Sacroiliac Joint Pain: Everything You Need to Know To Cure.

Hello friends, I'm Bob Schrupp, physical therapist, Brad Heineck, physical therapist, together we are the most famous physical therapists on the Internet, in our opinion, of course, adjust your posture Brad. Today we are going to talk about

sacroiliac

pain

,

everything

you

need

to

know

to

cure

it. Basically we will talk about the anatomy, the causes and then we will show you the exercises. Yes, this is quite a cornucopia Bob. This will bring

everything

out. I'll just put it all together in one image and you'll have a good educational experience and you'll have some success. If you are new to our channel, please take a second to subscribe.

Please do not do it. Don't make us beg, we provide videos on how to stay healthy, fit and

pain

free and we also upload them every day. But we will beg you if you want. Please go to Facebook and like it so we don't have to beg. I clearly remember that as a child my mother used the term

sacroiliac

and I don't

know

if she really knew what it meant. I certainly did. I just thought it's an interesting term. Yes, a lot of people use it. They think I have sacroiliac pain because I have back pain, because a lot of times that's right where it is, so let's talk about where exactly it is here.

I have Leopold our skeleton, but that's not where he is. We're talking about down here in the sacrum, and then that's the sacral, sacroiliac part. This is known as the ilium, this part of the pelvis, this large shaped paddle. bone, so it is a

joint

right between the sacrum and the sacroiliac ilium. The sacrum is a triangle-shaped bone and there is a

joint

that forms right with you. So you have two SI joints, one on the right and one on the left. Now, if you can, get closer to this closure. Don't put Bob's face there because we don't want to lose viewers.

I'm out. Well, if you look here now, this joint is not like the elbow joint or the hip joint. It's actually pretty solid. In fact, there is some debate about whether or not it really moves and that goes down to the PhD level. But let's assume that there is a slight movement. It's probably more than it would be. It has heavy ligaments covering it. So it's minimal, but it doesn't take much to produce pain, so what we want to do is if this moves like this, or it can move backwards, and we

need

to move it forward. .

There you have it, anyway. Usually it will rotate one way or another and there are a lot of doctors arguing that, so if we show it from this side, sometimes it rotates forward that way and sometimes it rotates back that way. Okay, so that pretty much covers the anatomy Bob, should we continue further? No, let's continue. What are some of the causes, Brad? A common cause, like if you're walking and you use a sidewalk or take a sudden step down and that force goes through your hip and that can jar the SI joint out of place.

That's one where you jump maybe off the back of a pickup truck, every time you experience that sudden jerk, especially if it's a foot, rather than two feet, landing at the same time. Trauma I've had people be in a car accident, where they're going forward and their knee hits the dashboard and that puts a good jolt to the SI joint. A common one is that of pregnant women. Due to the joint, the ligaments relax due to hormones. That's a little different. But you know this could still be used with that. Another, Brad, is simply sitting unevenly.

Many people sit on one side more than the other or cross their legs completely at the same time and that just creates a little uneven pressure. If you do that year after year, it can certainly make things a little off. That's why we always talk about trying to maintain balance, posture, staying upright, and yes. If you do something one way for a long time, it's good to correct it and maybe go the other way for a while. So, okay, common symptoms. How do you know if it is back pain or SI joint pain? It can be difficult to know.

But some common things that we find over time are that usually SI joint pain occurs in the back of the hip area, on one side, usually on one side, and the pain is usually referred toward below, but not above the knee. If you have pain down to your foot, probably not YES. Probably from behind, which is interesting, but it's typical. I have seen pain in the groin for YES. I also see pain in my groin because of my hip. But I think pain with weight bearing is common, because when you walk you are putting on weight.

And if you remember what I talked about about how the SI joint moves every time you walk, it can irritate it and cause it to go up and down the steps a little. Walking or sometimes just standing and shifting your weight. The problem is that although you can also feel pain when bearing weight with a hip problem, that is why a therapist is almost necessary to diagnose it. But we are going to show you a couple of tests that you can try correctly. Do it now, okay? Keep the video. fluent. I know a couple of comments that we babble about too much in our videos.

It's hard to believe. Well, if you lie in a horizontal position, supine and not on a bed, better on a carpeted floor or a firm surface like this and we make the figure four so that your ankle is above the kneecap right on your thigh . then you drop this knee, and then we could put a little bit of pressure Yeah, and as a therapist, I actually put my hand on his pelvis and here I do it that way to give him a little bit of movement there But you could do it yourself to see if is activated.

