Sacroiliac

[sijproblems]

hi alo

thanx for your information, comments and questions ...

hmmm, well now i have a significant SIJ problem if i didn't have before, that's for sure! i should also mention that since about 6 weeks, i also have this sciatic type pain on the right side which started from too much manip (i think) on the right side .... when i lye on my stomach and lift my right leg up using my gluts, without knee bent, i have too much pain from bum to back of knee along lateral hamstring. when i bend right knee 90 degrees into air and lift right leg (lying on stomach), the pain is nowhere near as sharp.

i had so much pain in the rib area and spine area for 6 weeks after the accident, but it was something i had felt before with rib pain ... you know how it is. but after the rib pain subsided, i had a very sharp poking of my 3rd,4th rib into my spine and sternum ... like the rib had been moved out of place. well what i would do is ... the rib would be poking into my sternum and so i'd pull my shoulders back to relieve the pressure and it would then poke into my spine .... so yes, that was very localized back pain. it was predominately on the right side of the thoracic vertibrae at the 3rd and 4th rib connections and on the left and right side of the sternum at the 3rd sternal costal cartilage. an MRI of my sternal costal cartilage about a year after the accident showed that my sternal costal cartilage was inflammed (most of it, not just at the place where i felt pain) .... i was convinced it was a symptom of a change in the biomechanics of the skeleton and associated muscular response ... the doctors suggested this rediculous arthritis thing... i also had the sensation of having a short left leg and this knee pain ... which i also notice when i tried to run on flat ground about ... 5 weeks after the accident (because the 3 weeks after the accident, my running was being done up and down hills where i didn't notice anything wrong with my knees).

also, the scholiosis last year was showing that from L5 to about L1 there was a slight curve which made the spine sit on the right side of normal spinal centerline, then the curvature reversed and there was a kink at i think around T10/T9 which sat on the left side of my normal centerline spine position. from about T11 to T4 my spinous processes were bent to the left (like the spine was twisted). then there was another kink on the right side of my neutral spine position at about T1/C7. the physios in december and MC were pushing on those spinous processes to kind of move them back. but i don't know ... i wasn't sure that twisting could be fixed without correcting the orientation of iliums/sacrum. but then what do i know ...

oh and one other big thing ... since a long time, i notice that if i lye on my back and lift my left leg up in the air and then throw it over my right leg, so i'm twisting my spine .. you know what i mean ??? ... well my flexibility is alot less when my left leg is over my right (hence twisting my pelvis clockwise with respect to my head) than it is when i turn my pelvis anticlockwise with respect to my head (throwing my right leg over my left). i figure it's a combination of muscle and spine biomechanical changes which cause this...obivously...

the other issue is this ... with all this manip and prolonged bad alignment, i can't help thinking that some of the ligaments and soft tissues have remodelled to kind of set this bad orientation... i hope i'm wrong. but what i think is important is to understand how the muscles react to prolonged tensile stresses over time, which they are sujected to when there is a structural misalignment or muscular thing going on in nearby tissue ... or when they are forced to recruit for an area that they don't normally need to recruit for. for example .. looking at the other extreme, we see that when the muscles are no longer in a structural configuration which they are used to operating in, they waste .... like what happened to my right glut max at the end of last year after the exessive anterior rotation of my right ilium. i think it's regained some of its bulk again now ... but i know i recruit my hamstrings before my gluts when i think it should be the other way around...when lifting my legs when i lie on my stomach. but anyway, that's getting off the point... so i'm wondering if and how, just hte muscle (not considering ligaments for the moment) changes in structure due to prolonged periods of say being in spasm ... you know, sometimes for years. and hte same can be said for ligaments and extracellular matrix. i know that extracellular matrix remodelling .. the structure of the remodelled matrix is affected by the force on the surrounding matrix (and hence the fibroblast cells) during remodelling by fibroblasts. so, i think it's important to know how long (and short) muscles change in structure over time, if any, in order to figure out how to help them return to their original structure and ability to funciton. i know that might sound confusing. maybe i haven't explained it well enough. anyways, do you know any books about how muscles and other soft tissue respond to prolonged periods of tensile force or spasm? i mean, we know that in cartilage, it responds to modified loading patterns by breaking down over time ... which is a bummer!

[sijproblems]

hi again

i just wanted to bring up another point.... although BH picked up an anterior fixation of the left side of my sacrum which usually and was accompanied by the posterior rotation from december (although she said it happens anyway with an anterior fixation) and an upslip, which was hte case, all muscles of the left remain tight, tight, tight. especially hams, quad, ITB, and sore abductors. i think that now, since last november, there's this problem on the right ... of a weird and long right leg, which i now consider my primary problem ... thanks to mr. 30 years experience chiro and physios in december/april .... so i think that perhaps, the long right leg is keeping the left leg muscles tight... or changes have occurred in the left leg muscles and ITB tendon during the year (since seeing the same chiro earlier last july when all this muscular spasming on left kicked in) which make it difficult, despite correction of left SIJ and best efforts with heat, massage, stretching and pilates, to release them. or, it could be a combination of muscle changes (if that occurs) and long right leg.

when people check my leg length lying down these days, they don't see the right side long but it feels long to walk on.