Understanding SacroIliac Joint Pain, Stopping the Pain and Weird Symptoms



It may see odd, to you, 
that many of the symptoms you have -- pain in places seemingly unrelated to your sacroiliac joints -- come from a twisted sacrum.

At the same time, these pains are medically undiagnosable -- and the way you know that is that the therapy you were given for those mysterious pains didn't help, or didn't help enough, or didn't produce lasting relief. A correct diagnosis would suggest correct treatment -- and then, they would need to be trained in the correct treatment.


Sacroiliac joint dysfunction includes many symptoms. This entry describes them, explains their cause, and provides a way to get started freeing yourself from the pain. How do I know about these symptoms and their cause? I had them and they went away as my sacrum straightened out into normal position.



The Simple Explanation of Sacroiliac Joint Syndrome (Dysfunction)

(About simplicity, Dr. Richard P. Feynman said, "If you can't explain it simply, you don't understand it.)

Sacroiliac ("S-I") joint syndrome can be understood as displacement (misalignment) of the bones of the pelvis and strain at the ligaments that bind the joints together.  Other terms for sacroiliac joint syndrome are,  "sacroiliitis", "sacroiliac joint disease", "sacroiliac joint sprain", and "iliosacral pain".


Of the symptoms of S-I joint syndrome, pain at a sacroiliac joint (at waistline level, in back, two to three inches to one side) combined with groin pain is the most common. I list other frequent symptoms, below.



SYMPTOMS OF S-I JOINT PAIN SYNDROME

Do you have two or more of these symptoms? 

SENSATIONS

  • back and groin pain  |  MUSCLES IN CONTRACTION DUE TO PELVIC DISTORTION (QUADRATUS LUMBORUM and ILIOPSOAS)
  • a tired feeling across the low back, both sides | QUADRATUS LUMBORUM AND SPINAL EXTENSOR MUSCLE FATIGUE
  • sharp, stabbing pain at the back waist area, on one side | LIGAMENT STRAIN
  • a "deep pulling" sensation in the lower spine, like a taut wire | DEEP SPINAL MUSCLE PAIN
  • pain deep in buttock that doesn't respond to direct treatment (sometimes mistaken for piriformis syndrome) | NERVE IMPINGEMENT PAIN
  • deep pelvic/lower abdominal pain ("lightning"-like burning, or gripping pain), | UNNATURAL STRETCH OF THE LINING OF THE ABDOMINAL CAVITY FROM SACRUM DISPLACEMENT
  • pelvic floor disorder, one side more than the other
  • numbness in the front or side of the thigh | NERVE IMPINGEMENT
  • pain around the top rim of the pelvis, usually at one side or in back | RADIATING PAIN
  • sciatica-like pain down the back of (usually) one leg at thigh, back of knee, or foot | NERVE IMPINGEMENT PAIN FROM EXCESSIVE "FOLD" AT L5/S1
  • iliotibial ("I-T") band pain or numbness (sometimes mistaken for a tight gluteus medius muscle)NERVE IMPINGEMENT PAIN
  • pain deep in one hip joint (sometimes mistaken for gluteus medius muscle pain) RADIATING PAIN FROM THE S-I JOINT
  • inner thigh pain MUSCLES IN CONTRACTION DUE TO PELVIC DISTORTION
  • burning bladder RADIATING PAIN WITH POSSIBLE NERVE IMPINGEMENT
  • pain along the thoracic (upper) spine, one side | MUSCLES IN "CRINGE" SPASM IN REACTION TO THE PELVIC PAIN
  • pains in the ribs | MUSCLES IN "CRINGE" SPASM IN REACTION TO THE PELVIC PAIN
  • restricted breathing or the sense that the breathing diaphram is involved | MUSCLES IN "CRINGE" SPASM IN REACTION TO THE PELVIC PAIN
  • neck or jaw pain  | MUSCLES IN "CRINGE" SPASM IN REACTION TO THE PELVIC PAIN
  • a feeling like your head is being jammed down onto your neck |  | MUSCLES IN "CRINGE" SPASM IN REACTION TO THE PELVIC PAIN
  • a feeling like the pelvis is spread open, in front, jammed in back on one side
  • upper ribs and shoulders tight | POSTURAL REACTION TO THE OTHER SYMPTOMS

