X-Ray pictures, what should I do?

[Nemonic]

My SI joint is obviously misaligned, maybe even broken. Is there anything I can do until i get to see a specialist?

Should I consult a chiropractor?







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[physiobob]

What makes you feel there is something wrong here? I think the areas you are considering as fractures are normal joint lines.

[Nemonic]

I have pain in my right SI joint, and sometime the left side as well while i'm biking. my hamstring keep getting extremely tight and I feel some kind of a rotation in my torso, or just some hip misalignment.

[physiobob]

You're probably correct. I'd suggest an assessment with a good physio who also has a knowledge of cycling as this is impt. I cycle, road and MTB, and bike setup is just as impt as body setup. Get them to see what is limiting your position and movements on the bike and see what needs tweaking both on you and on the bike. Let us know how you get on

[msk101]

I second physiobob... your xrays look perfectly ok - your SIJ joint margins are clear and not sclerotic or notably inflamed/adhesed (atlhough i am not a radiologist) - they look fine to me. You need a full assessment with a physio who can assess your pelvis and lumbar spine and your bike set up. You may also consider hip flexor length and glute med strength as a power imbalance causing pelvis issues, and core strength as an exercise based therapy. Cycling is bike set up, posture, strength, length and technique.

Cheers,
msk101

[Hallamshire Physiotherapy]

The SIY appears normal (before qualifying as a physio I spent 8 years working in an xray department and have some experience of looking at these images). The overlapping joint lines are probably related to the way the x-ray was taken (the diverging x-rays do not pass through the SIY's in the supine position which the x-ray is taken, but get the opinion of a Radiologist with an interest in MS imaging).

You will alwayds find someone to tell you that your SIJ's are 'out' 'subluxed' 'rotated' etc but from my clinical experience most problems resolve if you give people a reasoned, non threatening explanation and clear instruction/treatment to address the movement dyfunction. Get your riding position checked and find a recommended physiotherapist. I would personally avoid someone who wanted to rub your SIJ with ultrasound or manipulate it. Hallamshire Physio