Sijd - the reason for low back pain, scoliosis, lordosis, lumbar/thorax hypermobility, headaches, leg length inequality, knee problems, achilles problems and so many others... Very common problem and yet so poorly understod! :(
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After years of search I finally found one professional who knew how to cure my back pain: to correct my sijd. Before him I met tens of others who did it wrong or didn't know anything at all! I spent thousands of dollars for doctores, physical therapists, pictures, exams, test, ...
My problem was anteriorly rotated left iliac bone (=sijd - sacroiliac joint dysfunction), but all the others were totally lost, or diagnosed it to my right side where the pain was... That is wrong!!
After I got rid of my back pains (and many other problems too connected to sijd) I started to search information about sij dysfunction and to interview patients who have the same problems I did.
This is a common mistake the professionals do:
physical therapy volume 79 · number 12 · december 1999
http://www.Ptjournal.Org/ptjournal/decembe
r1999/v79n12p1134.Cfm
research report
measurement of sacroiliac joint dysfunction: a multicenter intertester reliability study
janet k freburger and daniel l riddle
“for example, a patient with symptoms in the region of the right sij, with a right asis lower than the left asis and a right psis higher than the left psis, would have an anteriorly rotated innomimate on the right. Conversely, a patient with symptoms in the region of the left sij, with a right asis lower than the left asis and a right psis higher than the left psis, would be described as having a posteriorly rotated innominate on the left.“
that last sentence is wrong! If right psis is higher it is dislocated ie. In dysfunction regardless where the pain is! But it must not be measured when patient is standing. I have seen patients who have right psis higher when standing and left psis higher when lying. Because iliac rotation effects to the functional length of a leg, psis's must be palpated while lying.
Here is other similar:
physical therapy . Volume 82 . Number 8 . August 2002
evaluation of the presence of sacroiliac joint region dysfunction
using a combination of tests:
a multicenter intertester
http://www.Udel.Edu/pt/manal/spinecourse/s
ijlab/riddled.Pdf
reliability study
daniel l riddle, janet k freburger, north american orthopaedic rehabilitation research network*
according to table 3:
1. Standing flexion test: my left sij lifted, so it was hypermobile!
This test alone should give enough evidence that it was left si dysfunction!
2. Prone knee flexion test: I had the pain on right side and right leg was longer, so this test gives the wrong diagnosis to me: posteriorly rotated right iliac. Wrong!
3. Supine long sitting test: again I had the pain on right side and right leg was longer, so this test gives the wrong diagnosis to me: posteriorly rotated right iliac. Wrong!
4. Sitting psis test: this is the worst! I had pain on right side and left psis was higher. According to this test I had posteriorly rotated right iliac. Totally wrong result!
And this is why I had wrong diagnosises and bad treatments for many years. It took 10 years to find a professional who knew how to do it wright! All the other pts and chiros did it wrong like in that paper.
The pain is usually on the other side than the reason. That is where the mistake is made! Left sij dysfunction -> pain on the right side!
This is why the manual treatment is not helping most of the patients... They do it to the wrong side. They try to dislocate the healthy sij!