SKELETAL ALIGNMENT CHANGES

  • pelvic rotation along the spinal axis
  • anterior pelvic tilt with twist along a horizontal axis, one side anterior and the other side posterior
  • sacrum twisted between the two side hip bones (ilia), one sacro-iliac joint deeper
  • pubic bone misalignment/pubic symphysis separation
  • low back arched more on one side than the other
  • ribs and shoulder blade on one side down and back
  • neck pulled to one side
  • one foot pronated ("flat")

MUSCLE/MOVEMENT MEMORY CHANGES

  • awkward walking with both knees turned out
  • inability to sit cross-legged with knees down
  • tight hamstrings
  • one leg "shaky" or weak
  • one shoulder held pulled back
  • restricted forward bending without immobilizing pain ("tight wire" feeling)
  • impossible to stand fully upright without "jamming" pain in the low back
  • abdominal muscles tighten protectively, when bending forward

EMOTIONAL SYMPTOMS (combined with two or more symptoms from the other two categories)

  • chronic anxiety 
  • unremitting sadness 
  • irritability
That's a lot of symptoms; I had most of them -- all but three. I was a wreck.

If you have two or more of these symptoms, you likely have a displaced sacrum (SIJD) -- but don't assume or even make an educated guess, from the symptoms. The mere existence of symptoms doesn't, in my way of operating, justify the conclusion that you're in the grip of S.I.J.D.; it only suggests where to look, for the cause. The way to tell is by manual examination of your S-I joints -- something you can do, by yourself, in most cases.

Follow the instructions in the video, below (SELF-ASSESSMENT OF SACRAL POSITION) -- or have get examined by a professional. If you find one side deeper, that does justify the conclusion. If you can't tell, your symptoms may come from other injuries -- which is good news for you because other injuries are much easier to clear up than S.I.J.D.  I offer consultations to sort things out.


By feeling the region of your back described, you can feel ridges on both sides with your fingertips. These are not the S-I joints, but the edges of the neighboring hip bones. Toward the midline (the spinal line), next to those ridges, you feel and may see dimples. Your S-I joints are there. They're easier to find in some people than in others, but they're there, deep to the dimples.

The video, below, provides instruction in self-examination to determine if your sacrum is twisted, and if so, which side is jammed forward. Follow the instructions. It's a simple movement. Pay close attention to the spoken instructions so you know what you're feeling for. 




SELF-ASSESSMENT OF SACRAL POSITION



If you've found one side S-I joint deeper ("jammed"), you know what's going on with you. Good for you. Now, you know what you need: a way to straighten out your sacrum (so the dimples are of equal depth).

I said that I developed exercises to straighten my sacrum. Those exercises became the program, Comforting Your S-I Joints. You can get started with Unit 1 of that program, for free. 

You may enter your contact information, below. You'll receive a verification email message for you to qualify yourself to receive what is to follow: a series of email messages containing instruction in bite-size steps -- with links to instructional videos and some descriptive information, spaced apart by enough time to do each step (three days -- enough time to do the steps more than once). 


Unit 1 of Comforting Your S-I Joints is the foundation of the program. Called, "Unlocking the Situation", it decompresses a jammed S-I joint so that the sacrum can be caused to move by the exercises in Unit 2. You do Unit 1 before every practice session of Unit 2 exercises.

By getting started with Unit 1, you'll develop the confidence that you actually can succeed at this program and, as improbable as it may seem, do for yourself what medical professionals and therapists have been unable to do, for you. Structured exercises that retrain muscle/movement memory can do for you what manipulation, drugs, TENS, or surgery, cannot.

Below the GET STARTED, FOR FREE form, I go into more descriptive detail about all that.

TO GET STARTED, FOR FREE

To get started with the program, Comforting Your S-I Joints and to see a statement of the expected result of each section of exercises, you may enter your information, below.

