Sacroiliac Joint Pain - diagnosis and treatment explained by Dr. Betsy Grunch, neurosurgeon
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- Опубликовано: 15 июн 2023
- Let’s talk about SI joint pain! #sacroiliacjoint #sacroiliacjointdysfunction #sacroiliac #backpain #physiotherapy #neurosurgery #physicaltherapy #backhealth #spinehealth #pregnancy #piriformissyndrome
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I went to see a top spinal surgeon who scoffed at SI joint problems. Finding another doctor is good advise.
Thank you! I have been suffering with lower back pain for over a year now. I had a perfectly normal MRI and have been frustrated about the continued pain. YESTERDAY, I was diagnosed with SI joint pain once the pain started radiating down my leg. Thank you so much for demonstrating the stretching exercises. Thank you for this timely topic for me. I was feeling frustrated about not having a diagnosis for so long, but it sounds like I am not alone.
Thank you Dr for helping us . I'm 69 n had 2 emergency surgeries n a spinal fusion in June , had all 3 in 2023 . I've been unable to walk
My Sscro joint hurts n stops me from walking any decent distance . I can't take motrin cause I had a serious stomach bleed. I do the exercises n I still have the pain .What can I take 4 inflammation n pain ty Bob.
Thank you for this. Getting injections for the first time and glad to know about the stretches and other options. This pain is definitely in the top three!
Dr. Rowe has these AMAZING strengthening exercises for this. You sit in a chair putting each hand outside each knee and then pressing as hard as you can against your hands. Instant relief!
The second part to that is to sit feet together and squeeze a small ball between the knees for 5 sec 3 times...may even feel the hip pop #sweetrelief
I love your content! I am a pain mgmt NP and I totally agree that SI joint pain is real!! So many pts get such significant relief w treatment. Thank you for all your videos. I know your sched is hectic - definitely appreciate you
You really are a great teacher, Dr. G. Thank you for making what are usually impossible to understand medical terms and diagnoses much more intelligible. Please continue these informative videos as well as your wonderful and funny family videos. I'm a new subscriber!
Holy smokes! I’ve been dealing with groin, low back and left thigh pain for MONTHS now. Xrays and MRIs are all normal but I’m in severe pain. I’m definitely gonna bring this up with my doctor on my upcoming visit.
I was just diagnosed with this today. I have been struggling since I was pregnant with my son over 2 years ago. I’ve been told it’s just my sciatica nerve acting up. Nothing has helped. I can literally feel the pain running down both of the SI joints down into my legs. No position is comfortable. I came to your site looking for a video on this because I knew you would be able to explain the best & offer helpful tips. Fingers crossed for a future with relief. Thank you!
Recently diagnosed with this and got an injection. I was initially told the pain was meralgia paresthetica by my OB and unwittingly doing things that are contraindicated for SI joint pain for years. Watching your video convinced me this really is SI joint. Thank you so much
I am a physical therapist, practicing over 30 years, and all of those stretches are good. One little trick i was taught by a collegue that really helps me when I have flare ups is to stand some place where you can lift your thigh up (under a countertop or drawer or cutting board) to just a little less than 90 degrees hip flexion and do a nice, easy isometric contraction for a five count. Do three on each leg a couple of times per day. The other thing people should do is see their friendly physical therapist for a progressive abdominal strengthening and stabilization program. 😉
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This was divinely sent. Thank you Doc. Im betting a pound of chocolate that i have this and have for a while. I do some form of these stretches at times to help without even knowing that they were helpful. Lol ive got this on my downloads so I can remember it. Woo hoo. This absolutely makes my day 😂
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These help, as for baclofen! A god send when I get locked out and forward with a spasming back
I can't thank you enough... this video helped me locate the root my issues after years of my body compensating.
After doing these stretches for a few days, I am already starting to feel better ... no surgery or no meds ...
Thank you Doctor !!!
