Understanding Sacroiliac Joint Pain
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- Опубликовано: 28 сен 2024
- The sacroiliac joint can be a source of pain in the lower back and thighs. Dr. Shim explains why, and what treatment option are available.
For more information, please visit:
www.shimspine....
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Citations:
Dydyk AM, Forro SD, Hanna A. Sacroiliac Joint Injury . 2021 Jan; PubMed PMID: 32491804
Additional Resources:
www.shimspine....
www.shimspine....
I removed my SI Joint pain via two methods: First: Gunn IMS Dry Needling along the spine (specifically the muscles along the spine that were clenched). Second: After being referred to a bio-mechanical specialist, who first tested the forces on my feet via a Pressure Plate Analysis (to see the differences across my two feet as I walked on it) followed by a visual observation on a tread mill; a 3mm shim was added to my left shoe inside over its heal, which was later upgraded to a 5mm shim, and then eventually later built into some new orthotics. The shim kept my hips level, and the Gunn IMS Dry Needling kept my muscles free to work. Prior to all this, I had developed arthritis in my left foot's big toe with the occasional shooting pain, plus pain in my right hip during long walks. The hip pain went away after both the shim and the Gunn IMS Dry Needling. The joint mobility in my left foot's big toe is still limited, partly due to the arthritis and partly due to some clenching of the muscles in my feet, but its inflammation appears to be gone, as I don't get the occasional shooting pain there now anymore, and am now free to do my activities. Likely, the SI joint pain was due to having one leg shorter than the other, by 5mm, causing the hips to no longer be level, which over time caused the above issues. Because I didn't discover all this until my late 30s, my SI Joint mobility is now different from the left to right hip, but as long as I wear my shoes with the shim (most of the time) in my left foot's shoe, the hips stay level, and the pain stays away. I occasionally get a Gunn IMS tune up too. It took quite a few specialists to eventually discover all this. For example, both a Chiropractor and an Osteopath visually assessed my leg length while lying down with bent knees, and both concluded that my legs were the same length. The bio-mechanical specialist didn't do this, but instead used computer imagery, via the Pressure Plate Analysis, plus the visual assessment of how level my hips were, during a weight bearing scenario (i.e. standing up and walking on a tread mill; not lying down with bent knees), to conclude the imbalance. To truly discover if any of your bones have different lengths, you'd need to do an x-ray called a Scanogram, which I've not yet done.
One of the main causes of sij pain or discomfort comes from BAD posture. As a yoga teacher for the last 35 years I have helped people sit on their ischial tuberosities, tilt the pelvis forward, restrain from placing their back on the chair, and most importantly, avoid crowding their thighs. Most people don’t manage their structure and alignment and the sijoints rely on these basics. Hope this helps 😊
Hello. I am interested in your class. Where are you located?
Please send a link of yoga stretching. Thanks
I’ve lived my entire adult life getting acute back pain flare ups. I’ve also always had chronic aching in my pelvis and legs but just ignored it as daily aches and pains. I also get the pain shooting into the buttock if I move the wrong way. I always thought it was how I was moving my back or it was just a remaining ache from the last flare up. it wasn’t. It’s when I move my pelvis in the wrong way which is causing the problem. Some days my movement is so limited due to being in complete agony if I move in the wrong way! I shall be heading back to the dr to examine for possible arthritis in the si joints as my symptoms are so similar! Thanks for this video.
Thank you doctor, my physical therapist believes the persistent pain in my lower left back is coming from my SI joint and surrounding ligaments. I have had this pain for many years and have had multiple procedures done to my spine including, spinal fusion and injections to my spine and hip. I am now disabled and so frustrated that none of my doctors will investigate this as a possible source of my pain. I am sure this is the situation of many people who suffer from this type of pain.
