07/18/2024
SI Joint Pain, you need some Manual Therapy
Sacroiliac (SI) joint dysfunction describes pain due to abnormal movement (too much or too little) or misalignment of the SI joint. It can cause sharp, stabbing pain that starts in the hips and pelvis and radiates into the lower back and down the thighs.
Pain is the main symptom of SI joint dysfunction. It can be felt on one side of the body in the lower back and the hip, buttock, and leg on the same side. While rare, SI joint dysfunction can also affect both sides of the lower body.
What Is the Sacroiliac (SI) Joint?
The sacroiliac joints are located where the sacrum (tailbone) and ilium meet in the lower back.
The sacrum is the triangular bone near the bottom of the spine. The ilium is one of the three bones of the hip bones at the uppermost point of the pelvis.
You have two SI joints connecting the pelvis to the lower part of the spine. They support the body's weight and function as shock absorbers to reduce spinal pressure.
The SI joint structure is designed to be tough enough to keep the body upright and support the pelvis when giving birth.
Inflammation of one or both SI joints, called sacroiliitis, is sometimes to blame for SI joint pain.
The most common symptoms of SI joint dysfunction are:8
Low-back pain that is dull, achy, and ranges from mild to severe on one or both sides
Pain that spreads into the buttocks, groin, or upper thighs
Worsening pain with movement or putting pressure on the SI joint (i.e., walking, climbing steps, or bending down)
Stiffness that affects range of motion in the lower back, hips, and pelvis
Sciatica-like pain starting in the lower back and going into the buttocks and thighs—pain might feel hot, sharp, or stabbing and may include numbness and tingling
Pelvic instability, in which the pelvis feels like it will give way with standing and walking or getting up from a sitting position
Excruciating pain with transitional movements (i.e., climbing stairs or getting up from a sitting position)
Severe lower back, hip, and buttock pain after sitting for extended periods
Gentle Stretches and Exercises
Research shows that focusing on key muscles and muscle groups can best treat and improve SI joint pain.
For example, the hamstring (a muscle at the back of the thigh) provides stability to the SI joints because of its direct connection to ligaments involved in joint stability.
Exercises should also focus on assessing and addressing weaknesses of the SI joints and nearby muscles and muscle groups
Double knee to chest: This involves both knees. It is performed in this way:
Lie face up and grab both knees.
Pull them toward your chest as far as possible without lifting your back off the floor.
Hold for at least one minute.
Quadriceps stretch: This exercise stretches the quadriceps and muscles around the hips and knees.15 Its steps include:
Support yourself using the back of a chair or a wall with one hand and bend the opposite knee.
Grab the leg above the ankle and pull backward to the buttocks, letting that knee fall toward the other.
Keep your belly tight, with your buttocks tucked and hold this position.
Relax and then switch legs.
Seated hamstring: This exercise stretches the hamstrings, hips, and calves. It involves:
While on the floor, sit up straight, with your legs extended in front of you.
Bend one knee and let that leg fall out to the side.
Bend forward using your hips. with your chest and chin up.
With your toes pointed up toward your nose on the extended leg, reach toward your toes.
Hold and then switch legs.
Seated butterfly: The seated butterfly stretches the inner thigh, groin, knee, and hip muscles.15 Do it as follows:
While on the floor, sit up straight and tall, with your knees bent.
Drop your legs to the side (keeping your knees bent), and bring the soles of your feet together.
Grab your ankles and slowly lean forward, with your spine straight.
Place the elbows on the tops of the thighs and press down until you feel the stretch.
Cat-cow stretch: This stretch can keep the spine mobile.16 It involves:
Start on your hands and knees with the knees under the hips and your hands just over your shoulders.
Round your back up to the ceiling with your head down slightly and buttocks turned in.
Come back to your original position.
Let your tummy lower toward the floor while arching your back and keeping your head up slightly with your eyes straight ahead.
Alternate between the two poses.
Seated spinal twist: This stretch improves posture and spinal mobility. Do it in this way:
We found that the home exercise program and the manual therapy plus exercise program significantly improved pain intensity, quality of life, and the findings of specific tests in patients with SIJDS. In addition, superiority between the two groups in terms of pain intensity, quality of life, and spe...