I was diagnosed after having recurring back spasms. My other doctor just kept giving me Flexeril and telling me to go walk. Well after walking it would occur. The rocking motion made it worse so the faster I walked the sooner I would have an issue. My DO noticed and issue with my spine alignment because I was trying to overcompensate for the pain. She helped with the alignment and the muscles and gave me a pamphlet of similar stretches. It helps tremendously. She also found that my pelvis is not level, one side is slightly higher so it makes it worse. It affects me during each cycle and can be annoying. I just listen to my body and know when to hold back or do more. No surgery for me
intimate with this condition and have yet to be accurately diagnosed. I suggested it. But they were distracted by my ruptured disc. That was fixed but the pain in my ass lives on. The amazing thing is that somehow, by instinct I taught myself all 5 of your stretches eventually, by trial and error seeking relief from that pain.
I have had this. These stretches DEFINITELY WORK 👍🏼 ❤❤ staying consistent with them.. will ease the pain😊
Thank you for doing this and explaining more of the different types of stretches...I only have done one of them.
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Thank you for this! I’ve had SI pain since MVA years ago. It’s been really annoying but I never thought a doctor would believe be because of my age.
I'm waiting for a total hip replacement and ended up with an SI joint flare-up😩 Luckily my physical therapist doesn't doubt my pain! We used heat, gentle stretching, and gentle traction to help relieve the SI pain.
What an angel thank you
Great video good job very helpful
I have experienced similar symptom on my (presumably) SI joint. Pain is not in the middle of spine, nor upper than belt line, but only a bit left side of my spine below belt line. But it seems it can be misconceived as a pain on disc. As I have heard that when you have problem on your disc, it is not recommendable to overly move your upper body forward so that it can bulge disc and make it worse.
But SI joint seems to need to have different approach. As Dr. Betsy Grunch explained, since I started stretching (lunge squat, lifting leg up toward my upper body against a chair), SI joint pain seems to have gone 90%. I recommend this video. Thanks!
Thank you! Wow I told my spine doc today it's my si joint after being misdiagnosed !!!!!
I appreciate this.
I had this after I broke my hip and femur. I did a whole lot of pt. It was so weird I was just walking and eventually it just stopped. Thankful.
Thnx ❤
God bless you for sharing this knowledge, advice, and treatment. This may be what I have and no doctor has yet to take me serious, after having " normal" mri and x rays. I can't walk for 3 weeks and and am told it's just sore muscles. Got shamed for going to the ER and "wasting" their time, even though I'm pretty sure the ER doc didnt know how to read them correctly, as he didnt note that I have mild scoliosis and arthritis of the spine. Unless of course it miraculously disappeared! The medical field has become quite cruel. Praying I'll find a compassionate medical profession. Its been rough.
Thank you!
that's knowledge. Doc.
I have EDS and major SI joint dysfunction. I usually have a anterior rotation on the right side of my SI joint. When my SI joint is out, there are times I can’t stand up straight or lift my leg. I work with a physical therapist, who specializes in SI joint issues, and he has a way to reset my SI joint. His technique also helps with my pubis and that pain as well.
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Due to AS and HEDS I have chronic "soft tissue Rheumatism" all over my body. Things that I have found that help with the SI specifically are: RFA Radio Frequency Ablations, these usually last several years for me. Chiropractic, SI joint belt when I have to stand for longer than usual. Things that I have found that make it worse are standing or sitting for too long, wearing shoes that are too soft/spongy for too long. Shoes that cause even a slightly raised heel.
I am experiencing chronic SI Joint pain. I get instant relief when my husband does a Chiropractic hip move. This technique is getting less and less successful. My pain is on my right side. I had an untreated sprained ankle that bowed my right leg. It took 10 years to trace it down. By then I had bone on bone on one side of my knee. Got that fixed. Still pain and saw correlation with the instant fix and strength in my knee. Then went to look at back. Scoliosis and spinal stenosis. Ah, my mother's problem I thought. Got a laminectomy on L5. So much better. I had days without pain. Now the chronic pain is back more often. I need husband to do that adjustment more frequently. I will try your stretches faithfully. If it still persists, will find SI doctor.