I totally understand. I've been in chronic pain for 12 years but the past year has been so chronic that it feels like my back is broken way down low. I repeatedly told my doctor this and she ordered an MRI of my lower back as I've had MRIs previously of this lower back as well. MRI showed that I have degeneration of my discs and narrowing but no pinching nerves. Not once did they mention this could be a SI joint problem. My friend is the one who taught me about the sacroiliac joints so at my last MRI which was recent I went to see a back specialist and they explained to me there is no surgery options and that I have degenerate disc disease without any pinched nerves. I started to cry because I explained to her it feels like my back is broken and all she could say was I understand. She never mentioned this could possibly be SI joint problems. Learning from my friend I brought it up and she said yeah it could possibly be so I went to see a pain management where they injected steroid shots which didn't help so then they did two temporary nerve block shots. The first one helped for about 3 hours the second one if any one hour. This was enough to satisfy pain management to go ahead and do a permanent nerve block. After all these shots which are a lot I now have pain to the touch there and still suffering with chronic pain in my SI joint. It's like my nerves have been inflamed there ever since which is only a problem to the touch but extreme pain throughout the day after being on my feet for only 30 minutes to an hour. I'm writing this comment because I'd like to know what is wrong with today's doctors? How does it take a friend to tell me it's my SI joint before my doctor can ever say it? I don't know what my next steps will be. I cannot carry anything on my right side not even my purse as it gives me excruciating pain. I'm sorry that you are going through this as well. I would like to know if they have done an MRI on your actual SI joints because they have not offered that to me. I pray that we both get better soon but with today's doctors I don't have much hope
@@italiangirl2440 hi...I suffer from herniated disc pinching my nerves and sacroiliitis. I would say an mri spine would be the most likely treatment which could show early sacroiliitis. Mine was shown in an mri after numerous Investigations and doc consultations. If you think it is sacroiliits, get an mri of your spine and go to rheumatologist.
@@cynamathew2776 thank you, I will look into that. Been trying to get an MRI of my sacroiliac joints and hips. I have excruciating pain anytime I'm On My Feet. I have discs out in my low back but MRI showed no nerve pinching so I'm on to the next to see which is causing me this extreme debilitating pain. Nowadays you have to be your own advocate
@@cynamathew2776
@@italiangirl2440 same damn story. Told ortho about persistent pain in lower back and that MRI may be done. Idiot said you can have it but it'll be of no use. 😡
Was in a bad car accident back in 2003. It messed up my lower back and neck. Now that I'm older this is what I'm dealing with, and something going on with my tail bone. I also have a old torn acl injury, so I can only balance on one side of my body. I'm supposed to get a CT scan, and see a neurologist soon. We'll see what happens. This is actually pretty painful to deal with. Thanks for the insight.
FIND A GOOD SPINE SURGERY SPECIALIST. They will personally take your documents/scans and find out the actual truth instead of just believing what the radiologists says. But CT scan is what I had right before surgery. It shows bone VERY WELL. If a doctor makes you feel like they don't care or they aren't listening to you then pls try and find another. I spent so long stuck with the same situation because HAHAH I ACTUALLY TRUSTED RADIOLOGISTS and REGULAR DOCS LMAO
Thank you this is a great video to show family and friends that don’t understand what sacroilitis is or where the pain I have stems from xx
Excellent! Thanks for sharing in a manner we can understand! Best of luck!
I have pain in the same area but it runs into my glutes and testes. It hurts whenever I bend over for more than a minute or two. People don't understand the pain we have. It's something they know nothing about. I hope I can one day get treated and find peace. I have attempted suicide by hanging twice from a low rope with knees hovering over ground and woke up panicking and the last time was trying to get the police to shoot me over a knife. They tased me and i cried and asked why they didn't shoot me and they didn't say anything. I want the pain to stop. No one should feel this way. So many people are suffering and I want to help them but there is nothing I can do. I am seen as a crazy person cause I went to a psych facility. I wasn't crazy. I was sane. If you have so much pain a normal person can turn suicidal. I hope you are ok and I hope anyone that is in this pain can find help. I am struggling so bad. Why is life like this?
Praying u find peace ☮️
I'm sorry you are struggling. I am also. I struggle every day. I believe the SI joint is the cause of my pain also, even though I've had an SI injection to confirm that was of the source of the pain, and it didn't work. I
Did you get a SI joint injection? Try it. Try every you can. Suicide is for selfish people. Don't leave your loved ones hanging like that.
Pain sux. But you can try gummies, injections pills, snake oil...whatever just Try it all.
Don't en hero.
Jesus Christ will give us peace soon. I trust Him
ruclips.net/video/KboElhaYeUU/видео.html
This pain can also be caused by NR-AxSpa. It took a year for the 4th rheumatologist to figure out what was going on. I am in so much pain and most days have trouble walking. Waiting for insurance to cooperate and approve a biologic medicine.
Thank you for another great video. I really enjoy your tutorials. However please mention chiropractic care as a possible treatment. In my practice we treat this quite successfully. Thanks
Dr Troy
Wow, I finally found the source of my pain that I have had for 3 months now. I did not even realize there was a joint there and have never even heard of the sacroiliac joint. Thanks so much !
Dr. Shim, I Love your videos. They are easy to understand.
