This article is about sacroiliac joint pain (also called, sacral torsion, S-I joint sprain or strain, sacroileitis, "twisted (or turned) sacrum" or just S.I.J.D.)
It covers:
- symptoms of sacroiliac joint dysfunction
- what causes sacroiliac joint dysfunction (Look at your own history of injury.)
- treatment options clearly explained, so you can act based upon sensible understanding, rather than blind trust (or blind skepticism)
- a clickable link to the approach used in clinical somatic education to correct the problem ( scroll to the bottom )
in this article published in Wikipedia.
If You Have a Turned Sacrum
About This Article
Read this article, if . . .
- You have found the information provided by health professionals to be "thin soup"answers (such as, "You'll just have to live, with it.") that don't increase your optimism, much.
- You have tried therapies and/or surgery and are still in pain.
- You are willing to consider a different approach and to take the time and to do the work. Yes, it's work -- work that leaves you feeling better, then and there.
The Article:
A Simple Explanation of Sacroiliac Joint Syndrome (Dysfunction)
Sacroiliac joint dysfunction (SIJD) involves the bones in the pelvis, of which your sacrum is the central bone, being misaligned. See the illustrations, at left.
SYMPTOMS OF S-I JOINT PAIN SYNDROME
Sacroiliac Joint Dysfunction
Following are the most common symptoms of sacroiliac joint dysfunction.- pain at the groin and waistline, in back, same side - in combination
- pain around the top rim of the pelvis
- deep buttock pain, one side
- reduced ability either to bend forward, to stand up straight, to turn over, in bed.
CLICK HERE FOR THOSE OTHER COMMON SYMPTOMS.
- SENSATIONS
- SKELETAL ALIGNMENT CHANGES
- MUSCLE/MOVEMENT MEMORY CHANGES
- EMOTIONAL SYMPTOMS
The Self-Check
Watch the video. Follow the instructions, exactly.If you can't tell, from self-examination, you may visit a chiropractor or osteopath to get a diagnosis and to get taught how to examine yourself. Say what you're there for, up front.
If your sacrum isn't the problem, visit the Consultation page to get a free Functional Assessment form. Complete it and return it by email for a guaranteed recommendation of the program you need.
WHY SYMPTOMS may be UNRECOGNIZED as coming from S-I JOINT DYSFUNCTION
Do you know why symptoms of sacroiliac joint dysfunction can manifest in locations that seem unrelated to the sacrum or S-I joints? It's quite fascinating.These symptoms arise due to the intricate involvement of both the nervous and muscular systems, going beyond the simple mechanical relationships among the pelvic bones. The page listing symptoms explains.
Now, if you've endured lengthy therapy for your pain but gotten too little relief, or if the relief was only temporary (a common situation), it's a clear sign that:
- Either the treatment you received wasn't relevant, or
- the kind of approach taken to address your turned sacrum was simply ineffective.
It may be time to reassess your options and find a more effective solution.
Causes of a Turned Sacrum
This Mayo Clinic entry describes recognized causes of a turned sacrum.
(quoted, below:)
Sacroileitis — Comprehensive overview covers symptoms, causes, diagnosis, treatment of inflammation of the sacroiliac joints.
ref: Overview - Sacroiliitis (alternate spelling) - 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.
Based on the experiences of my clients, injuries are usually the culprit behind sacroiliac joint dysfunction. These injuries can take various forms, such as falls from bicycles, horses, rooftops, or during skating, as well as accidents involving motor vehicles.
Common Surgical Treatments to Clear Up S-I Joint Pain
Two surgical measures used to stop S-I joint pain are Radio Frequency nerve Ablation and Sacro-Iliac Joint Fusion.
- Nerve ablation ("RFA" - cooking the nerve endings)
lasts 9-12 months before the nerve regenerates -- making repetition necessary. - Sacro-Iliac Joint Fusion surgery alters movement and decreases mobility permanently.
S-I joint fusion surgery by Dr. Centeno.