I support here and here, and it doesn't require much pressure. So even Bob, as a therapist, is pushing gently here. He's just a little bit, you have to get the influence. He formed the number four correctly. Yes, we better move on. Okay, so we do this. Now what you are looking for is the pain that you are experiencing, what is bothering you. Now this could create hip pain from a different source. But we are seeing the pain that does not recreate your pain, the pain that has worried you about going. Oh God, that feels just like the pain that's bothering me, so you know you're right.

You can do it on both sides now. Real quick, yeah, and then what's next, Brad? Compare one side to the other Yeah, I like to do this, you can do this one on a bed where you're going to let this leg hang out, make sure you don't fall, keep your shoulders squared. So I'm here. I'm being safe, and I'm going to pull on this and that's going to put a little torque rotation on those joints IF and if I do this and I feel the same pain that we're trying to get rid of and I pull on this, say oh, this is the same pain and you do that.

Then you know there is a very good chance that it is that pain YES. You'll want to do it on both sides. You don't need to show it, Brad, but you'll want to try both sides. Alright. And then the last one, Brad, it's just a very simple test here. Where you will need someone else to help you. And them. They'll put their hand right where the belt is because that's normally where the ilium is and they'll push on this and if that recreates your back pain here, this really shouldn't hurt your back pain. This would be something quite specific for a sacroiliac problem.

And Bob isn't pushing very hard. It's just gentle, firm pressure. Now, if he has a positive test on all three, it may be a stronger indication that it is YES, not 100%. But the stronger, the more positive they are, the greater the indication. Now the important thing is to go straight to the treatments and the treatment when you do. We have three of them, my favorites. And I think Bob likes these too. When you do this, it should reduce the pain while you do it and then when you're done, you should feel better for the next hour as well.

Double bonus. This is one I call. I learned it in physical therapy school. I've been doing it ever since, I've been supported by some continuing education courses. But look, I'm going to raise my right knee. I'm going to grab my knee here and support it. that, when my arm is really strong. I'm going to do an isometric push in this direction. It is called muscle energy technique in the therapy world. He's pushing, if his arm wasn't there, his leg would go in that direction. Yeah, so I'm going to restrict that movement, block. That knee in, and I'm going to push.

It doesn't have to be as hard a push as you can, but you're going to put pressure there and as you're doing that, oh, that feels good and when you finish it's like, oh, that feels good, and then you're going to repeat it three to five times. . And if you get positive results that feel good to you, you will do it every hour. And it won't be too long and your pains will go away And now it's possible that if the pain is on this side and that doesn't feel better You could try it on the other side, this side might make this side feel better Yes, then you want Try it on both sides because it depends on the way the sacrum or ilium needs to be returned.

Okay, okay next Brad. Do you want a pillow, yes, I want a pillow. You don't need a pillow if you have a carpeted floor. There's no need. but this is a hard linoleum floor and it's the tile I want to protect now. I'm going to stretch it. I'll be upright like this, not like this. Then I'll bring this hip forward and that will rotate the pelvis in this direction. When you see my hand moving, you can put your hand back here and push again and again. Just as I mentioned. You should feel good doing it, Bob.

Yeah, it's like Oh boy, that seems like the right direction. Him. It feels like a good stretch. This one doesn't work for me because I know I have some problems IF. The next one is my favorite and works great for me if I throw it on when I go for a walk or run, and again you could do this. on both sides, both legs again. I'm not going to do it because of the time issue. Stool? I like a stool at home. I actually do it on my stairs outside because it's the right height, but I need something above this height and I'm going to put my foot there and if you're going to do this you have to be stable, or something to hold on to. or you feel very stable, you should feel relaxed while doing this.

If you feel like your balance is off, don't even try it. You should be very stable, I'm going to use this to get a little bit of balance here, and I'm just going to go down and even now this feels great to me. I do this stretch just because it feels good, but when I have some back pain, I do it. I feel better while doing it and I can walk and it feels better. I've never seen that one before, Brad. I learned something today: it looks good. He was just passing it, yeah, he's spinning it.

And very often that's the way you have to pivot. Sometimes you have to go to the other side. way, but you could also be again Sometimes if the pain ends on this side, it might actually help to do it on this side on the opposite side because that's the direction to turn, so there you have it. That's it, I said, this. It's the cornucopia, that's it in a nutshell. This is what we have to present, so good luck with your pain YES, and I think it will work out well. Thanks for seeing you.