New research: No such thing as "stuck" SI joint

[neuromuscular]

Dear Ginger:

I feel that we agree more than disagree.

I have not found that the painful or pain originating from the SIJ is the problem. Yet, in text after text the SIJ dysfunction - or whatever you want to call it - tests are put forth. The title of this thread is "No such thing as "stuck" SI joint". Innominate bone positions through hip ABD give a very different picture.

The text of research papers called Movement, Stability and Low Back Pain is a prime example with 3 plus pages of references on the SIJ in the index and not one on the adductors!!!!

I have shown that if you do a PSIS to sacrum with hip ABD the supposed "stuck" joint moves apart - PSIS moves superior and lateral to the sacrum.

My test is not of the SIJ, but of the innominate bone positions through hip ABD. This will remain true from all indications. Mapping the bones from all four sides gives much "new" information on what is happening with the patient. No one that I know nor any of the masters or docturate physiotherapists this was presented to has ever heard of mapping the innominate bone positions through hip ABD.

The therapy that I use is pressure into the muscle at 90 degrees to the muscle fiber. It is not "trigger point" therapy per sae. Trigger points occur as active trigger points in lengthened muscles straining to maintian some sort of semblance of normality to the joint position.. Latent trigger points are in shortened muscles. These are more often the cause as they move the joint to an artificial neutral position that is not the ideal neutral position.

The therapy may stand or fall, but the assessment gives much in the way of accurate, objective information. The group in Seattle are having fun "playing with the assessment" . I hope much will come out of that.

Please try the mapping of the innominate bone positions using the ASIS to ASIS, PSIS to PSIS< and ASIS to PSIS(R&L). Then give me feedback.

My best to you,

Neuromuscular.