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Unstable Sacroiliac Joint

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Hi, my name is Jonathan and I injured my back way back in 2007 and have yet to fix it to this day. I read your post about your unstable SI Joint and I was wondering if I could bother you with some questions as I am in the same situation you were.

Trying to keep it short, basically my SI joint is very unstable and needed to be corrected almost weekly. The physio I was seeing for 2 years now failed to help and my condition actually got worse and it went along.

I tried prolotherapy and had high hopes but it did not work after about 6-7 treatments. The prolotherapist that I saw was baffled as he told me he never had a case like this where he couldn't help at all.

Late this December, I saw a new physio who was a recent graduate from spam unapproved who diagnosed me with the same problem (unstable SI joint/ weak core muscles) as the rest of the doctors/therapist that I saw. The only difference with him was that the exercises he had me do to retrain my core muscles were more specific and seemed to be working as my SI Joint was stable for about 2 months without needing to be manipulated.

Unfortunately at the beginning of March I put my SI Joint out of place again. But this time it was different. It suddenly became so unstable that I find it popping out every other day or sometimes even on the day that I have it readjusted.

This makes my rehabbing extremely hard to cope with.

My main question and concern is seeing as how my si joint has gotten to the point that adjusting it back in place will only last a few hours or so, is it okay to stick with the exercises knowing that I have slight misalignment? Or does even slight misalignment + exercising make it worse/not better?

I feel really alone and that I'm like the only person in the world with an SI Joint this bad and I'm out of ideas on how to fix it.

Thank you for listening and sorry for the long message. It's been frustrating times.
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replied April 15th, 2010
Extremely eHealthy
you may be adjusting too much. to the point that it is too loose. how about letting it settle in on its own. maybe it will tighten up a bit and hold a proper position for longer time...
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replied April 15th, 2010
I agree that I may have adjusted it to much and now its way too loose. If this is the case then my concern and question is if it''s ok to continue doing my core exercises with this slight misalignment or is doing exercises with any misalignment bad?
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replied April 15th, 2010
Active User, very eHealthy
I have had this type of problem, and its really difficult to manage. Continual adjustments only make the joint more unstable, but the only way to get it back in place or realigned or balanced is to get it manipulated or adjusted.

From reading the literature on the web, and talking to health care professionals i have come to believe that SI joint problems rarely occur in isolation the two SI joints function as a pair, and if there is a problem with one then there is usually a problem with the other as well as the lumbar spine. for any significant improvement to occur you need the whole lot to be treated correctly

as well problems with the SI joint can be related to poor gait have you injured your feet or legs at all in the past.

any way its probably true that its pointless to keep adjusting if the improvement doesn't last and you may need to let it settle down a bit as suggested.
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