Physiotherapist to treat Sacroiliac Joint Dysfunction (SIJD)

blueandgreen

Hi: I have had alot of trouble with what I believe is sacroiliac joint subluxation. There is an overview of this here.

The left side of my pelvis is higher and more forward than my right. I have been to many physiotherapists and specialists and I have been diagnosed with all sorts of different conditions.

I have experienced knee problems and a tight hamstring (both on the right side). I have also had some lower back pain on the left hand side.

I am a healthy 34 year-old male and I do alot of sport- mainly football, cycling and swimming. I would like to find somebody who understands this sacroiliac joint subluxation condition and who can help me. Does anybody know of somebody in Ireland (or in the UK) who might be able to help me?

regards,

B.

GoneShootin

Where in this lovely country of ours do you reside.

blueandgreen

Hi: I live in Dublin but I might be willing to travel...

tribulus

www.sportsmedireland.ie

Highly recommend it, others from here will too. I've been there for SI problems and they sorted it out very well.

Racing Flat

blueandgreen wrote: »

Hi: I have had alot of trouble with what I believe is sacroiliac joint subluxation. There is an overview of this here.

The left side of my pelvis is higher and more forward than my right. I have been to many physiotherapists and specialists and I have been diagnosed with all sorts of different conditions.

I have experienced knee problems and a tight hamstring (both on the right side). I have also had some lower back pain on the left hand side.

I am a healthy 34 year-old male and I do alot of sport- mainly football, cycling and swimming. I would like to find somebody who understands this sacroiliac joint subluxation condition and who can help me. Does anybody know of somebody in Ireland (or in the UK) who might be able to help me?

regards,

B.

Firstly what is the problem - is it the knee/hamstring/back pain - just that you said you have experienced those so maybe you don't anymore. If so how is this problem affecting you now? My point is if you do not have any pain, then this SIJD is not a problem forget about it.

Next, all these ideas about SI joint subluxations and alignment problems e.g. left side of pelvis higher than right do not exist. How do people generally test these on you? I imagine it's by observation and palpation. Well when people take X-rays, these alignment problems identified on observation and palpation are never there. And I don't mean the practitioner in your clinic taking an X-ray and showing you the faults (there may be an element of the Emperors new clothes to this). I mean in research studies. Now, your pelvis may be higher on the right but this is more likely due to a scoliosis (curve in your spine, very common, usually very mild and not a problem) or due to a leg length discrepancy, again very common and up to about 1.5inches of a difference between sides does not need to be corrected.

Furthermore, when people have these so called SI joint problems and they have a treatment such as a manipulation to put the malaligned sacroiliac joint back into position, pain often goes away! However, X-rays taken before and after the treatment always show that the bones are in the same positon in both. So while the treatment may have worked, it has worked beacsue of the placebo effect or maybe a neurophsiological effect (pain inhibition/muscle relaxation) rather than putting out of place bones/joints back in place.

So if someone tells you you haave such a SI joint condition, run a mile! The SI joint can certainly be a source of pain and there are reliable and valid tests to identify when the SI is the source of pain. Tests to show alignment faults have no reliability or validity whatsoever. The vast majority of people who get problems with the SI region are pregnant women. When the Si joint is the source of pain, there are many treatments that can be done, but don't get het up with alignment/subluxation issues.

Racing Flat

blueandgreen wrote: »

I would like to find somebody who understands this sacroiliac joint subluxation condition and who can help me. Does anybody know of somebody in Ireland (or in the UK) who might be able to help me?

Unfortunately, these ideas about the SIJ became extremely popular about 10 years ago and everyone was going on courses to upskill in the area. The downside to this is that even though it is well established in the literature that it's a load of bolony, it's hard to get people to change their ways, and also clinicians are always going to be a little behind the literature. As a result there are very few people I could recommend and I imagine the vast majority of people you could go and see would diagnose you with something like an 'upslip' / 'downslip' / 'inflare' / 'outflare' / 'sacral torsion' / 'pelvic obliquity' etc. etc. It may not even be a SI problem - could be lumbar spine, e.g. minor disc injury with referred pain.

There is one person I'd recommend around North Dublin, so pm me if you want details.

blueandgreen

Racing Flat wrote: »

Firstly what is the problem - is it the knee/hamstring/back pain - just that you said you have experienced those so maybe you don't anymore. If so how is this problem affecting you now? My point is if you do not have any pain, then this SIJD is not a problem forget about it.

I still experience knee pain and my hamstring is constantly tight (both right side).

Racing Flat wrote: »

Next, all these ideas about SI joint subluxations and alignment problems e.g. left side of pelvis higher than right do not exist. How do people generally test these on you? I imagine it's by observation and palpation. Well when people take X-rays, these alignment problems identified on observation and palpation are never there. And I don't mean the practitioner in your clinic taking an X-ray and showing you the faults (there may be an element of the Emperors new clothes to this). I mean in research studies. Now, your pelvis may be higher on the right but this is more likely due to a scoliosis (curve in your spine, very common, usually very mild and not a problem) or due to a leg length discrepancy, again very common and up to about 1.5inches of a difference between sides does not need to be corrected.