We respect your email privacy

Comforting Your S-I Joints consists of a system of movement-based exercises, action patterns that reprogram muscle/movement memory in a lasting way. When learned "by feel", the process of re-programming your muscle/movement memory is underway. You'll be able to feel changes in postural shape and movement in short order. The entire system extinguishes the pain and will restore your mobility so you can get back to your life.



Who is This Program For?

More Detail about Sacroiliac Joint Dysfunction

THE LOCATION, STRUCTURE, and FUNCTION OF THE SACRO-ILIAC JOINTS

The sacro-iliac joints exist at the waistline, in back, anywhere from two to three inches either side of the midline.





The value to you of what follows in this entry depends upon your having the misalignments people find, with those instructions. The reason: if your sacrum is misaligned, the self-renovation program can help; if not, then you need something else. I can help.


Forces that Put Pressure on Your S-I Joints

The sacrum is the meeting point of weight-bearing forces converging from above and below, as described more, later. When it gets twisted, it's usually jammed one side forward, one side back.

Other forces at the S-I joints come from muscles of the trunk, primarily the spinal and psoas muscles, and the quadratus lumborum ("QL"). Additional forces from the trunk come from the abdominal muscles (obliques, rectus abdominus).

Pulling forces at the S-I joints, themselves, come from muscles between the legs and the pelvis -- the psoas muscles, the adductors of the thighs, the hamstrings, buttocks, and front thigh muscles. These pulling forces combine in the movements of walking and the weight-forces of sitting to direct force into the S-I joints. In the healthy condition, those forces cause movement; in the unhealthy, jammed condition, they cause strain and pain.

Let's pause to re-set our way of looking at what I am describing.

To this point, I have described the situation in terms of muscles and bones -- but it's easier to understand what is going on with S-I joints if we think in terms of sensations and movement.

For the remainder of this piece, I will use both anatomical and movement terms -- anatomical terms so you can visually imagine what I am describing (if you know anatomy) and movement terms so you can get a better feel for what I am describing.


Causes of a Twisted Sacrum

THE SACRO-ILIAC (S-I) JOINT LIGAMENTS ARE NOT THE CAUSE OF S-I JOINT DYSFUNCTION, BUT THE VICTIM OF IT -- and the side that hurts is the non-jammed side (contrary to what one might expect).

This Mayo Clinic entry describes recognized causes of a twisted sacrum.


Sacroileitis — Comprehensive overview covers symptoms, causes, diagnosis, treatment of inflammation of the sacroiliac joints. 
ref: Overview - Sacroiliitis - Mayo Clinic

Causes for sacroiliac joint dysfunction include:

  • Traumatic injury. A sudden impact, such as a motor vehicle accident or a fall, can damage your sacroiliac joints.
  • Arthritis. Wear-and-tear arthritis (osteoarthritis) can occur in sacroiliac joints, as can ankylosing spondylitis — a type of inflammatory arthritis that affects the spine.
  • Pregnancy. The sacroiliac joints must loosen and stretch to accommodate childbirth. The added weight and altered gait during pregnancy can cause additional stress on these joints and can lead to abnormal wear.
  • Infection. In rare cases, the sacroiliac joint can become infected.
In my clients' experience, nearly all cases come from traumatic injury, with far fewer from pregnancy or the named causes. Traumatic injury includes falls (bicycle, horse, rooftop, skating, ladder, etc.) and motor vehicle accidents.

How a Twisted Sacrum Causes Sacro-Iliac Joint Pain

When a sacrum is twisted from its home position in the pelvis, we call that, "displacement". It's out of place. With displacement comes distortion of pelvic shape, which puts strain on ligaments and muscles in the pelvis, puts pressure on internal organs, and generates pain. The brain senses those strains and, as a reflexive response to prevent the distortion from getting worse, causes muscular contractions that generate a "gripping" sensation that gets worse with movements such as bending forward, rolling over in bed or attempting to stand up straight. The pain of the muscular contractions and of the non-jammed S-I joint triggers cringing (Trauma Reflex), in which muscles tighten up, not just in the pelvis, but as far-away as the neck, jaws and feet, in a pattern unique to the way that particular sacrum is twisted.

