Sacroiliac

[sijproblems]

hi alophysio

i was wondering if you can tell me where you are in sydney? i'm also like sarah... i've been everywhere ... spent a house deposit on this stuff and am still suffering. i flew to brisbane to see mark comerford (who is a nice guy, just for the record), only to discover that despite teaching pelvic courses, didn't have much of a clue. i've also seen barbara hungerford, but although she helped me, i think she failed to take into account that my pelvis had been moved excessively because of incorrect diagnosis and treatment by some local physios which resulted in a seriously anteriorly rotated right innominate and a seriously posteriorly rotated left innominate and some what i think was anterior shear of the right ilium with respect to the sacrum .... which i walked around with for many, many months. so i think that she missed a couple of things and i went back and told her but well ... she kind of treated me like my problem hadn't become complicated ... clearly that didn't work so i gave up because of the cost and time travelling to sydney.

i never had SIJ pain but now i have pain in both SI joints. i don't walk like a normal person. after seeing a few more osteos and physios i now am the only person who diagnoses and treats myself which is difficult because it's hard to find people to help me (for them to do the techniques correctly) and it's hard to trust their interpretation of sacral sulcus depth, ILA posterior/anterior/inferior/superior etc., ASIS orientations etc. people say you can't diagnose yourself but i have had the best results from my own interpretation and correction of the misalignments. but i'm a bit stuck now ... and i'm wondering what role the QL, multifidus in particular are playing in what i see is going on with my sacral/ilium orentations.

my sacrum has been moved up and down and all around the place by myself and another lovely physio who tried to help. but like i said, i think the problem is that it's important to listen to the patient regarding their sensations and examine the muscles ... these are things i've learnt along the way. i've been reading the "malalignment syndrome" which has helped me understand the muscular aspects of my problem but despite my best efforts, my pelvis and sacrum sit in non-optimal orientation which causes knee pain and hip pain, back pain and a weird gait. i feel that if i could step out of my body and examine myself i would have more of a chance of nutting out what's going on.

i;ve started doing pilates. i'm guessing that the ligaments and muscles which hold the ilium to the sacrum are now structurally compromised.

so if you could tell me where you are in sydney, i can consider coming to see you. i'm currently doing a masters but plan to start a phd in the biomechanics of pelvic misalignment next year ... out of shear frustration and desperation.

thanks so much

[sijproblems]

i'd like to comment just on the technical aspect of the sacrum not being able to move with respect to the iliums ... i have experienced, with my previous physio, that if he pushed my sacrum down with respect to my iliums, i experienced a very interesting gait pattern (both femurs rotated laterally) and subsequent medial knee pain on both knees. upon pushing my sacrum up (which i had to do to relieve this gait pattern) the knee pain disappeared and my gait was retored to something more "normal". if the sacrum was pushed too high, i felt pain in the lumber spinal region.

however, i do agree that the muscles attaching to the iliums and sacrum can and do affect gait patterns ... which is now why i pay particular attention to muscles like my QL.

i understand that the muscles respond to something ... but i am also sure that my sacrum and iliums can and have been seriously rotated/moved in the past to directly affect my gait ... as, i suspect, a response of muscles to changes in structural orientation of bones.

if you think that your sacrum cannot move up or down or your ilums cannot be rotated, i propose you to try getting somebody to push down (inferiorly) on your sacrum, or anteriorly or posteriorly rotate one of your iliums using a muscle energy technique or brut force and see what happens. of course, first orientating the femur in such a way which facilitates opening of the SI joint.

i would love to see some of the experts have their SI joints manipulated as excessively as mine have been (out of a lack of understanding of the problem) and then try to tell me that restoring correct function and alignment is not that difficult... and that the ilium doesn't rotate THAT much. i understand that alot of the sensation of a rotation etc can be a result of a muscular response to a "slight" change in SI joint orientation, but i propose that hte ilium can move more than expected with respect to the sacrum... if enough force is applied.... which is what happened to me in the beginning by some unsuspecting health professionals

of course this kind of manipulation shouldn't have happened in the first place. but before all that happened, there was one sensation that i experience after the accident which confirms my belief that my sacrum had reorientated itself with respect to my left ilium in particular ... barbara hungerford corrected that "fixation" and now that side has the ability to pop like the other side does if i perform a certain test on myself... previously, this was not possible.

it seems to be that from being out of wack so badly for so long, i actually suspect that i do have some soft tissue changes in the facia or muscle attachments, in particular .. the iliac crest for glut medius, obligues, QL....it's kind of knotty ... which i believe could be forcing my weird gait sensations.