I've read that the chiropractic approach makes the joint worse over time as it weakens the ligaments holding it together. Do go find an SI doctor. But also find a physiotherapist who specialises in female pelvic problems such as up slips/down slips/rotation of the ilium on the sacrum ect. These would fall under the banner of sacriolic joint dysfunction, which may be corrected by some one like Jerry Hesch of the Hesch institute in Denver, Colerado, USA. If you're in England you could go to Scorpio Clinics in Surrey. If its not joint dysfunction, then you have sacriolitis, although it sounds more like you have the joint dysfunction from what you say. A.
I've just been through 8 months of hell after a fall in my garden. It took me all that time to actually find the above mentioned physios. Last Tuesday I went to Scorpio Clinics and was finally diagnosed with a posterior rotation of the ilium. They treated it in just 20 minutes. I'm not out of the woods yet but am finally on the road to recovery. If you are in the states, look up Jerry Hesch on Google. The Man is a genius with sacriolic joints.
Good luck and God's speed x
I've had this since my second pregnancy ten years ago. I was diagnosed with pelvic girdle pain two years ago after my third pregnancy and sent to pelvic floor therapy. They were the ones that told me that my right SI joint was causing the problems, but unfortunately the therapy didn't seem to help much. I have a primary care doctor that wants me to try physical therapy again.
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Thank you. This pain is awful.
good video. thank you, I would do the hamstring stretch on a chair without wheels, though.
Excellent informative professionally presented video and thanks for sharing! However, at 3:40 "lay" is the incorrect verb and should be "lie!" LOL
3rd one is Yoga - Bhujangasana /Cobra pose
I’m had a hard time walking without major back pain for exercise for the last nine months and have been going to the chiropractor and getting a massage there too. They never mentioned SI JOINT , even after a 4 months of treatment, weekly, I pointed to the “white spot” on the low back of the skeletal picture. And that didn’t even tripper him nor the massage therapist to think of the SI JOINT.
It wasn’t until I had my wife look at it and she thought to run the massage gun down by the spot I was complaining about, and then it hit her that it was my SI JOINT! Because she had hers successfully treat by a different Chiro/PT.
Thank you so much . I thought I was crazy.
I have psoriatic arthritis and it was genuinely the most pain I have ever experienced. I could barely move, and I would frequently get “stuck” in bed unable to pull myself up or even roll over. I had to wake up hours before my regular time so that I can slowly work myself up to standing and walking. I would get muscle spasms throughout my lower back as well. finally got back on meds but it made me so weak since then. it’s Infuriating when a dr doesn’t believe their patients.
my wife is a message therapist and can damn near pin point my pain coming from my rear end. im a mail carrier literally everything you explained up and down in and out of cars and stairs sigh im screwed.
My son diagnosed SI joint pain a while back as he is a sports athletic therapist. The GP didn't said its degeneration , I'm 70, I'm going for an MRI as I requested it but I gather it'll come up with degeneration!!!
I have had injections for this and I’m going to try an ablation. It can last from 9 months to two years.
Whenever I go to a restaurant I bring a cushion to sit on.
I have bilateral SI joint pain (self diagnosed). I havent recently been pregnant nor do I have any autoimmune disease however in the last couple of years, my pain has become more and more frequent. I do work from home on a computer so I'd say sitting is the culprit. I find that if I let it go too long and the pain gets real bad, an anti inflammatory and heat via heating pad, heat patch or hot shower help with instant relief.
Right now Physiatrist is considering SI as source of hip "fatigue". Long spine hx, fused L3-S1. MRI shows nerve impingment L1 from stenosis.
