Understanding SacroIliac Joint Pain, Stopping the Pain and Weird Symptoms

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.

How did I accomplish that "straightening out"? I used a series of exercises I devised, based on my understanding of principles of clinical somatic education -- having been a clinical somatic educator in practice since 1990. I'll explain more, below.


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, many of these pains are medically un-diagnosable -- meaning, no medical explanation can be given for many of them -- or the explanations given were educated guesses and the therapy didn't work. If you've had extended therapy for those pains, and therapy for those mysterious pains didn't help, or didn't help enough, or didn't produce lasting relief (common), they weren't understood or approached, correctly, by the methods used.

The Simple Explanation of Sacroiliac Joint Syndrome (Dysfunction)

"If you can't explain it simply, you don't understand it."
Richard P. Feynman



Sacroiliac joint dysfunction (SIJD) 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 dysfunction are,  "sacroiliitis", "sacroiliac joint disease", "sacroiliac joint sprain", "sacroiliac joint syndrome", and "iliosacral pain".

Of the symptoms of SIJD, 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, tailbone pain
  • 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 diaphragm 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 -- and I was a practitioner in a field that's supposed to get people out of pain, and usually does. But I couldn't help myself because we hadn't been trained to deal with sacroiliac joint dysfunction ("SIJD"). I was truly on my own and I had to develop a way out. I was in the mood of, "I'm not taking, 'no', for an answer." By the way, the likely causes of my own SIJD, dating back to childhood, were falls on my tailbone, rollerskating, and a fall onto my feet from a second-story balcony, with the repeated urge to pop my lower back by forcible twisting and life-long pelvic discomfort until my crisis at about age fifty. 

If you have two or more of these symptoms, you may have sacroiliac joint dysfunction -- but don't assume that, from the symptoms. Other conditions can cause many of the same symptoms. Symptoms only suggest where to look for the cause. The way to tell if you have SIJD is by manual examination of your sacroiliac joints -- something you can do, by yourself.

Follow the instructions in the video, below (SELF-ASSESSMENT OF SACRAL POSITION) -- or get examined by a professional. If you find one side deeper, that's it: a jammed sacroiliac joint. 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 SIJD.  If you need help sorting it out, you may visit a chiropractor or osteopath to get a diagnosis and to get trained how to examine yourself. If you're going to correct your own SIJD, you'll need to be able to examine yourself on an ongoing basis, as you do the exercises I developed.


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, teaches you to feel if your sacrum is twisted, and if so, which side is jammed forward. Follow the instructions. It's a simple movement with your hands to feel the region of your S-I joints. Pay close attention to the spoken instructions so you know what you're feeling for. 




SELF-ASSESSMENT OF SACRAL POSITION

https://youtu.be/5zB1T6fYPLA



If you've found one side sacroiliac 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 it stays straightened out.

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).

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.


Enter where to send "get started for free" emails with instructional video links.




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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 may 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 ("transcutaneous electrical nerve stimulation" -- nerve stimulation through the skin), or surgery, cannot.


Who is This Program For?




More Detail about Sacroiliac Joint Dysfunction: The Location and Shape of Your Sacroiliac Joints -- and What They Do

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






What Your Sacroiliac (S-I) Joints Do
Your S-I joints allow the walking movements of your legs to move flexibly, through your pelvis (which flexes at the S-I joints), to your trunk. Your S-I joints lend "cushion" to your spine and pelvis, when you sit. If the joints are jammed or the muscles of your pelvis are tight, there's no cushion and sitting can be fatiguing.


What Happens to Your Sacrum in Sacroiliac Joint Dysfunction

These distortions affect the muscles of the trunk (primarily the back, the psoas muscles, and the quadratus lumborum ("QL") -- video, below). 

Your sacrum gets twisted, usually jammed one side forward, one side back. That causes your whole pelvis to twist, the opposite side forward. (More rarely, both sides are jammed forward -- more about that, later.) In addition, one side may jammed downward, causing the appearance of unequal leg length -- even though the legs are the same length -- and the appearance of one hip being higher. You may have heard all this, before, from your health practitioner; now you understand it, better.