Therapists unfamiliar with the bizarre symptoms of S-I Joint Dysfunction may attempt to treat the symptoms as if they originate where they appear. Such treatment attempts fail. They don't address the symptoms at their origin -- the twisted sacrum.



Non-spasm pain may radiate from the S-I joints into the pelvis, lower abdomen, groin, or sex organs -- or further.

Click on the image, above, to see entire comment.



Unsuccessful and Successful Ways to Extinguish S-I Joint Pain

Not-So-Successful Approaches

These may be familiar to you.

Two surgical measures used to stop S-I joint pain are radio frequency nerve ablation ("RFA" - cooking the nerve ending) and Sacro-Iliac Joint Fusion.

  • Nerve ablation costs about $2,100 and lasts 9-12 months before the nerve regenerates -- making repetition necessary.
  • Sacro-Iliac Joint Fusion surgery costs about $22,000 and has the side effects detailed in the article just below. Neither corrects the problem, but only minimizes symptoms.

Click the image, below, to read the article by Dr. Centeno.

Click for this article by Dr. Centeno.

Skeletal manipulation is another approach. However, because of the muscle spasms triggered by a twisted sacrum, adjustments to the sacrum don't "take". Distorted muscular pulls distort the weight-bearing forces that go through the pelvis and distort its shape. Symptoms return or never  go away.


The Three Biggest Mistakes
Made by People
Trying to Get Out of Pain

Two other approaches have to do with the ligaments that bind the S-I joints -- and they're opposites.


  1. Loosen the ligaments by direct massaging or manipulation.
  2. Tighten the ligaments by prolotherapy.

If it strikes you as odd that practitioners use two opposite approaches, it suggests to me that their approaches are "shot in the dark" efforts -- and hopeful patients put themselves in the hands of these practitioners.

As I've written, the ligaments are not the cause, but the victims of the twisted sacrum, and I've quoted the Mayo Clinic article as to causes. Any successful approach should somehow address the condition in terms related to its cause, don't you think?

Another approach is available, one that has no negative side effects,  restores comfort and full function, and costs far less. I explain it, next.

A Successful ApproachClinical Somatic Education

Because the field of clinical somatic education is not well-known, I'll briefly explain it, to you. You may see this page, for more explanation.

Clinical somatic education is a discipline that improves muscular control and body awareness. My earlier description of the causes of S-I joint pain cites muscular involvement and loss of pelvic integrity.  The two go together, as I have explained -- but, to put it more succinctly, "Bones go where muscles pull them."

The system I developed to correct S-I joint dysfunction uses patterned movements to retrain muscle/movement memory -- balance, coordination, and control -- to create internal forces that induce the pelvis to reshape. These forces work over time and can clearly be felt. 

Displacement of the sacrum is may have occurred in one or more ways, in you. Three major possibilities are

  1. a twist along a vertical axis to one side -- a right twist or a left twist. 
  2. a shift of one side of the sacrum, downward 
  3. a symmetrical shift of the sacrum forward or backward 

A one-sided downward shift and a twist may occur together. Along with that displacement comes a rotation of pelvic position that makes twisting movements of the pelvis easier in one direction than in the other.

The system of self-correction I developed takes all of these possibilities into account, cultivating movement patterns consistent with normal movement and pelvic integrity.





Why I'm Satisfied with This Program



Click on the image, below, to see the entire comment.

In the rest of this entry, I will explain S-I Joint Pain Syndrome in more detail and once again give you free access to all of Unit 1 of the program, Comforting Your S-I Joints (instructional videos) so you can get started correcting your condition. For each exercise, I will tell you the expected results. If you feel the expected results from the Unit 1 exercises, as I expect you will, you may get the entire program. 


See the "request box" for getting started, for free, at the end of this entry. Let the results speak for themselves.


A CONSIDERABLY MORE DETAILED UNDERSTANDING OF SACRO-ILIAC JOINT DYSFUNCTION

In investigating sacro-iliac (henceforth, S-I) joint problems, I have arrived at findings that make sense of the condition and its causes and that point precisely to what we must do to correct S-I Joint Dysfunction, relieve the pain and restore easy movement.

