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Old 03-17-2011, 11:50 PM   #1
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SI Joint stabilization

Hey guys I am working in therapy on stabilizing my SI joint because it is out of place and hypermobile. Do you guys know if swimming would be good or if that would pop me out of place again? I am trying to strengthen all of my surrounding muscles. thanks

 
Old 03-18-2011, 09:10 PM   #2
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Re: SI Joint stabilization

Swimming involves a lot of twisting which is really hard on an SI joint. However, doing gentle exercises while in the water would be excellent as it would prevent impact which can also be rough on an SI joint. Perhaps ask your doctor or physical therapist to recommend some exercises for you to do in the water, and while not in the water also. Core strengthening like Pilates is also really good for your SI joint.

In general, for SI joints avoid twisting (i.e., swimming, some yoga moves) and avoid impact like jogging/running. Lifting medium-heavy weights also should be avoided for SI joint problems.

 
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Old 03-18-2011, 11:14 PM   #3
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Re: SI Joint stabilization

Well I will have to talk to my PT about the swimming. What he has me do when I first come in is some very specific manipulation (almost like a chiro but not the typical cross your leg over pop and thats it. He addresses my outflare and rotation, SI belt straps me, then he immediately puts me onto the leg press with enough weight to make me work pretty hard, not to the point of struggling to finish a rep. He says I need to do it to build the muscles even along with core exercises. I noticed you said no medium to heavy weight twohands, do you think what I am doing is ok? I just like to get input from EVERYONE instead of just listening to the guy working me and majority opinion usually wins lol. BTW, anyone reading this NEVER NEVER NEVER injure your SI Joint (not that anyone would want to) it is HELL on earth along with piriformis and it is not one of the more promising recoveries

 
Old 03-18-2011, 11:26 PM   #4
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Re: SI Joint stabilization

Well I will have to talk to my PT about the swimming. What he has me do when I first come in is some very specific manipulation (almost like a chiro but not the typical cross your leg over pop and thats it. He addresses my outflare and rotation, SI belt straps me, then he immediately puts me onto the leg press with enough weight to make me work pretty hard, not to the point of struggling to finish a rep. He says I need to do it to build the muscles even along with core exercises. I noticed you said no medium to heavy weight twohands, do you think what I am doing is ok? I just like to get input from EVERYONE instead of just listening to the guy working me and majority opinion usually wins lol. BTW, anyone reading this NEVER NEVER NEVER injure your SI Joint (not that anyone would want to) it is HELL on earth along with piriformis and it is not one of the more promising recoveries

 
Old 03-19-2011, 09:23 PM   #5
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Re: SI Joint stabilization

There is so much difference of opinion regarding treatment of SI joint problems. Until recently, most spine specialists didn't even recognize that it could be the cause of many pain symptoms that resemble those of a lower lumbar problem. For this reason, I hate to venture forth with any opinion that contradicts what you have been told by your PT. Perhaps what your PT is telling you is valid, especially considering whatever else you have going on in your lumbar spine.... We each need to have faith in the people we trust to work with us and on us....

If you're interested in hearing what others are doing...my guy would NEVER have me working with weights, particularly when there is instability involved in any joints...be it facet joints or SI joints....it is the ligaments that are usually the issue when an SI joint is hypermobile. No amount of building up the muscles is going to make the ligaments any more stretchy. Usually what happens is that the ligaments lose their elasticity -- they become too long and sometimes get jammed when the body moves a certain way. Because there isn't a good supply of blood flow to this area, it is really hard for the ligaments to regain their ability to stretch and recover. Some surgeons resort to fusion, but some doctors are having good results with a relatively new procedure, PRP therapy.

It sounds a bit creepy to the uninitiated. The patient's blood is withdrawn and placed in a centrafuge where the plasma is spun out. It is then prepared and injected into the SI joint. The patient is then instructed to take it easy for a period of time (something on the order of a week). The plasma is very rich in protein. The idea is that it is injected directly into the joint and that it starts to work helping to rehabilitate the attached ligaments.

I haven't tried it yet, but am planning on it when I get back from vacation later this month. I'll let you know how it turns out!!

