Treating SI Joint Syndrome with Manual Therapy

Sacroiliac pain tends to be low down, often more to one side, and often extends into the buttock, the back of the thigh and sometimes the calf. It can start suddenly, but tends to persist as a dull ache or feelings of pins & needles in the buttock. During the aging process, there is an increase in the grooves on the opposing surfaces of the sacrum and ilium, which reduces available motion of the SI joint. This is a perfect example of the body’s innate wisdom attempting to sacrifice complexity of motion for stability.
An interesting note is that the age with highest incidence of disabling back pain (25-45 years) is the same age at which the greatest amount of motion is available in the sacroiliac joints. It’s not uncommon for an SI joint to become stiff and permanently lock as we age.
One of the major problems with SI Joint pain is caused by anteriorly and inferiorly rotated illium that is also stuck laterally - which is the plane of the joint. With the Myoskeletal Alignment Technique (MAT) in this video demonstration, I create a lever force so that I can lift up the client's hip off the table and moving it posteriorly and medially. After a few passive pulls, I ask the client to press their hip back down onto the table.
Following this routine, I use a different approach to posteriorly position the illium and adding a compressive force down the tibia while pushing it medially. Using bodyweight and gentle pressure with my hands, I am creating a compressive force downward that should give movement to the SI Joint and release what may be unstuck.
Read the full Technique Tuesday article on the SI Joint Syndrome and MAT here
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