As I stated, earlier, S-I joint pain comes from excessive and unbalanced forces on the S-I joints that trigger painful muscular reactions and cause radiating pain from the S-I joint into the pelvis and at places more distant from the S-I joints. Now, I'll go into more detail.

The forces on the sacrum that first displaced it may have started with an accident, such as a hard fall (athletic injury, fall from a bicycle or horse, ladder, tree, or rooftop), but the displacement gets maintained over time by alterations of muscular tension and coordination, which change the direction and shape of weight-bearing forces that meet at the pelvis. Those forces are asymmetrical -- meaning, different in the right and left sides -- and so distort the pelvis because bones go where muscles pull them. These forces come both from below (hips, legs and feet) and from above (muscles of the trunk) -- and they persist during rest and during activity. They don't change in any lasting way with stretching because they're programmed into muscle/movement memory and so reappear, shortly aft
er stretching or manipulation.


The brain recognizes the strains felt in the pelvis as an emergency situation: the integrity of the person's movement system is in crisis. Brain-triggered contraction patterns follow (as an emergency response) to reflexively stabilize the situation -- but it's stabilization in a condition of pain, not correction. These muscular contractions are so strong that they hurt and trigger pain-related tightening, even at a distance from the S-I joints, such as in the ribs, legs, or neck.

To restate: Compression and twisting forces that converge at the S-I joints cause stress in the S-I joints, strain the S-I ligaments, trigger reflexive muscular contractions throughout the trunk and legs that cause muscle and cause radiating nerve pain (that may be mistaken for spasm) -- symptoms that never let up, day or night.

This complex collection of symptoms, we call, S-I Joint Pain Syndrome, the word, "syndrome " meaning a recognizable cluster of symptoms.

TWO VARIETIES OF S-I JOINT DYSFUNCTION

  1. Bi-lateral (two-sided) S-I Joint Pain
  2. Uni-lateral (one-sided) S-I Joint Pain (more common)

Bi-lateral (two-sided) S-I joint pain is simpler than one-sided S-I joint pain. Bilateral S-I joint pain involves symmetrical compression at both S-I joints.

A cause of bi-lateral S-I Joint Dysfunction is sitting too long perched on the edge of a chair in a condition of high tension and stress, as at a desk doing work by phone or on a computer. That pattern of tension involves the groin, hip joint flexors and psoas muscles in front, and the back muscles. The combination produces strain on the iliosacral ligaments -- and soreness.



One-sided S-I joint pain is worse and, I think, accounts for most chronic S-I joint pain. It involves compression and twisting forces that cause an asymmetrical (off-center) pelvic shape and muscular pulls (pelvic twist and rotation with elevation with one hip).

Asymmetrical (off-center) muscle pulls and posture place more stress on one S-I joint than on the other.

Symptoms commonly appear at different locations on each side and people commonly mistake the location of pain as the location of the problem. They may also mistake groin pain as a sign of psoas muscle dysfunction, rather than as pain radiating from an S-I joint. (Radiating pain is a brain phenomenon caused by neurons near those reporting S-I joint trouble, "firing in sympathy"). 

Though some practitioners regard S-I joint pain as a ligamentous problem, it is primarily -- whatever the original cause --  a neuromuscular problem. The brain and muscles are involved.


THE LIVING EXPERIENCE OF S-I JOINT PAIN

What happens to ligaments that are chronically under strain? They get inflamed. Inflammation is nature's way of forcing fluids and nutrients into tissue that is strained (or injured) so it can heal. But under this kind of strain, no healing is possible -- basically because it is not a "damage" situation, but an ongoing strain-and-irritation situation.

Tight Muscles: An Emergency Response to the Pain

Tight psoas muscles are often blamed for symptoms of S-I joint dysfunction, but are a secondary effect of twisted sacrum.

