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expatient
Oct 19, 2006, 03:34 AM
I am one SIJD patient of millions, but even PTs don't usually know how to correct it... Why?

Usually they don't even check the pelvis and sacroiliac joint! Sometimes they do check, but won't find a thing! Is that no longer a subject at school?? You should always start from pelvis and SIJs.

This is SIJD:
http://personal.inet.fi/koti/pallo/Selkasivut/WhatIsSIJD.pdf

After all SIJD is very common disorder and the reason for most back pains and a lot of other symptoms too... I had many of them!

I was lucky to find one who knew how to help. It took over 10 years to find him... My PTs told me to get a heel lift! That was a big misdiagnose! They didn’t know about SIJD.

Who would help us?
http://personal.inet.fi/koti/faro/Selkasivut/Others.html#Others

"Eight of ten people in the world will have low back pain at one time or another and I firmly believe that most of it is SIJD." - Richard DonTigny

ABC Physical Therapy:
"During my 11 years working as a physical therapist, I have found that the sacroiliac joint is involved or "out of alignment" in nearly every patient that has been referred or presented to me with the complaint of low back pain."

Journal of Occupational and Environmental Medicine Volume 40 * Number 5 * May 1998 Letters to the Editor
"Recognizing that very few physicians are trained in diagnosing pelvic joint dysfunctions, my judgment is that these are the most frequently Amisdiagnosed (or nondiagnosed) conditions in the United States, effecting millions of patients annually."

"Lewit and Janda (1964) reported sacroiliac dysfunction in a large percentage of the 750 normal schoolchildren examined. Mierau and Cassidy (1984) found a similar proportion of sacroiliac problems in both elementary and secondary school students in Canada."

Firstchoise Healthcare Lisa Mancuso, M.D., Hugh S Thompson, M.D, George A. Bitting, M.D.
"The sacroiliac joint is a commonly overlooked cause of lower back pain. Recent studies have found that Sacroiliac dysfunction was the cause, or a major component, in a high percentage the cases of mechanical back pain. Dysfunction in the sacroiliac joint not only causes back pain but also may mimic pain seen in lumbar disc herniation or a facet joint with pain referred into the buttock and thigh."

http://www.serola.net/DiscVsSIJ.htm

“These joints can often get stuck or in some cases one half of the pelvis can glide forwards or backwards, which is often referred to as a twisted pelvis. When this occurs it often irritates the Iliolumbar ligament which results in Inflammation.”
http://www.sportsinjuryclinic.net/cybertherapist/back/buttocks/sacroiliac.htm

“The effects of the core distortion pattern (one ilium rotated posteriorly and the other rotated anteriorly) are noted from the iliums down through the feet. This can be seen in the position of the feet as they relate to the compensation within the lower leg and ankle to either absorb extra leg length as on the side of the anteriorly rotated ilium, or compensate for the short leg as on the side of the posteriorly rotated ilium. Consequently, the weight bearing stresses that go through the feet are often the causes of strains and bruises resulting in inflammation and mineral deposits.”
http://www.kytbinc.com/pages/plantar.htm

“Sacroiliitis (sacroiliac inflammation) is a word meaning an inflammation (not infection) of the sacroiliac joints. Bilateral means that both sides are involved. The inflammation occurs because both joints are subluxated (slight dislocation). “
http://www.kalindra.com/faq.htm

“A long existing tilted pelvis is 'cushioned' by the spinal column by allowing the vertebrae to rotate around the longitudinal axis, alternating left and right dorsally, up to and including C5.”
http://www.orthomanual-medicine.com/tekst5.html

“Pelvic tilt makes the right leg functionally shorter than the left leg. The twisting of the spine (scoliosis) flattens the lower back and contributes to the deterioration of the disks.”
http://www.postureflex.com/basics.htm

“These joints can often get stuck or in some cases one half of the pelvis can glide forwards or backwards, which is often referred to as a twisted pelvis. When this occurs it often irritates the Iliolumbar ligament which results in Inflammation.”
http://www.sportsinjuryclinic.net/cybertherapist/back/buttocks/sacroiliac.htm

