Sacroiliac Joint Pain Clinic

22/10/2020

https://youtu.be/YI20ll76uu8

What determines sacroiliac joint pain treatment? Western medicine options are limited and poor in diagnostics and many are having unecessary surgery. If you ...

05/06/2020

Good news, I have found someone who wants to take over the Atlas Pain Relief Centre business.

Satveer Kang, an osteopath who previously worked at Atlas, has agreed to take on the staff and goodwill of the company and continue to provide a valuable service to our customers.

More details to follow as soon as we have concrete news of opening dates.

30/05/2020

After much deliberation a decision has been made to not reopen our doors for business when lockdown is over.

This means effectively that Atlas Pain Relief Centre clinics will be closing.

Atlas has been trading for 20 years in Tamworth, Solihull and more recently in Atherstone but with retirement of both the principle John Williams and Cherry Richards there was nobody else prepared to take over the running of the business.

The expected restrictions that will no doubt be applied to working clinics in the future will make it difficult to practice our trade and drastically reduce the amount of patients we can see.

We can only thank the loyal customers old and new for supporting us over the years and hope you find suitable support elsewhere. We are proud of the quality service we have provided to the community and hope you can find the same service from others.

We have made many friends over the years and we hope that continues moving forward.

Best wishes, stay safe and enjoy the sunshine. jw

14/02/2020

For those of you that have not seen comments of mine about MRI imaging on low back.

If you have sciatic nerve type symptoms into your low leg or foot, you have sciatica.

If you have had a scan that says your low back is fine then the 2 do not match.

Either you are making up the symptoms or you do have a problem that the scan did not identify. Obviously if your pain is real then the report is lacking.

An MRI is a static image and they are generally looking for something mechanical as a cause. In the case of sciatica it will be a bulging disc pressing on the nerve or foraminal or canal stenosis impinging the nerve

If none of this is seen you will likely be told your low back scan was ok and nothing found.

Now importantly NOTHING FOUND means they didnt see anything, it does not mean your low back is ok!

Nerve root irritation can come from a chemical source not showing on a scan. Enzymes released from a damaged disc that is not pressing on your nerve can cause similar symptoms.

Your scanner can be poor quality ( needs to be minimum 1.5 Tesla) or your radiologist was inexperienced or having a bad day.

It could be worse, your scan was arranged for you by a consultant who is generally a surgeon and he did the report on the images himself. Firstly he will not be as good as an independent radiologist and secondly he will only be interested in looking for something he can do surgery on, so will not pay attention to other factors that could be causing you pain.

If it looks like a dog, sounds like a dog and behaves like a dog- it is a dog!

If you have sciatic symptoms, you have sciatica no matter what the scan says!!

18/07/2019

SIJ patients travelled from Lincolnshire, Scotland, Wales, London, Nottingham and Leeds in the last few weeks for a diagnosis and answers.

See why we attract patients from far away who cannot get a solution to their problems. It is often because they were being treated for the wrong condition.

Diagnosis is Key !

13/06/2019

Another victim of SIJ surgery contacted me today asking for help.

Please ask for help before surgery not afterwards and lets expose this scandal that a steroid injection into the SIJ that gives some temporary relief is a green light for fusing the pelvis.

What kind of world are we living in that allows consultants and surgeons to suggest this major surgery on the basis of a very weak diagnosis protocol.

Anyone considering SIJ surgery or fusion should not listen to the pro surgery crew who are destined to a lifetime of problems after their procedure.

This is just plain wrong, dont do it!

09/04/2019

Sacroiliac Joint Pain and SIJD are often diagnosed in error without first ruling out other causes of similar symptoms.

Lumbar Spine Degenerative Disc Disease, hip and Maigne’s Syndrome can all mimic SIJ pain

Pain is often located in the affected tissues and can be identified more easily than referred pain.

Referred pain means the pain is real but the problem is in another location.

Maigne’s syndrome is a problem with the T12 and L1 vertebral level and may need attention. It can refer pain into the SIJ area, glutes, groin and lateral thigh.

This can also be described as Thoracolumbar junction syndrome and might require a spinal segment manipulation between T10-L2 to ensure that all segments and facet joints are moving freely.

For clinicians please perform your orthopaedic tests and ask the correct questions during the case history taking.

Do not assume that all one sided low back pain combined with groin pain is an SIJ problem.

04/04/2019

We are looking for staff, if you are an osteopath, chiropractor or physiotherapist and want to upgrade your skills and work in a modern purpose built clinic in North Warwickshire please send your CV to jwosteopath@yahoo.com

05/03/2019

Diagnosis of SIJ is not easy as it is unlikely to be found on a scan.

You begin the process by ruling out the things that do show up on investigations.

Blood tests to look for inflammatory markers including HLA B27.

MRI scans on Lumbar Spine and maybe Hips if you suspect hip involvement.

More importantly than all of the above is a practitioners clinical case history taking and physical examination. This is where attention to detail is required. Actively listening to your patient, asking searching relevant questions and orthopaedic tests.

If the patient complains of nerve pain in the leg then test for sciatic nerve root tethering. It will not be SIJ if the nerve pain is felt below the knee so look to confirm sciatica.

A common test for this is the Straight Leg Raise (SLR) but it is so flawed it can give the wrong conclusions.

Anyone with tight hamstrings will get to approx 45 degrees and then movement has to come from moving the ilia or flattening the lumbar spine curve.

Your patient will indicate pain by guarding or shouting out and you may conclude its sciatica. In fact it could be SIJ pain or lumbar spine facet joints.

A far better test is Slump Test as you are sitting on your ischium’s thus fixing the pelvis preventing movement in both SI joints and lumbar spine.

Attention to detail is the most important thing when making a diagnosis.

10/02/2019

SIJD the meaningless diagnosis

What does it mean?
What is a dysfunction of the sacroiliac joint?

28/12/2018

Well I am now in Australia for a month. If I can help anyone from “down under” let me know.

Currently in Sydney and will visit Brisbane and Melbourne.

Happy holidays everyone 🙏

jw

15/12/2018

Manipulation of lumbar spine can be adapted for sacroiliac joints. Here is lumbar spine manipulation technique taught correctly