Other muscles that tighten are the inner thigh adductor muscles (which attach at the groin) and the hamstrings (which attach at the sitbones). The grip of these muscle groups is a reflexive (automatic/involuntary) attempt to prevent a distorted pelvis from getting more distorted.

The muscles of the spine at the waist may also contract for the same reason.

None of these muscle groups release until the pelvis straightens out. Attempts to free these tight muscles without first straightening the sacrum may trigger rebound pain worse than a moment ago. Have you experienced that?

Muscles Triggered by Injury

Isn't it true that injuries usually occur from one side, rather than exactly centered at the back or front?

What happens with any injury is that Trauma Reflex (cringe response) gets triggered -- a tightening centered at the injured region and radiating outward like the cracks in a damaged windshield. But it's different on one-side than on another.

In the trunk, above, unequal left-right pulls affect one S-I joint more than into the other. Below, the hip joint muscles contract differently, left-to-right, and in different ways on the two sides.

And guess what that does to the sacrum.

If you can't guess, I'll tell you: it maintains the twist -- rather forcefully and seemingly indefinitely -- and that causes pain.


As I stated, earlier, that twist may also come from a blow to the pelvis, as in a fall (skateboard, roller skates, bicycle, horse, cliff, ladder, roof), an athletic injury, or a motor vehicle accident -- with the muscular contraction patterns (Trauma Reflex) and pain ensuing.



ACTIONABLE UNDERSTANDING

We can see how the forces of an injury distorted the pelvis and how muscular contractions, maintained by muscle/movement memory, keep the problem in place.

We also see that the strain on ligaments is not the fault of the ligaments, but of the nervous system and muscular actions moving the bones of the pelvis into unnatural position. That puts strain on the ligaments of the pelvis.

That means that we can't correct the problem in any lasting way by addressing the ligaments (to tighten the ligaments, as in prolotherapy misses the point and to stretch or loosen the ligaments may reduce their strain, but it also may lead to hypermobile S-I joints without correcting pelvic shape or habituated muscular tension patterns).

It also means that we can't massage away the problem (have you noticed?). It means that we have to free the person from the grip of cringe response and develop balanced, well-coordinated movement that supports the sacrum properly and induces the pelvis to become symmetrical.



A BIT MORE ON CLINICAL SOMATIC EDUCATION
to CORRECT S-I JOINT DYSFUNCTION

The medical model, which uses drugs and surgery, generally targets a specific symptom or location of pain, but does not, typically, address muscle/movement memory -- even if it does address skeletal alignment, as in chiropractic or osteopathy.

Unlike the medical model and standard therapeutics, clinical somatic education uses action (movement) patterns to free -- and then re-pattern -- the muscular tensions that cause S-I joint dysfunction.

The key term, here, is, "patterns". Thomas Hanna, in his boo
k, Somatics | ReAwakening the Mind's Control of Movement, Flexibility and Health (available at many public libraries and via amazon.com), talks about how those tension patterns form with an injury and the process of ending them and their symptoms. It's an entirely new, brain-based process that works without need for stretching, strengthening, or soft-tissue manipulation. Instead, it corrects muscle/movement memory, and thereby gets all of the effects of strengthening, stretching, and soft-tissue manipulation -- but in a lasting way.






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ComfortingYour S-I Joints

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To restate, bones go where muscles and weight-bearing forces pull them. By correcting muscle/movement memory, movement and the directions of weight bearing forces normalize. The sacrum progressively shifts to a more and more normal position over a span of weeks or months, as symptoms ease and movement gets better.

Somatic education causes no undesirable side-effects, other than occasional, short-term soreness.


To correct S-I Joint Dysfunction and relieve the pain, we . . .
  1. Unlock the Situation. We reduce the tension levels of the involved muscles, sufficiently to unjam the jammed S-I joint to permit repatterning of the forces that keep the pelvis distorted. 
  2. Reshape muscular tension and movement patterns through practice of movement patterns consistent with a sound, symmetrical pelvis and healthy S-I joint function.
  3. Reinforce healthy, free, balanced patterns of movement -- not by strengthening, but by developing better integrated movement habits. These movement habits become second nature and do not require special attention in daily life.
These changes are designed in to the exercises -- which, again, are not stretching exercises, strengthening exercises, or mechanical corrections --but which are "repatterning" or "muscle/movement memory reprogramming" exercises consistent with healthy pelvic shape and movement of the sacrum.


