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SI Joint pain and how Posture Alignment Therapy helps

6/21/2024

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The sacroiliac joint is a common site of lower back pain, especially if your lower back pain is on one side of your lower back. Sacroiliac joint pain is sometimes referred to as sacroiliac joint disfunction, sacroiliitis, or SI joint pain and you might have been diagnosed with synovitis, capsulitis, or enthesitis or may have been told your SI joint is stuck or hypermobile. 

You may experience it as lower back pain, typically on one side, that is a sharp pain, a dull ache, a stuck feeling, or feelings of numbness, tingling, or tightness of the lower back and pain in your buttock, groin, or inner thigh. Movement or prolonged sitting or standing might increase symptoms and you may feel like your leg/hip is going to give out due to weakness, instability, or pain. 
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The SI (sacroiliac) joint is the joint where the bottom of the spine, the sacrum, meets each side of the pelvis, or ilium.
You have two SI joints, one on each side of your lower back where the bottom of your spine, the sacrum, meets your pelvis, or ilium.

​SI joint pain is almost always experienced on one side of the lower back at a time. Any SI joint pain or dysfunction is due to an imbalance in the position or movement between your two hips or sides of your pelvis. Correcting this imbalance with posture alignment therapy can eliminate your SI joint pain. 
Since SI joint pain comes from a difference in how the right and left sides of your body are working, these posture imbalances are all differences in how the right and left side of your body are positioned.

​Common posture imbalances that can cause SI joint pain are: 
  • elevated pelvis - one side of your pelvis is higher than the other
  • rotated pelvis - one side of your pelvis is rotated forward compared to the other side
  • femur disparity - one femur is rotated internally or externally more than the other side
  • scoliosis - lateral flexion and/or rotation of the spine
  • valgus or varus disparity - one knee is more valgus or varus than the other side
  • anterior/posterior pelvic tilt disparity - one side of the pelvis is tilted forward or backward more than the other side
Along with the posture imbalances above, which all have to do with left to right imbalances in posture, the following movement imbalances can also cause SI joint pain. These movement imbalances are all differences between how the right and left side of your body move, which is what causes SI joint pain. 

Common movement imbalances that can cause SI join pain are: 
  • Limited hip flexion on one side
  • Limited hip extension on one side
  • Limited external femur rotation on one side
  • Limited internal femur rotation on one side
  • Limited spinal lateral flexion to one side
  • Limited spinal rotation to one side​
Personalized posture alignment therapy can fix the underlying postural and movement imbalances that are causing your SI joint pain. Schedule your free 30-minute posture evaluation on Zoom today! 
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    About Matt Whitehead

    I'm an Egoscue certified Postural Alignment Specialist (PAS) and Advanced Exercise Therapist (AET), certified personal trainer, ultra trail runner, mountain biker, dad, music lover, environmentalist, and wanna-be slam dunk champion. I will be providing you with the latest posture exercises to help you live, play, and be pain free.

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