When SI problems reach my office it is oftentimes the result of the smooth cupping glide discussed in the last blog being disrupted, meaning the surfaces of the two joints don’t line up in the most efficient way so instead of gliding they now scrape on each other. This leads to inflammation, which irritates the surface of the joint, producing pain. The surrounding muscles then tighten (spasm) to try to protect the area from further injury. This can lead to one heck of a sore back.
What makes the SI tricky to diagnose is the sharp pain, which often refers into the buttock, as it is similar to what someone may experience if they have a lumbar disc injury. As a result, the treatment is directed to the low back disc and not the actual injury sight, the SI joint.
Your doctor should perform a series of tests where the movement of the SI joint is challenged. One test is having the patient lie flat on his or her stomach. The doctor lifts the knee off the table while holding the other hand over the corresponding SI joint. This is called isolating the joint. If the SI joint is not lined up properly this will produce a notable increase in pain. There are several other tests to evaluate SI joint function. I find this one a pretty reliable indicator.
Next time the blog will cover why proper diagnosis is important and how it might save you from having unnecessary surgery performed on your low back.
Your local chiropractor,
Main St. Chiropractic
For part 1, click here.
For part 3, click here.