- Skeletal Manipulation
Despite manipulation, bones go where muscles pull and hold them. Because muscular tension gets triggered in many places in the body by a turned sacrum -- and commonly persist or return -- the effects of skeletal manipulation of the sacrum don't last. You might end up "married" to your therapist.
- Massage: Loosen the ligaments.
- Prolotherapy: Tighten the ligaments.
These two approaches are attempts to tackle the same problem by opposite means.
If ligament strain were truly the cause of sacroiliac joint dysfunction and effectively treated, wouldn't it be reasonable to expect permanent resolution when the strain was relieved by manipulation? But that doesn't happen, except in the mildest of cases.
Ligament strain, itself, is not the root cause, but rather the consequence of a turned sacrum.
A correct approach would address the actual cause. Lasting reduction of pain and increase of mobility would be the sign that an approach is the right one, don't you think?
ACTIONABLE UNDERSTANDING
Let's take a moment to appreciate what we understand, so far.
We have understood - how an injury can cause distortion in the pelvis, and how persistent muscular contractions, driven by the body's automatic self-protective mechanisms, have contributed to the problem.
- that contrary to common belief, symptoms are not due to too-lax ligaments. Nor are they due to ligaments being too tight.
- that strain and laxity -- two common diagnoses -- are secondary effects of a turned sacrum, not causes.
- that addressing ligaments alone will not correct the problem.
- that alleviating pain is a partial and temporary "fix".
- how an injury can cause distortion in the pelvis, and how persistent muscular contractions, driven by the body's automatic self-protective mechanisms, have contributed to the problem.
- that contrary to common belief, symptoms are not due to too-lax ligaments. Nor are they due to ligaments being too tight.
- that strain and laxity -- two common diagnoses -- are secondary effects of a turned sacrum, not causes.
- that addressing ligaments alone will not correct the problem.
- that alleviating pain is a partial and temporary "fix".
Instead, what we need to do is get the pelvis to regain its symmetry. And that's where the approach I will outline next comes into play.
What I Say Works
The program offered, here, sets itself apart from others by using specific action patterns -- done in slow motion and entirely within your (now limited) comfort zone -- to retrain the muscular and nervous systems.
With each practice session, you will feel the improvements taking place. Each action pattern produces specific improvements described in its video introduction.
To access these clear, easy-to-follow instructions, do the program available through links in this entry.
Rest assured, the instructions are gentle, safe, and presented at a comfortable pace. They do not inflict any pain or discomfort.
The promised results -- stopping the pain, restoring free movement, and saving you from the letdown of conventional therapeutic options you may already have experienced -- are within your reach.
It's quite likely that you will experience the relief you seek in a fraction of the time you have already invested in unsuccessful therapy. That is my promise to you -- and to back it up, I offer a lifetime money-back guarantee (which has been invoked only a few times since this program became available in 2015).
ADDENDUM
Clinical Somatic Education to Correct Sacroiliac Joint Dysfunction: The Role of Muscle/Movement Memory
- Unlocking the Situation: By reducing the tension levels in the involved muscles, we release the jammed S-I joint, enabling the re-patterning of forces that contribute to pelvic distortion.
- Reshaping Muscular Tension and Movement Patterns: Through consistent practice of movement patterns aligned with a healthy, symmetrical pelvis and optimal S-I joint function, we reshape and realign the musculature.
- Reinforcing Healthy Movement Patterns: Rather than focusing on strength alone, we develop integrated movement habits that reinforce balanced and free movement. These new habits become second nature and seamlessly integrate into daily life without requiring any special attention.
Click on the image, above, to see entire comment.
More on Hanna Somatic Education
for Relief of S-I Joint Dysfunction
Comforting Your S-I Joints | A RECIPE for RELIEF
I understand why someone might be afraid to take an alternate approach to clearing up the problem: fear -- and I suspect that you may already have tried other approaches, to little avail. Those are good reasons to hesitate.
What I can say is that people have gotten better -- completely or partially -- and no one has gotten worse, with this approach.
Everyone I have worked with, personally (I've been in practice since 1990), has been pleased with the results -- and I offer a lifetime satisfaction refund guarantee.