Hip abductor exercise equipment at my gym helps alot. You do the outer and inward movements.
i follow you on tiktok! currently suffering with this right now. i’m a nurse so i’m either sitting to chart or standing in a patient room. today i was so uncomfortable. i didn’t want to sit or stand!
I have fibromyalgia and one of my psinful points is in the SI joint. I just had hip replacementand this didn't change it. I was out of work teice for it. The second time they knew it was part of my fibromyalgia. My sister also has fibromyalgia. She has more problems with her heel. She has planter fascheitis.
Can you show muscle-building exercises to complement the SI joint stretches? The idea is that in addition to ligaments holding the SI joint in place, the muscles also hold the SI joint in place. If you already have a video on this, please show me the link. Thank you.
I fell when I was 12. For 30 plus years I keep getting told I just have a pulled muscle. I had to call an ambulance once cause it was so bad I couldn't put any weight on my leg and was stuck on the floor for hours till my roommate found me.
I’m here for the TS shirt.
I have SI Joint pain. My ortho gave me a Cortisone shot in my SI Joint and it helped for months. It is now wearing off. How often should someone get an injection in the SI Joint? Thank you for the information and stretches.
This video popped up and what do you know my SI joints are out of place right now and I can't get into the chiropractor until next week so I'm miserable and I've been looking up stretches to try so far nothing is working 😢 I'll try these hopefully they help
Ive been dealing with this for a couple years now. Injections, therapy and ablations. Ugh its horrible!
How much of time we do this exercirs to start feel good .
I can’t find any doctor to help me! Years in pain. Had SCS surgery, to no avail 😞 PT for years and no relief. I’ve done all the stretches and it never goes away..
My husband (32 yo) had a L5-s1 fusion in 2018. Now he’s in debilitating back pain that radiates to both legs but mainly to the right leg. Sometimes the pain is so bad he gets RLE weakness and can’t drive. And he also gets extreme Right groin pain that’s taken him to the ER. He is seeing PT and he’s getting treated for SI joint pain and also gets SI joint injections but doesn’t seem to help much. He recently saw a new neurosurgeon (last appointment was when he was in the military 3 years ago) and said his lumbar MRI was good. I’m wondering if SI joint is causing the weakness and most of his back pain 😢. He’s so young and it hurts to see him suffer.
What should you do when you've got progressive urinary and bowel incontinence?
I have SI joint pain ever since my laminectomy surgery of L4 through S1. I can't see to get any Missouri doctors to help me. Also the VA Hospital doesn't help me with it. Hurts so bad.
I want to know if fusing the so joint can cause more problems long term? I've got severe scoliosis and fusion, arthritis and EDS. I've had facet joint injections and denervation which worked for a time, but I'm just getting worse. It's hard to stand for longer than the time it takes to make a cup of tea. It's very debilitating. My 2 daughters are now adults. I'm becoming more disabled as a result.
I think this is what I have. I spend a lot of time seated at work and am in constant pain, and every few months a random stand up or bend over makesmy back spasm and the pain is excruciating, leaving me bed bound for a day or two. I had a MRI which was apparently clear apart from slight arthritis in some fascia joints. I sometimes have a slight pain in my hip, and the occasional tightness in my groin. Does this sound like si to you? My doctor has never mentioned it, just always refers to the arthritis or possible sciatica. I appreciate your time and if you could let me know if this could be the cause
How about post L5-S1 fusion(14 months)? I've done 2 SIJ injections. First one helped, but 2nd made it worse. I do some of the stretches you suggested(not the hyperextend or full twist) with minimal relief. CT scheduled in 10 days to check graft and hardware.
If the CT doesn’t show problems with the hardware or graft, try seeing a licensed physical therapist. As a PT it’s not uncommon to see patients who experience pain in the mobile joint next to a joint that’s fused - after joints are fused, you often ask the joints next to them to do a lot of extra movement. A PT can do a personal assessment to see if that is contributing to your pain, and then give you personalized exercises, stretches, and movement modifications to calm your pain, then build your strength to support the joints so you can return to doing activities you love. Best of luck!