The idea is similar to prolotherapy, but instead of dextrose or some other solution being used in the injection, the platelet rich plasma is injected.

 
Old 03-20-2011, 11:54 PM   #6
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Re: SI Joint stabilization

The angry red face.... yes I understand that one. My friend had her call to action when she shattered her pelvis. Her SI joint was seriosly messed up and she was told she would need an aid to help her walk.

Her solution, to perform SMR on her IT band, quadriceps and bridges... lots of bridges to activate her core. This is an excellent way to stabilize the SI joint after the pain has subsided.... swimming.... no not a good idea... controlled movements in water... yes! They can provide resistance to your muscles while exercising with no impact... if that is prolotherapy then great...

SMR while in LOTS of pain is not recommended.

 
Old 03-22-2011, 02:39 AM   #7
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Re: SI Joint stabilization

what is smr?

 
Old 03-29-2011, 10:18 PM   #8
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Re: SI Joint stabilization

anyone know what smr is?

 
Old 05-03-2011, 09:20 PM   #9
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Re: SI Joint stabilization

SMR.... self myofascial release.... look up "rolling" There are some really 'rough' looking tools to use on the internet. I use a hard foam roll or a PVC pipe.... the more dense it is the deeper it gets...

I wouldn't do it until an exercise therapist or someone who is qualified to do an assessment on you... tells you what you should work on.

 
Old 05-04-2011, 11:14 PM   #10
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Re: SI Joint stabilization

A lot of talk about different exercises for SIJs. All are useless. No muscles act over the SIJs. More hokus pokus talked about this joint than any other. First you have to diagnose it. The only way is a long fine needle into the joint under flauroscpe and inject with freezing. Then you can think of a treatment plan.
James

 
Old 05-04-2011, 11:59 PM   #11
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Re: SI Joint stabilization

[QUOTE=james079;4746806]A lot of talk about different exercises for SIJs. All are useless. No muscles act over the SIJs. More hokus pokus talked about this joint than any other. First you have to diagnose it. The only way is a long fine needle into the joint under flauroscpe and inject with freezing. Then you can think of a treatment plan.
James[/QUOTE] Yes James very very true. It also tends to get worse with time as I am slowly seeing with mine. What is your opinion on fusion? They have the new minimally invasive technique, ive heard mixed bags but i think once its smothering your life you might as well open one of them.

 
Old 05-05-2011, 09:22 PM   #12
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Re: SI Joint stabilization

[QUOTE=ESPplayer7;4746815]Yes James very very true. It also tends to get worse with time as I am slowly seeing with mine. What is your opinion on fusion? They have the new minimally invasive technique, ive heard mixed bags but i think once its smothering your life you might as well open one of them.[/QUOTE]

Let me think about this, it is a very complex area.
James

 
Old 05-05-2011, 09:42 PM   #13
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Re: SI Joint stabilization

I would try prolotherapy first before jumping into fusion.

That being said, I know a couple people who have had good results with the "new" technique. However, they've both had it within the past twelve months, so I can't say what the long-term prognosis for the surgery is.

 
Old 05-06-2011, 04:26 AM   #14
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Re: SI Joint stabilization

[QUOTE=tetonteri66;4747643]I would try prolotherapy first before jumping into fusion.

That being said, I know a couple people who have had good results with the "new" technique. However, they've both had it within the past twelve months, so I can't say what the long-term prognosis for the surgery is.[/QUOTE]

Well to get prolo I would want to be in perfect alignment because that is a formal form of fusion in itself. I am awaiting to see Vicki Simms the SI guru in Georgia when finances will suffice.

 
Old 05-06-2011, 07:51 AM   #15
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Re: SI Joint stabilization

Have you had a comprehensive evaluation of your postural alignment, beginning with your feet? Sometimes something as simple as foot pronation can cause rotational problems in the ankles, knees and pelvis that causes the ligaments holding the SI joints to develop laxity. It can also result in various mechanical problems in the spine...a lifetime of being out of alignment tends to cause unnecessary wear and tear on the vertebrae and discs.

 
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