I just found out I have sacroiliac joint dysfunction I been going trough this for years😓😫😭
Great vid! Actually exceptional.. so thanks so much! I have this right now and getting a good Physical therapist is key here !
An SI (trochanteric) belt wasn't mentioned as a treatment ! It sure has helped me.
شرف وافي وأهم شيء في هذا الفيديو هو صراحة الطبيب إزاء الإحتيار للطب في حل هذه المشاكل
ومنها الإنزلاق الغصروفي والتزحزح الفقاري ولعل إعطاء الوقت الكافي للإسشفاء الذاتي هو الحلول الناجعة لهذه الامراض
My SJD is from scoliosis and pregnancy , followed by AI connective tissue disease exacerbated it. Very painful but my Chiro helps a lot!
Interesting Ive had occurences of pain in lower left back and lower left abdomen near hip. Ive had no luck with various healers who said I had sciatica or genitofemoral nerve pinching. However, one bodyworker told me over the phone to think about SI Joint pain and BINGO I think this is it.
I look fwd to trying Dry Needling here in Los Angeles and seeing a woman who has been a rolfer for 40 years.
Always knew my problems where from here now I confirm it.
Thank you. Really helpful information.
I have this. My ligaments are ripped near the si joint, but they need screws it hurts so bad. I thought it was just severe back pain.
Hey I have a competition in couple of days and trying to find the pain have in my lower back I feel like this is probably the problem but I feel it also in the front of my hips \pelvis as well as my lower back. It hurts more when I relax my spine and decompress
Pls let me know if anyone knows what it is
Question: can a hip replacement that was handled too roughly during surgery cause problems with my SI joint?
*My surgeon admitted they had problems and had to manhandle my leg.
I'm having the same issue after hip replacement
Wow! This is so informative
I have pain in my r. Hip after fractura acetabulum, and in Si region and lumbalpain and knees 🙏
Thanks for info
I have no idea whats wrong with me. First I was told it was a torn muscle, next time it happened I was told sciatica. Now back from the er tonight, i was told sacroiliitis
I have it too. Get a physical therapist, a very good one who can help you . Ask if they do manipulations on .. I've had 2 pts that helped immediately reiliving pain and another pt who did know what she was going, worse than no help.. Exercises she suggested made me worse and told me that I could continue doing the exercises that I am currently doing that is definitely making it worse. Don't you stairs or walk Or do any sort of lateral movement like tennis probably not lunches or yoga where you're putting a lot of weight on one leg or the other. I asked this time for a male therapist and he was great I would Try and explain my comment about the male therapist but I don't know how to put it into words .. But I have had help with 2 male therapist andmale therapist and like I said the one female did not know what she was doing at all she was also quite young maybe she wasn't even a physical therapist but it was a $120... Also you might need more than physical therapy I can't really prescribe so I'm just guessing that physical therapy might help you .
@@Katie-vy5rd hi Katie, ty for offering some helpful advice!! I was referred to a spine specialist, they wanted to squeeze me in yesterday but im so behind on bills i cant take any time off. I work construction and as a woman. Its taking its toll on my body. Thankfully my boss who is also my father has major back problems so hes definitely letting me do easy stuff but good lord, the night i went to the er, it literally took me 2 hours of screaming in pain to get out of bed. Im 44 an never in my life have i felt pain like that!!!! Hopefully soon i can get into the dr's because this is crazy. My sisters had 2 spinal fusions already and shes only 2 yrs older than I am. She has major degenerative disk disease and thats what im afraid of but i need to know whats going on with me
Did you get better ? I also came back from ER with this diagnosis
@@Mikeysmixfun not really, i still have pain almost all the time but im at least functional..
Yep same here, 6 months later I have now been told it’s SI joint dysfunction. First it was a bulging disc, then degeneration in my L3 and L4, then I was told it’s facet joint inflammation and now 6 months in my physio tells me it’s the SI joint. My symptoms have mainly been nerve irritation running into my foot, thigh and leg trembling, pain in muscles, muscle tightness and spasms and at one point difficulty walking/standing. I am sleep on my left side my side muscles are so tight. I can’t lie flat as the tingling starts up, I can’t sit on certain chairs for long. My life has totally changed since July. It’s been a nightmare.
Ligament disorders also cause this.
They are the shock absorbers of the human body think of a car without the shocks it would be a bumpy ride
Offered no resolution
The dirty little secret is it can never be cured....only managed.
Dear sir please help me.
My X-ray report says " sacralization of left side"
Please suggest me . What I should do,
Will it cure ?
Please sir.
I am just 21 years old.
Please sir
Now yor are fine?