Furthermore, when people have these so called SI joint problems and they have a treatment such as a manipulation to put the malaligned sacroiliac joint back into position, pain often goes away! However, X-rays taken before and after the treatment always show that the bones are in the same positon in both. So while the treatment may have worked, it has worked beacsue of the placebo effect or maybe a neurophsiological effect (pain inhibition/muscle relaxation) rather than putting out of place bones/joints back in place.

So if someone tells you you haave such a SI joint condition, run a mile! The SI joint can certainly be a source of pain and there are reliable and valid tests to identify when the SI is the source of pain. Tests to show alignment faults have no reliability or validity whatsoever. The vast majority of people who get problems with the SI region are pregnant women. When the Si joint is the source of pain, there are many treatments that can be done, but don't get het up with alignment/subluxation issues.

I have alot to learn. Thanks for your help. I do FEEL like left side pelvis is more raised, even when lying flat on my back. Also, the whole left side-my abdominal and core muscles seem somehow weaker on that (left) side. I played a football match last night and I have a sore lower back (on the left side). -That's what prompted my message post this morning. I've seen many different specialists and I still don't feel that any of them have got to the root of the problem.

blueandgreen

Racing Flat wrote: »

Unfortunately, these ideas about the SIJ became extremely popular about 10 years ago and everyone was going on courses to upskill in the area. The downside to this is that even though it is well established in the literature that it's a load of bolony, it's hard to get people to change their ways, and also clinicians are always going to be a little behind the literature. As a result there are very few people I could recommend and I imagine the vast majority of people you could go and see would diagnose you with something like an 'upslip' / 'downslip' / 'inflare' / 'outflare' / 'sacral torsion' / 'pelvic obliquity' etc. etc. It may not even be a SI problem - could be lumbar spine, e.g. minor disc injury with referred pain.

There is one person I'd recommend around North Dublin, so pm me if you want details.

pm sent

GillG

blueandgreen wrote: »

Hi: I have had alot of trouble with what I believe is sacroiliac joint subluxation. There is an overview of this here.

The left side of my pelvis is higher and more forward than my right. I have been to many physiotherapists and specialists and I have been diagnosed with all sorts of different conditions.

I have experienced knee problems and a tight hamstring (both on the right side). I have also had some lower back pain on the left hand side.

I am a healthy 34 year-old male and I do alot of sport- mainly football, cycling and swimming. I would like to find somebody who understands this sacroiliac joint subluxation condition and who can help me. Does anybody know of somebody in Ireland (or in the UK) who might be able to help me?

regards,

B.

I also suffer from sacroiliac joint problems. When I have flare ups they are extremely painful and it causes a me to limp and have trouble bending. I have just started treatment with a private osteopath who is suggesting I go for about 4-5 treatments to manipulate and get rid of scar tissue on the ligaments of the joint which cause the pain. He is also recomending specific stretches 3 times a day -so I'm hoping this will work- so far so good...I am 40 and have had flare ups for about 6 years.
The person I see is in Deal, Kent, UK and contactable on 01304375658.

leehanna

I sympathize with you when you have a SI Joint Pain. It is so terrible. My mother has the same problem as you.

Hope this article will have you with more information of SI joint treatment
http://sijointpain.org/si-joint-treatment/sacroilic-joint-treatment

Ellechim

Hiya.

I had huge issues with my SI joint and when pregnant on my first baby could barely walk. I attended osteopaths in the city centre - they were/are fantastic. PM me if you want their information. I saw them twice after I had the first baby and on my second pregnancy had no problems at all which I attribute to them. There is a big link between hamstring and SI problems - the focus of much of my treatment was on loosening my hamstring (i'm sure there is a technical term for that).

Best of luck.

banjofitz

Hello

I have been recently diagnosed with a sacroliac dysfunction and i would be unbelievably grateful to you if you could pass me on your recommended ostepoath you mention in your post..

Thank you

Lil' Smiler

banjofitz wrote: »

Hello

I have been recently diagnosed with a sacroliac dysfunction and i would be unbelievably grateful to you if you could pass me on your recommended ostepoath you mention in your post..

Thank you

Who diagnosed you? Are they not able to offer you treatment?

chocgirl

blueandgreen wrote: »

Hi: I have had alot of trouble with what I believe is sacroiliac joint subluxation. There is an overview of this here.

Out of interest who made this diagnosis? The sacroiliac joint is very rarely the cause of low back pain, but it seems to be the "in" diagnosis at the minute.

Lil' Smiler

chocgirl wrote: »

Out of interest who made this diagnosis? The sacroiliac joint is very rarely the cause of low back pain, but it seems to be the "in" diagnosis at the minute.

agreed.

