , ,

4 replies

  1. I find the hardest thing about my stroke is my fusions in my lower back S & L and the rods they put in. The muscles are working against the frozen bits. The pain travels down my leg and into and stresses my artificial hip.

  2. When I was 30, my PCP diagnosed my lower back pain as arthritis in my SI joint; nothing to worry about, nothing my age didn’t explain. I’m glad she wasn’t my PCP when I had the stroke!

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