An a lot more to find:
http://personal.inet.fi/koti/faro/Selkasivut/Linkkeja.html#eng


Few resources:
Mixter WJ, Barr, JS: Rupture of the Intervertebral Disc with Involvement of the Spinal Canal. N Engl J Med 211:210-215, 1934

Shaw JL: The Role of the Sacroiliac Joint as a Cause of Low Back Pain and Dysfunction. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp 65-80, 1992

Goldthwaite J, Osgood RB: A Consideration of the Pelvic Articulation from an Anatomical, Pathological, and Clinical Standpoint. Boston Medical Surgery Journal 1905; 152: 593-601

Bourdillon JF: Spinal Manipulation. Ed3 London, England, William Heinemann Medical Books, Ltd., 1982

Don Tigny RL: Function and Pathomechanics of the Sacroiliac Joint: A Review. Phys Ther 1985; 65:35-44

Daly JM, Frame PS, Rapoza PA: Sacroiliac Subluxation: A Common, Treatable Cause of Low Back Pain in Pregnancy Fam Pract Res. 1991; 11:149-15

Lee D: The Relationship Between the Lumbar Spine, Pelvic Girdle and Hip. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint, Univ CA San Diego, pp. 463-478, 1992.

Brenard TN Jr, Cassidy JD: The Sacroiliac Joint Syndrome; Pathophysiology, Diagnosis, and Management Raven Pres Ltd. NY, 1991

Vleeming A, Van Wingerden JP, Snijders CJ, Stoeckart R, Stijnen T: Load Application to the Sacrotuberous Ligament; Influences on Sacroiliac Joint Mechanics. Clinical Biomechanics(c) Butterworth & Heinemann Ltd 1989

Korr IM: Proprioceptors and Somatic Dysfunction Journal OAO 74: 638-650, 1975

Paris SV: Differential Diagnosis of Sacroiliac Joint from Lumbar Spine Dysfunction. First Interdisciplinary World Congres on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp 313-326, 1992

Cibulka MT, Delitto A, Erhard RE: Pain Patterns in Patients with and without Sacroiliac Joint Dysfunction. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego, pp.361-370, 1992

Vleeming A, Stoeckart R, Snijders CJ: The Sacrotuberous Ligamnent: A Conciptual Approach to its Dynamic Role in Stablizing the Sacroiliac Joint. Clin Biomechanics Copywright (c) Butterworth & Heinemann Ltd

Van Winerden JP, Vleeming A, Snijders CJ, Stoekasrt R: The Spine-Pelvis-Leg Mechanism; With a Study of the Sacrotuberous Ligament. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint, Univ CA San Diego. pp147- 148, 1992

Wells PW: The Examination of the Pelvic Joints. Grieve GP: Modern Manual Therapy of the Vetebral Column. Churchill Livingstone. Edinburgh, 1986, P.591

Ramamurti CP: Orthopaedics in Primary Care. Baltimore, MD., Williams and Williams Co., 1979
Grieve G: Common Vertebral Problems. Churchill Livingstone. Edinburgh, 1983

Stoddard A: Manual of Osteopathic Technique. London, Hutchinson, 1959

Stevens A: Side Bending and Axial Rotation fo the Sacrum Inside the Pelvic Girdle. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego, pp.209-230, 1992

Snijders CJ, Vleeming A, Stoekart A: Transfer of Lumbrosacral load to Iliac Bones and Legs, Part 1 - Biomechanics of Self-Bracing of the Sacroiliac Joints and its Significance for Treatment and Exercise. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp.233-254, 1992

Snijders CJ, Vleeming A, Stoeckart R: Transfer of Lumbosacral Load to Iliac Bones and Legs. Part ll - The Loading of the Sacroiliac Joints when Lifting in a Stooped Posture. Univ CA San Diego pp. 255-271 1992