Dr.NFC

Despite what is being said above, please take it from me that SIJD is a very lagitimate cause of cronic lower back pain. I am not sure why the above posts are so strongly against such a diagnosis - perhaps stuck in there ways physios?I have been suffering for about a year, I have exactly the same symptoms as you. See www.thelowback.com. It is a very comprehensive site dedicated to the diagnosis and the DonTingy method.

My physio is head physio at England institute of sport, so no, it's not a made up condition and you are on the right track.

All the best.

Nick

dajaffa

Problems with the SIJ are rare but possible. Might be worth going to a women's health specialist physio (regardless of gender) as they will be used to examining problems around that area than other physios.

reggiews

Hi Guys,

I have also had terrible lower back pain on the right side in the past but recieved 3 different diagnosis, an osteopath told me it was the sacroiliac joint, one physio told me it was fallen arches, another told me it was tight hamstrings (usually cant touch my toes). So i wore the insoles, stretched the hamstrings, did a heap of lower back stretches, heat packs on my back, ibuprofen ect, these all eased the pain temporarily especially the stretch for the sacroiliac joint but the only thing that made the pain go away was to give up all impact/running sports (The physios told me to keep running which turned me into a cripple for about 9 months). I now swim and use a low impact cross trainer twice to 3 times a week and also do muay thai (thai kickboxing) twice a week (2 hour sessions) which involes aerobics warm up, pad work and body conditioning. I have also started hot yoga for flexability (90 mins) once a week. The pain is now rare and mild but i am always aware of it as there is always a slight twinge as long as im active. At its worst i found it a major struggle to walk, sit and sleep. I also experience periods of testicle pain which feels like a kick to the balls for four or five days at a time about twice to three times a year when im very active, this pain is completly alleviated by not moving (walking or running) but even slow walking is torture, after a few days it goes away regadless. I read somewhere that this could also be related to the sacroillac joint. I also experience a cramp pain in the front of my upper thigh on the same side as my back pain, If i lie down during this and raise my straighened right leg, i will feel a popping. Sorry to unload but id kill to be injury free. Any recommended guys in galway for this problem? Do ye think a manipulation could help?

Thanks for any help ye can offer and jaysus tis cold out.

clinton40

Hi

I also just been diaganosed sacroliac dysfunction where an MRI shows my SI Joints have bridged / Fused

I have constant pain in lower back /ass muscles / tight hamstrings all time

I use dto be very sporty and problems only started after I was doing long distance running for a few years

I do no sports now and the pain never goes

Did you get sorted ?

where did you go if you did ?

Thanks a mil
C

reggiews

Hi dude,
I got an mri as well and it turned out to be a tear in a disc, by the time I got the mri it was nearly healed, iv had a couple of set backs since but nothing that lasts long, id stay away from running anyway man , did you see a specialist ?

sparkling sea

clinton40 wrote: »

Hi

I also just been diaganosed sacroliac dysfunction where an MRI shows my SI Joints have bridged / Fused

I have constant pain in lower back /ass muscles / tight hamstrings all time

I use dto be very sporty and problems only started after I was doing long distance running for a few years

I do no sports now and the pain never goes

Did you get sorted ?

where did you go if you did ?

Thanks a mil
C

Has anyone in your family got AS ?

reggiews

I also went a heap of different people , all telling different things, in cluding sjd, an mri proved it to be a torn disc giving me serious pain on my lower right side, caused I have no doubt by field sports, all the physio in the world didn't help me til I stopped playing field sports .....some poeple aren't build for the twisting and turning, I now train every day, swimming , weights and mainly Thai boxing and exsprience barely any pain , I just finisheh a tag rugby season where I played most of he games and by the end of the 8 weeks my back muscles had tightened up and I had a twinge on the or right side again,,......if I was you is wouldn't do any feild sports or running for 2 months, do weights, swim and lots of core to strenghten the area, then ease back into jogging, it took about a year before I was pain free doing this, but if the pain is the same after 2 or months it might not be working for u , id give this a try before u fork out a heap of cash, cos at the end of it they may tell u the same thing, all diagnosis I rerecieved advised the same treatment, but different strtches , swim core and no running on hard ground, and stretch dude, stretch everything ...... Warm up before training stretch after

hollingr

I am also looking for a good chiroprator/hands on physio that is at least knowledgable enough to deal with SIJD if it is infact the problem for me, which I suspect it is.

My left leg is slightly shorter than my right (functional discrepancy, not actual leg length discrepancy) I have a mild scoliosis, and have been suffering with left knee and hip pain for the last year and a half that no amount of rest, stretching, or exercises seems to deal with effectively. This all began after a year or so of intensive boxing training and running and I haven't been able to exercise comfortably since.

I have been to several different physios over the past year or so and nothing seems to be working.

I live in Dublin. Any contacts or pointing in the right direction would be greatly appreciated.