Distortions of movement and spine shape may follow, with pain as far as the jaws and down the legs.




The pain triggers muscles of the abdomen to tighten, especially when bending forward or turning over, in bed. It's often a very delicate situation -- as you may have experienced.

Muscular pulls where the legs connect to the pelvis (the psoas muscles, the inner and front thigh muscles, the hamstrings, and buttocks) interfere with walking and add pain. Pulling forces interfere with walking and sitting and affect the S-I joints. In the healthy condition, everything is comfortable; in the unhealthy, jammed condition, there's strain and pain.



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 an injury, with far fewer from pregnancy or other causes. Injuries include falls (bicycle, horse, rooftop, skating, ladder, etc.) and motor vehicle accidents with one foot on the brake at the moment of impact jamming the leg into the hip on one side.

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 of the pelvis, puts pressure on internal organs, and generates pain. The brain senses those strains and pain, and, as a reflexive response, causes muscular contractions that generate a "gripping" sensation in the pelvis that gets worse with movements such as bending forward to put on socks or flush the toilet, rolling over in bed or attempting to stand up straight. The pain triggers cringing, in which muscles tighten up, potentially anywhere.

Non-spasm pain may radiate from the S-I joints into the pelvis, lower abdomen, groin, or sex organs. One person with whom I worked had a diagnosis of interstitial cystitis (intense bladder pain) -- and a twisted sacrum from falls from horses.

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



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.


https://youtu.be/K7urk1N5hPU
https://youtu.be/K7urk1N5hPU

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 (and not together), it suggests to me that their approaches are "shot in the dark" efforts in terms of something they know about. Certainly, if they were consistently effective, SIJD would not be considered so difficult to clear up. 

But 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 of its cause, don't you think?

Another approach, the approach I took and advocate, has no negative side effects, consistently provides lasting relief, and restores full function. I explain it, next.

Clinical 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 health discipline used to extinguish pain and improve movement. Muscles relax, nerve pain ends, and joints come loose.

My earlier description of the causes of SIJD cites muscular involvement and distortion of pelvic shape. The two go together, as I have explained -- but, to put it more succinctly, "Bones go where muscles pull them." Clinical somatic education addresses the muscular involvement and skeletal alignment.

The system of somatic education exercises I developed to correct my own SIJD uses patterned movements to retrain muscle/movement memory. Changes of muscular pulls cause the pelvis to reshape. These changes can clearly be felt. Again, "bones go where muscles pull them."


Why I'm Satisfied with This Program

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

A CONSIDERABLY MORE DETAILED UNDERSTANDING OF SACRO-ILIAC JOINT DYSFUNCTION

In investigating sacroiliac joint dysfunction in myself, I came to understand the condition and its causes.  At that point, I had an idea of what I could do to correct it: set up ongoing, symmetrical muscular forces to make my pelvis (sacral position) become symmetrical. I was the first "guinea pig"; I developed the exercises, in myself, and refined them based on the effects I felt. Remember -- I was qualified to do that, having been in clinical practice, since 1990.

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

Most cases of SIJD start with an accident, such as a hard fall (athletic injury, fall from a bicycle or horse, ladder, tree, or rooftop); I told you what I think caused it, in me. Because the changes of muscular tension from an injury are asymmetrical -- meaning, the right and left sides no longer mirror each other, they keep the pelvis distorted. These muscular forces don't change in any lasting way with stretching because they're programmed into muscle/movement memory and so reappear, shortly after 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 a grip, not a correction to pelvic shape because the correct sense of pelvic shape has been lost in the injury. The term we use in clinical somatic education is, "sensory-motor amnesia" (S-MA). These muscular contractions are so strong that they hurt and trigger pain-related tightening, throughout the body. Radiating pain follows from the distortion.


Ligaments

What happens to ligaments 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. Suppressing the inflammation is of no help. The ligaments aren't the problem, anyway.