Greenman PE: Sacroiliac Dysfunction in the Failed Low Back Pain Syndrome. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp.329-352 1992

Greenman PE: Clinical Aspects of Sacroiliac Function in Walking. Jorunal Clinical Medecine1990

Mitchell FL Structural pelvic Function. Acadamy of Applied Osteopathy Yearbook1965 Vol2 P178

Mens JMA, Stam HJ, Stoekart R, Vleeming A, SnidjersCJ: Peripartum Pelvic Pain: First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp.233-254, 1992

Vleeming A, Buyruk HM, Stoekart R, Karamursel S, Snidjers CJ: Biomechanical effects of Pelvic Belts. American Journal of Obstetrics and Gynecology, April 1992

Lovejoy CO: Evolution of Human walking. Scientific American 1988

Vleeming A, Volkers ACW, .Stoekart R, Snidjers CJ: Relation between form and function of the Sacroiliac belt Pt II, Biomechanical aspects : Spine1990 JB Lippincott & Co

Fortin JD Sacroiliac Joint Dysfunction: Biomechanics, Diagnosis and rehabilitation, Journal of back and Musculoskeletal Rehabilitation 1993

Mooney V.: Can we measure function in the sacroiliac joint. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp.233-254, 1992

HeaschJ, Aisenbray JA, Guarinao J, : Manual therapy evaluation of pelvic joints using palpatory and articular spring tests. First Interdisciplinary World Congress on Low Back Pain and its Relation to the Sacroiliac Joint. Univ CA San Diego pp.233-254, 1992

pelvictwist07
Sep 23, 2007, 02:02 PM
I found your post very interesting as it may hold some answers to a problem I've had for several years now. I have a twisted pelvis (left ilium rotates anterior and right posterior) along with a structurally short left leg (1.5cm). I've been to several different specialists from chiropractors to orthopedics to podiatrists to physical therapists and I haven't received any satisfactory answers. None of them ever mentioned SIJD as being a possibile cause of the pelvic rotation. I don't have much, if any, pain but I do have a gait abnormality that causes me much distress as I am self-conscious of it. I'd like to know what other specialists I can seek out to get treatment for my condition. I've read that osteopaths can help but there's so many different kinds of osteopaths. If anybody could please provide me with any recommendations as to what type of specialist I should see I would really appreciate it. Thanks.

expatient
Sep 23, 2007, 11:37 PM
If anybody could please provide me with any recommendations as to what type of specialist I should see I would really appreciate it. Thanks.
There is no answer to that what type of specialists to look for. They all believe on different things and have different skills. They all think their skill is the best. Some chiropractors might know, some osteopathians, some PTs or others. But only very few of them seems to understand it correctly because they all tell different theory.

asking
Nov 8, 2007, 11:40 AM
Which of these urls provides exercises that are good for si joints? I have chronic lower back pain and think that my si joints are part of the problem. What exercises might help?
Asking

expatient
Nov 8, 2007, 12:46 PM
Which of these urls provides exercises that are good for si joints? I have chronic lower back pain and think that my si joints are part of the problem. What exercises might help?
It very much depends on what kind of problems you have on your pelvis, and that can be answered only by palpating your iliums in supine.

But you can try these, they are usefull for most, but not for all.
http://www.kalindra.com/rounds.pdf
Sacroiliac Joint Correction - A Different Model (http://www.chiroweb.com/archives/23/26/09.html)

1tickedchick
Feb 15, 2008, 06:21 PM
:mad: been there am there and 12year of fighting our wonderful system of the BWC to recognize my REAL INJURY b/c of a fall at work. I had to do my own fighting and homework to locate my own medical help. I looked up Prolotherapy in a search engine, as my doctors had asked for these injections for me for 12 stinking years and got denied over dics L 4-5 being used as their escape goat for helping me. When I did find a doctor that did those injections, I paid out of pocked AGAIN as most times I had to, in order to prove my issues and claim. I would highly recommend doing the same thing yourself.
I am still researching this stuff, hence finding this site. GOOD LUCK