@@MandeepKaur-dr2vc Can remove it with a surgery?
Do the L5/sacrum play a role in the developing of height?
Good
I’ll just put a shim in it.😆
the literal pain in the ass
When i got my injection i said loooong ago I've convinced myself the term pain in the assssssssss definitely comes from this😂🥺😂 As I'm bedridden right now my R leg R hip area and foot ooooh wait snd lower spine all from a 15min min drive to drop something off at her job driving is becoming really hard and I'm at 6 months Straight right now of the R leg my spine 11 year's i am one of the lucky one's i have a amazing pain specialist took 4 months of pure torture till i got in for my appointment while i had Ortho weekly PT was to painful i have to have a PT specialist so now that i can get enough pain relief i will try PT again this has done such a toll on my mental health as I'm unable to work or walk longer than 15min i have other spine injuries and inflammation diseases😔
Stop drinking coffee and caffeinated energy drinks. These pains will go away within a few days.
Good video Dr. Shim. I was studying SI joint exam and pathologies and came across your excellent video. You are the man!! Rick Gutierrez MD
In other words, they have no idea how to cure this.
Using a si belt helped me a lot.
next week I have radio ablation on my si nerve
something different is that i have pain radiating from butt to the sides but down the front of my legs.. not the back of the legs as mentioned
Search " meralgia paresthetica "
Yoni Steaming may help with the pain being that it affects the pelvic area. I was heard someone say that yoni steaming helped their sciatic and SI joint pain is known to cause sciatica related symptoms. Wishing healing on everyone experiencing this issue. 🙏🏾
I have so much pain here as a highscool kicker, I have had multiple mri and x ray and guesses will help? Thanks
I have been in such pain for a month, and after 1 session of these exercises, the pain is gone! Crying for joy! Thank you kindly🌺
What is the relationship between sacro-illeitis and Piriformis Syndrome?
Question I had spinal fusion of the 4-5s1 three months ago and now they found that my right IS joint is damaged because the pain even before the surgery was there what advice can you give for this problem
EXCELLENT! Thanks for presenting!
The best relief for me was putting both hands on edge on my bed and arching back cobra style for 60 seconds at a time. Sitting too long at work caused it. Also use lumbar support in car to maintain lower back arch.
Thank You
Using a si belt helped me.
thank you !
Nice video
I have severe SI joint pain. I work in a kitchen all day, standing for 9 hours a day for almost 18 years now. I had the injections of the SI joint and they worked great for 3 weeks and now I’m in far more pain than I ever was before. I’m desperate for relief so I’m going to get the injections again against my better judgment. They are suggesting an SI joint fusion but I’m not on board with that.
I am seeing Chiro for the first time. My sacrum was twisted. SI joint has been an annoying pain for a few years now. Your video explained more for better understanding. Thank you for sharing.
I have horrible chronic sacroiliac pain! Went to an orthopedic group for it and was told nothing they can do. Refused pain meds,but chiropractor has been helpful.
How does osteoporosis play into SI, or other joint issues in this area? I have just been diagnosed with osteoporosis, have been having a variety of different pains in my back for the last year, pretty much now have constant pain, mostly movement based. But I've had times after an "incident" where the pain has been acute. The incident was always at the gym, and what I felt was a "thunk" in my lower back. The thunk itself didn't hurt that much, took a few hours for it to really bloom. The last time it happened, the pain ultimately seemed to wrap around my whole pelvis, even the jutting part of my hips became tender to the touch, and it started to go down my leg. I walked like a frail 80 year old (I'm 61, was a runner until my back started to say no.) I read about SI joint instability, thought maybe that's what it was, and now, with osteoporosis on the table (never crossed my mind until my husband arranged a DEXA scan for me,) if it's true that bones actually get smaller, not just less dense, then increased instability and movement makes sense. Still not sure what the thunk in my back is, though. Just mechanically...I don't know.
I have been dealing with chronic pain from this for years, orthopedic couldn’t help but the chiropractor gives some relief. I also have Sjögren’s which causes chronic inflammation and definitely aggravates this problem.
would you talk more about the "self curing process"..? its going on 7 years with intense pain
Very helpful video
If infection is create in sacroiliac bone and puse flowing with this joint ,then how we take releaf this infection,
I’ve had si joint pain since my dirtbike accident in 2001 what a nightmare it is
you didn't list massage therapy as a treatment for pain, why not?
Very usefull information
And lots and lots of debt
Por favor en españo
That was excellent!
Thank you
Thanks Doc
En español por favor. Gracias
Many thanks for your advice.
Thank you.
I'm only 15
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