Muscles Triggered into Contraction 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, then, is that a cringe response gets triggered -- a tightening centered at the injured region and radiating outward like the cracks in a damaged windshield -- but off-center, and the tightening isn't just momentary, but commonly lasts indefinitely -- so indefinitely that people mistake its effect -- pain and stiffness -- for aging.


Unequal left-right pulls affect one S-I joint more than into the other.

TO SUMMARIZE: Compression and twisting forces that converge at the S-I joints cause compression of 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 Dysfunction or Sacroiliac Pain Syndrome (the word, "syndrome " meaning a recognizable cluster of symptoms).

TWO VARIETIES OF S-I JOINT DYSFUNCTION ("SIJD")

  1. Two-sided (bi-lateral) S-I Joint Pain
  2. One-sided (uni-lateral) S-I Joint Pain (more common)

Two-Sided SIJD

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

One cause of bi-lateral SIJD 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. Sometimes, it can be corrected by retraining the psoas muscles and hip joint flexors -- an easy "fix".

One-Sided SIJD

One-sided sacroiliac joint dysfunction is worse than two-sided SIJD and accounts for nearly all the chronic S-I joint pain I have seen.

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 locations of pain as the locations of the problems. Clinicians may also mistake groin pain as a sign of psoas muscle dysfunction, rather than as pain radiating from an S-I joint.

ACTIONABLE UNDERSTANDING

By now, we can see how the forces of an injury initially distorted the pelvis and how muscular contractions, maintained by muscle/movement memory, have kept 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.

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 doesn't correct 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.


Clinical Somatic Education to Correct Sacroiliac Joint Dysfunction:The Role of Muscle/Movement Memory

The medical model, which uses drugs, surgery, and electrical or mechanical devices, 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. Moreover, the medical specialty, "pain management", is a branch of anaesthesiology; it's primary approach is to mask or hide pain, not to eliminate its cause.

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 the pain of S-I joint dysfunction and keep the condition in place.

The key term, here, is, "patterns". Thomas Hanna, in his book, 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.

These changes of muscular tension pattern influence pelvic shape over the long term. It's an entirely new, brain-muscle-based approach 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.



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



TO ComfortingYour S-I Joints

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With clinical somatic education, we correct S-I Joint Dysfunction in three stages.
  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.


HOW TO UNLOCK THE SITUATION:
Pandiculation: "The Whole-Body Yawn"

An action pattern related to yawning is ideally suited for retraining muscle/movement memory: it's called, pandiculation. This is a completely different action from stretching or manipulation.

https://youtu.be/IUHwNbR7qYY
does stretching, "one better"
 

Everyone has experienced pandiculation, already (although not in the "assisted" way it's done in clinical somatic education). The “morning yawn and stretch” is a pandiculation (but 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 can be done in more ways than just yawning.

Pandiculation is essential to reprogram muscles and movement. You need to unlock something before you can adjust it. Pandiculation unlocks muscle/movement memory, so it can be changed.

After the unlocking, exercises that use pandiculation accelerate changes of muscular (postural) habits. The pelvis starts to reshape and the sacrum, to migrate to a new, comfortable position. With practice, improvements accumulate.

Once the changes have occurred, pandiculation exercises reinforce the new pattern. Job done.

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, you can feel changes rather quickly (obvious after two practice sessions). As, your movement and posture change, the symptoms of SIJD fade out.

See the section, below, to get started with
Comforting Your S-I Joints, for free. It's free because I expect you to find it effective and to purchase the rest of the program.

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 most of the symptoms listed. Once I found the exercises worked in me, I published them as preliminary instructional videos and then started teaching 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. What it does is relax the back muscles.


https://youtu.be/-JMk0ANH7c8



 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.


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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, "Getting Started for Free" emails will come to you with bite-size steps for Unit 1 of Comforting Your S-I Joints.

Comforting Your S-I Joints is a system of movement-based exercises that reprograms muscle/movement memory in a lasting way. You'll feel changes for the better with each practice session; changes accumulate over time. The entire system extinguishes the pain and restores mobility. They enabled me to get back to my life with no limitati
ons.

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







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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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