3 Steps to Permanent Relief for SI Joint and Pelvic Pain

Today we will cover the 3

steps

to

permanent

relief

from

pelvic

and sacroiliac

joint

pain

. Now, what is SI

joint

pain

? SI joint, if you have SI joint pain, it is pain on both sides of the tailbone, where the tailbone connects to the pelvis. This is a drawing of the pelvis. This is your tailbone. This is the lumbar spine or lower back, the lower back bones called vertebrae are located above the tailbone. Then, on each side you have the right hip or the left hip if we look at a person from the front. When we see someone with sacroiliac joint pain, she will typically feel pain on that particular side. 70% of the time it is on the right side.

Don't ask me why, but 70% of the time we know it's on the right. You may also experience stabbing pain in the groin, pain in the buttocks, and symptoms on the outside of the affected leg. It may be pain, numbness, tingling, burning. Typically, that person also suffers from heaviness. It can also cause some incontinence and leakage problems, as well as affect sexual performance. It can be absolutely devastating if the

pelvic

problem is severe enough. Fortunately, most people only feel pain on one side. So what can you do about it? The person who has SI joint problems usually has trouble turning over in bed, getting in and out of a car, and crossing one leg over the other.

They often have trouble sitting for long periods of time, especially if it is on a couch or soft surface. So it can be absolutely devastating. Now, what are the

steps

to get

permanent

relief

for that? Number 1 is this. Most people, when we see them, if they're going to try exercises on their own and they just have a little bit of SI joint pain or pelvic pain, they're doing stretches. Yes, there is a very basic stretch that most people showed me on day 1. It is a piriformis stretch which involves grabbing your knee and pulling it up and towards the opposite shoulder.

It will provide the person suffering from pelvic or SI joint problems and temporary pain relief. However, in the long term we do not want to stretch ourselves. We want to strengthen or stabilize. Why is that? When someone has an SI joint problem, the center of gravity of the entire body is in the center of the pelvis. You must move in the correct way and you must be stable when performing day-to-day activities. If it is not stable enough, what will happen is that the joint will move so much that it will get stuck. So if we look at the tailbone, we have the tailbone and we have the pelvis and we get a normal day to day glide.

If you apply more tension, more force through the pelvis than the pelvis itself can withstand, the sacroiliac joint can withstand, what will happen is you will actually get stuck. That creates all kinds of problems for the muscle around it. What most people do is try to get out of there. The problem is not stretching or flexibility. Actually, it's a question of stability. If we want to stabilize, we need to do strengthening exercises. If you visit our YouTube channel, on the official Madden PT YouTube channel, there is a video called The 3 Best Exercises for Pelvic and SI Joint Stability.

They are very low-level, child-level exercises, in which you can at least begin to stabilize the muscles that control the pelvis. But we don't want to stretch, we want to think about stabilizing. Step number 2 is that we want to take a look at our habits. So what are some of the habits that cause pelvic instability and problems? Number one is standing with the weight shifted. So, if I'm standing like that with my weight from side to side for long periods of time, what that does is that as years and years and years go by, the ligaments weaken, which are tissues that hold the joints together and that we cannot control.

Consider someone with a sprained ankle. They sprained a ligament. They stretched the ligament but it's not a muscle. It is different from a muscle. There are little habits we make. If I'm standing like this and let's say I'm 175 pounds and if I'm standing like this, I'm 150 pounds on one side and 25 pounds on the other. Where if I'm standing balanced, I have 87 ½ pounds on each leg. Really fast math there. We want to take a look at our habits. Other habits that cause problems are sitting on a couch or lying on a couch in an uncomfortable position or lying on your side.

The way we sleep. If you sleep on your stomach and have one leg raised higher than the other while sleeping on your stomach, that can cause problems. Crossing one leg over the other either at the ankle or knee for long periods of time. That can cause problems. Sitting on one leg, something I know especially among office workers, many women sit on one leg while working. Well, if you work 8 hours a day, let's say you do it half the time, then that's 4 hours a day. There are 5 work days a week, so that's 20 hours a week. There are 50 work weeks a year with your 2 weeks of vacation.

That's 1,000 you've spent stretching the ligaments in your pelvis. That can create very big problems. Pregnancy is also common among women. When a woman prepares for childbirth, whether natural birth or cesarean section, there is a baby that is going to pass through the birth canal or pelvis that is right there. The body releases hormones called relaxin that make those ligaments very, very lax. It is not so important in one pregnancy, but it can be very important in the second, third or more pregnancies, because when that woman gives birth normally she now has a small child at home who takes care of who she carries, lifts and holds. . sideways.

That creates uneven wear within the pelvis. That can cause long-term problems. I mean that within 30, 40 or 50 years there may be problems there. It is also common for women to shave. If the woman we will see often has pelvic pain, if she lifts one leg and leans forward while she shaves one leg, that can usually create problems. It creates some pelvic pain and also SI joint pain. That's why we want to take a look at habits. The biggest offender for men is that they tend to sit on one side of their wallet. So if you're like a heavy equipment operator or a truck driver or you do something where you're sitting for 1 or 2 hours in the car between jobs and you have a wallet to sit on, no matter how thick it is, that can create some pelvic pain. and SI joint problems as well.

So you want to take a look at that. The third thing we are going to address is this. What does a successful treatment look like? And what can you do about it? The most successful treatment for pelvic and sacroiliac joint pain is hands-on physical therapy. So the first thing I see when I see someone in the clinic and they have sacroiliac joint or pelvic pain is that the pelvis is not moving like it's supposed to. It's very difficult for me to unlock that or get her pelvis to move the right way without doing some sort of hands-on treatment.

Therefore, hands-on treatment is the first component to moving the pelvis like it is supposed to. The second component of this is doing exercises like the ones we cover here, which strengthen and stabilize the pelvis and sacroiliac joint so that this injury doesn't constantly happen to them over and over again. Then we have hands-on physical therapy plus strengthening exercises. Relief can be quite quick with SI joint pain. A lot of times we will have those little miracle cures where someone comes in and the same day they leave and they are 50 to 75% better and we just need to strengthen them from then on.

They are doing very, very well with physical therapy. Now, if you are not located in central Pennsylvania, how can you find a good physical therapist? This is the answer I give to the questions we get from around the world about how to do this. So whether you're in Australia, Ireland, India, Canada, or the Western United States, here's what we say: Find the best hands-on PT in your area. Here's how to do it. Call to schedule an appointment. When you do, ask: Does the therapist perform grade V lumbopelvic mobilization? If they don't or if you stutter or hesitate, simply call the next therapy office and move on.

You want to find someone who does good hands-on PT. Now, statistically, 1 in 10 physical therapists or worldwide, 1 in 10 physical therapists will perform the type of hands-on physical therapy that is necessary and that research shows is the most successful for pelvic and sacroiliac joint pain. Also, one more thing you'll want to look for is to keep an eye on your inbox and within the next 3-4 days you'll receive an offer for a free report on pelvic and SI joint pain. Particularly in our clinic we have done a lot of research here and this is something that we specialize in and frankly I think we are pretty good at treating and helping people with pelvic pain.

So keep an eye out for the free report offer.