THE PROGRAM
Imagine the program, Comforting Your S-I Joints, as a meticulously crafted recipe for relief. Just like in cooking, where no single ingredient can create a masterpiece dish, each action pattern within this program serves as a crucial element. It is the collective arrangement and specific order of these somatic education exercises that make the program effective.
Just as a skilled chef carefully prepares and combines ingredients, there are steps of preparation involved in Comforting Your S-I Joints. Each action pattern can be likened to a stage of preparation, playing a unique role in the overall recipe. Each section builds upon the previous section and prepares you for the next. You're guided at an easy, step-by-step pace.
Just as a recipe requires care and attention to detail, the program is designed to be followed in a specific order to achieve the desired results for your S-I joints.
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; this step is one of preparation, not of "cure".
Who is This Program For?
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. That gives you a taste of the program -- both how you do it and the results.
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.
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 so to purchase the rest of the program for the full result.
By getting started with Unit 1, you can 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.
Introducing Lawrence Gold, a certified practitioner of the revolutionary Hanna Somatic Education(R), a groundbreaking discipline in the realm of healthcare focused on pain elimination. With over three decades of experience, Lawrence Gold has been dedicated to helping individuals find relief from various ailments.
During the period spanning from 2005 to 2015, Lawrence Gold painstakingly developed a comprehensive program specifically designed to alleviate the wide range of symptoms associated with S-I joint dysfunction. Through extensive testing and refinement, he has ensured the program's effectiveness before making it available to the public.
For those seeking further information or assistance, Lawrence Gold can be reached conveniently via email or phone. You can contact him at +1 505 819-0858, located in Portland, OR. Lawrence Gold is committed to providing the support and guidance necessary to help individuals find lasting relief from S-I joint dysfunction and achieve improved well-being.
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.
ReplyDeleteI 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.
ReplyDeleteHello!
ReplyDeleteWhere can i enter my email to receive the regimen described?
Scroll to the end.
ReplyDeletein your service,
Lawrence Gold
The psoas would not affect urination. As this entry states, a twisted sacrum may affect urination.
ReplyDeleteI 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?
ReplyDeleteto "anonymous"
ReplyDeleteProlotherapy 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.
Nice post...
ReplyDeleteI'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.
ReplyDeleteto mumnmgr
ReplyDeleteWhen 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).
Hi there! I'm so glad I found your page. I tried to sign up above for your free Comforting Your S-I Joints program as a starter, but got an error message. Is it still possible to sign up for it? Thank you kindly! I have been in pain since January and practitioners are finally landing on SI joint dysfunction.
ReplyDeleteKim
And it is not a one step process, and for Jung there is no end. On the other hand for Taoist meditation the ultimate end is Tao where every element is integrated. MMA injuries are nasty
ReplyDeleteGreat post. I was checking continuously this blog and I am impressed!Very useful information particularly the last part :) I care for such info a lot. I was seeking this certain information for a long time.
ReplyDeleteRacz Epidural Neurolysis
Radiofrequency Lesioning
Spinal Cord Stimulation
Selective Nerve Root Block
Sympathetic Nerve Block For Pain
Vertebroplasty
Hi, Is it possible that the shallower SI joint side is jammed too much backward, instead of the deeper side forward? My chiropractor told me that one side of my sacrum has rotated backwards. That side feels shallower and has very tight psoas. Thank you,
ReplyDeleteIt's possible, but not particularly relevant; your chiropractor made an interpretation. The course of action is the same; the deeper side is the "working side" for four of the exercise patterns of Comforting Your S-I Joints.
DeleteExperience with the exercise patterns of Comforting Your S-I Joints suggests to me that my description is the accurate one: the forward side is the jammed side.
The shallower side is typically the side that has the tight psoas and radiating pain to the groin.
Comforting Your S-I Joints:
https://somatics.com/page7-S-I.htm
I have symptoms of a turned sacrum. But the MRI and X-rays show osteoarthritis in my sacral iliac joints.
DeleteThis comment has been removed by a blog administrator.
ReplyDelete