Strain comes off the S-I joints, sacrum,and low back. Healthy, centered equilibrium-in-movement -- and physical comfort -- returns.


How the Exercises Reprogram Muscle/Movement Memory

THE PANDICULAR RESPONSE -- THE "WHOLE-BODY YAWN"
There exists a an action pattern related to yawning that is ideally suited for retraining muscle/movement memory: it's called, the pandicular response. This is a completely different approach from stretching or manipulation.

 ON THE PANDICULAR RESPONSE


Everyone has experienced the pandicular response. It’s the “morning yawn and stretch” – and not the athletic stretch, by the way.


Pandiculation is what cats, dogs, and every animal with a backbone does, upon arising from rest. People call it, "stretching", but it isn't stretching; it's contracting and then slowly relaxing and moving or even shaking (you've seen a dog do this movement).

Pandiculation sends a cascade of sensation to the brain sufficient to refresh the body-sense and refresh muscular control. Muscles relax and become supple, so you move easily and comfortably. It's refreshing.

The most familiar form of the pandicular response is yawning -- but the pandicular response takes more forms than just yawning.

We can activate the pandicular response in many movement patterns, so that muscles coordinate differently. Bones go where muscles pull them, so exercises that use the pandicular response can cause the pelvis to reshape and the sacrum to migrate to a new, comfortable position. You get relief. Imagine imagining that.

This clinical use of the pandicular response can be made to unlock the S-I situation so we can make changes.
Unlocking the Situation is what I call "Unit 1" of the regimen for S-I joint pain.

We use a variety of movement patterns that addresses all of the muscles and movements involved in S-I joint syndrome.

If you're used to exercises or therapies that produce such small changes that you can hardly tell if anything is different, this isn't that. With somatic education exercises, changes begin rather quickly (obvious after two practice sessions) and accumulate with practice. First, your movement and posture change, and then the symptoms of S-I Joint Dysfunction fade out.

Because of the scope of the adverse changes typical of S-I Joint Dysfunction, recovery may take from weeks to many months. However, certain symptoms fade quickly with certain exercises -- some, even in a single practice session. With somatic edu
cation exercises, improvements occur in an ongoing, cumulative progression. The introductory videos for the program, on the "get started for free" page, explain what you need to know.

See the link in the section, below, to get started with
Comforting Your S-I Joints, for free

Comforting Your S-I Joints | A RECIPE for RELIEF

This self-renewal program been well-tested -- starting with myself as the first "guinea pig". I had all of the symptoms listed. Once I refined the exercises, I published them and then started giving them to clients. Tabulated results of a survey of success rate appear, below.


I understand why someone might be very cautious about taking an alternate approach to clearing up the problem -- and I suspect that you may already have "been the route" with both medical and "complementary medicine" practitioners, to little avail. What I can say is that no one has gotten worse, from this approach, and an overwhelming percentage have gotten better. Everyone I have worked with, personally (I'm a clinical somatic educator practicing since 1990), has been satisfied with the result.

The program consists of a series of somatic education exercises done in a specific order.

As in a cake recipe, no one ingredient constitutes the entire recipe, and there are steps of preparation; a somatic education exercise may be viewed as an ingredient and the whole program is the recipe.

The "Gentle Spine Waves exercise" in 
Unit 1 of the program is such an ingredient and a step of preparation. It's not expected to relieve your S-I symptoms, by itself (although it works for simple back pain); it's a necessary step to unlock the situation.




 HOW WELL PEOPLE DID WITH THE REGIMEN
(OLDER VERSION OF COMFORTING YOUR S-I JOINTS PROGRAM)



TO GET STARTED, FOR FREE

To get started with the program, Comforting Your S-I Joints and to see a statement of the expected result of each section of exercises, you may enter your information, below.

Enter where to send "get started for free" email.