I had spinal fusion.which went well.....3 months after the surgery I couldn't even stand....ended up in ER 4 times, hospitalized twice and still in excruciating pain . Was on morphine, made me stone but did nothing for thepain......please tell me it goes away......I still use a walker to ambulate and can.....plus a bed rail for my bed. Im 6'5 and every thing is made for short people......I am now walking but not very good at it.
What about Joinmax’s Multizyte procedure for SI Joint Pain?
Can you apply a hot water bottle or heating pad to help with muscle relaxation? Also can you apply ice? If so, when and how should you apply both?
are there nerves involved where it can it cause numbness in feet or lower part of leg?
Hello, thank you for this. I have an important question, please answer: My SI joint dysfunction is that it is completely unstable (bumpy clicks when I lean forward, etc.). So the last exercise, where you're talking about "releasing" the SI joint, should I avoid that one? Isn't hypermobility indicating that it's already too released? Or should I do it? Please, please advise.
In Kenya and suffering from sacroiliac joint pain and severe arthritis am tired of pain killers which supplement can I take am 64 years, lipping, pain at groin,buttock.knee, can't stand up right.the whole right hip is painful
Insurance companies seem to think it is not a problem
I'm in so much pain I can barley walk. How can I get it to stop hurting?
This is so bad that I wish my pain was less in the severe levels.
I have this pain I can feel something inside of my hip . How can I also help the pain that radiates to the middle back ??? I’ve been in excruciating pain and I can’t find anyone to help me . I feel alone and frustrated
Ugh I've been having major problems with my si joint pain on both sides and I keep telling my doctor and basically ignored. Ugh
I have lived for 16 years with right-sided SI joint pain. I can no Li Ger work because of it. I also have PSA that keeps it inflamed 😢
I've had it for 14 years. Life sux and my pain is getting worse.
the exercise worsen my symptoms 😫
anything other than mild exercise makes it worse, See David Polly MD videos too
Yeah I've had this for 2 months now I hope it's not cancer.. I hope it's just inflammation..
Does the si joint click? I have a pain at the si area that i get after prolonged standing or sitting ( 14-hr international flights). It worsens with hip flexion to the point where it clicks then is relieved instantly.
I really hope to get an answer because I’ve been struggling with this pain for almost ten years.
Do you have any cure?
Those are mighty glasses.
Am in agony. I had si joint injection it made it worse 😢
I'm getting SI joint injections in 2 days. They are making me do this awake as insurance dosen't cover Anastasia at all. Am I going to be screaming through the entire thing like I did for my BulkAmed procedure where they had to diolate my urethra from 16 to 22 to fit the camera and then do the injections. I screamed, the whole hour.
Every video I have seen the patient is knocked out. I have Medicare and blue cross. This is just not ok.
اعجبنى نظارتك كثيرا ..اريد ان احقن المفصل العجزى احس انه السبب فى سقوط قدمى؟
There is any permanent cure
Mem what about local steroids
I can testify SI joint pain is horrible!
Can si joint issues cause pain in the back of the heels?
Yes I get that. I've had Si issues for years.
Chiropractors are myopic? That’s a big call. SIJ pain is complicated with many etiologoes. Inflammatory disorders, pregnancy related hormones, and other arthropathies all contribute to SIJ pain. Seeing a chiropractor is a great way to rule out some of the more systemic problems. And way more valuable than doing your “own testing.”
Your own testing is valuable once you’ve got a diagnosis and ruled out other potential factors, just recognise your own testing is not as logical or objective like this man suggests. It’s logical to him because he’s trained to understand biomechanics and pain patterns - not to his patients.
Stop bashing all health professionals other than yourself. Come on you know better!
If you sleep on your side, be sure to put a pillow in between your thighs!
All of these exercises make it worse for me guhhhh
Them glasses are ridiculous