Tight QL from SI joint injury playing soccer/football (Over a year)

Hi,

Over a year ago I was diagnosed with a sacroiliac joint sprain and sought treatment from a few different physios as well as massage therapy, chiropractors, and acupuncture. None solved the problem and even though my SI joint feels fine now my QL feels VERY tight almost all the time, especially when I am standing. I also feel tightness near the top of my right glute that seems to connect to my lower back. One thing that did seem to work was doing regular hatha yoga and I actually felt much better after a couple months doing it, however I ran after that and it seemed to bring back that tightness and now I can't seem to shake it. I try stretching everything and so far nothing.

Also, for the last month when I wake up in the morning my upper/mid back is very sore. I sleep in a firm mattress (used to have soft but changed recently) and try to sleep on my back or side.

I heard I need to strengthen my glutes but I have tried a bit in physio therapy and it didn't seem to do much, however my hams still cramp when I try to bridge so it seems perhaps my glutes are still weak? Also I would like to start bicycling again, do you think this would help or hurt me? Running definitely hurts.

Thanks (sorry for long post)

Maybe it isn't your muscles o SI. In my experience the SI is only the primary problem in about 10-15% of Sx in the posterior region and there is literature to support this. Muscles tend to be overworked or unbalanced ( side to side activation ) due more often in response to ...The yoga worked. Keep at it. Try cycling. I assume from the little info I have this will occur without incident but the proof is in the pudding as we say. Try deep water activity. Again, your spine is not responding well to the gravity factor on your spine. So this is an experiment to help Dx & Tx. Let me nknow what happens

You need a detailed clinical examination. You may need manual manipulations. Consult a Physiotherapist experienced in back care.

You should get a thorough check up done by an OS. He may guide you well.