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A quick-response email message will come to your email address requesting permission to mail to you. Once you give permission, an email message will come to you, automatically, with the link to the "Getting Started for Free" page.

You use links embedded in the preview page either to display video tutorials or to get to the purchase page of the program from which the "getting started" exercises come.

Scan through the entire regimen, once, without concern for remembering. Then, follow the video tutorials of the free exercises of Unit 1, to get started. View everything and do everything.

Final words: These exercises are refreshing, not tiring. If you're feeling too tired to practice the exercises, practice them and get refreshed.






TO ComfortingYour S-I Joints

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or get started, for free, by requesting access in the request box, below.




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copyright 2014-2017 Lawrence Gold
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13 comments:

Vera said...

Ongoing sacrum and low back feels like spasms occur often. 4 weeks physical therapy no help. In 4th month of this. Ins. says no to mri. I have arthritis in L5. So tired of this pain. Cortisone injection, steroids, muscle relaxed and tramadol. Help!!!

Gloria said...

I am having difficulty making progress in meditation because I cannot reach full muscle relaxation due to persistant tension in right thigh. I have scoliosis, right leg is shorter than left, left hip thrusts forward. Is there any reason that I should not try your method? I have worked with psoas muscle with no results. Thanks for your website.

Anonymous said...

Your article is a god send for me. Why? For the last 25 years I've suffered badly from an undiagnosed syndrome of pain but not one physical therapasit has understood. Exercise has always been the order of the day. All the stretching, massage, manipulation, exercise, steriod injections etc hasn't worked one other than put me back in bed for complete rest. I do have SI joint dysfunction bi laterally, a weak psoas, back pain, torso pain, neck pain and painful spasms of the quads amongst other mysterious body aches and pains. Your article explains to a T what I've lived with all those years. In additon, the Labrum in my hip had frayed extensively away from the bone and cartilage had gone. It all adds up. Thank you so very much for posting... like I said it's been a godsend for me.

Anonymous said...

I have a fused right SI joint from a MVA in 1999. My left SI, muscles and tendons have been very bothersome in the past 5 years. I have been telling my doctors for years that I feel twisted and after reading your article, now I know why! Because of that fusion I'm not sure if I can get any relief.

EVogl said...

Hello!
Where can i enter my email to receive the regimen described?

Lawrence Gold said...

Scroll to the end.

in your service,

Lawrence Gold

yourfriendJes said...

Can the psoas affect urination

Lawrence Gold said...

The psoas would not affect urination. As this entry states, a twisted sacrum may affect urination.

Anonymous said...

I have a hypermobile sacrum- and it causes pelvic pain, especially bladder pain. I can't seem to get it to stabilize. I will try these exercises. What are your thoughts on prylotherapy?

Lawrence Gold said...

to "anonymous"

Prolotherapy assumes that the problem is slack ligaments. The therapy is supposed to tighten them.

The diagnosis of "hypermobility" misses the point. The jammed side is the problem, and that's a product of unbalanced and distorted weight-bearing stresses causing the sacrum to ride out of its centered and balanced position.

Prolotherapy doesn't correct such imbalances.

Anna said...

Nice post...

mumnmgr said...

I've been doing your free exercises for right SI pain for 2 weeks and am about halfway through them. I have pain, but it's different than it was and I can't sleep on my sides comfortably. I take ballet 4 times a week, but it has stopped aggravating the pain since I've been doing your program. I know I needed to retrain the muscles on my right side around hips as they weren't firing correctly. I stopped doing one of the exercises (on belly, leg forward far to the side, lift head...) because it hurt on the right when I put my head back down. If I continue thru the free program, do you think the pain will go away? how to proceed? buy the full program and try it, or would you recommend a brief consultation. Thank you, I think this is the right answer for me.

Lawrence Gold said...

to mumnmgr

When an exercise makes you cringe from pain, skip it and move on; you'll come back to it, later, when you're more fit for it.

This question is answered in the introductory track of the program, Comforting Your S-I Joints | http://somatics.com/page7-S-I.htm.

Buy the full program; it's guaranteed (no time limit).

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