(Keywords: EXERCISES FOR SACROILIAC JOINT PAIN, sacroiliac exercises, sacroiliac joint exercises, sacroiliac disease, leg pain during pregnancy )
A Swiss chiropractor, Dr Fred Illi, was the first to prove conclusively that the sacro-iliac joint was a movable joint. Prior to that medical anatomists were convinced that chiropractors were quite wrong in claiming that sacroiliac joint could cause pain, needed Chiropractic adjustments and sacroiliac exercises.
He took fresh cadavers and with a series of levers and contraptions was able to measure the movement in the joints.
The pelvis consists of a ring of three bones, two ilia (no doubt why Fred Illi had such a passion for the pelvis!) and a sacrum wedged between them. Hence the Sacro-iliac joint, or SIJ for short.
Latin confusion: One ILIUM (noun), plural two ILIA. Adjective ILIAC.
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By placing one thumb on the ilium, and the other on the sacrum, and then having you raise your knee, your Chiropractor can feel the movement in the joint. It's really as clear as daylight. Until one or both become fixated - then you can feel the absence of normal movement. Pain!
Why? Because the cartilage in the joint has no blood supply of its own. It's totally dependent on the fluid in the joint for its nutrition, and removal of waste products. Fixation leads to stagnation, the fluid is not replenished, oxygen and nutrients are rapidly in short supply... PAIN. And Immobilisation Arthritis, the most common cause of osteoarthritis. And hence the need for sacroiliac exercises.
YouTube: EXERCISES FOR SACROILIAC JOINT PAIN
These very simple three sacroiliac exercises and lumbar spine exercises should be done EVERY morning before arising. I do them myself... they take only 40 seconds, time well spent, it will pay a handsome dividend. I NEVER miss! NEVER. You shouldn't either if you have a short leg, chronic SIJ subluxations and pain, sacroiliac disease...
People carrying the HLA B27 gene (8% of white Americans, 4% of blacks) have a tendency to get an inflammatory sacroiliac disease called ANKYLOSING SPONDYLITIS, or Bamboo spine.
No one is sure why some patients carrying the gene get the disease and others don't. It's probably related to life style, diet,
HOMOCYSTEINE CARDIOVASCULAR metabolism ...
and many other factors. Think HEALTHY CHOICE FOODS... Think exercises for sacroiliac
joint pain, especially if you know you are a carrier.
The presence of that HLA-B27 gene can be very confusing. Patients needing routine chiropractic sacroiliac joint treatment are often told they have Ankylosing Spondylitis when there are no other signs of the disease. To make a diagnosis of AS, the HLA-B27 gene must be present AND signs of ankylosis in the sacroiliac joint.
Just because you have sacroiliac joint pain and are carrying that nasty gene, don't necessarily be fobbed off with "you have arthritis and must learn to live with the pain".
In fact even patients with proven early stage AS in the SIJ respond well to chiropractic treatment and exercises for sacroiliac joint pain.
LEG LENGTH INEQUALITY
Radiologists have shown conclusively that a short leg causes more arthritis in the hip and knee, and curvatures of the spine. And in our experience more sacroiliac joint pain - hence the need for sacroiliac exercises. A difference in leg length is not uncommon... LEG LENGTH INEQUALITY ...
HILTON CHIROPRACTIC COALFACE
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This week my colleague, Dr Jane Ackerman, has had a patient who has returned after a longer absence than usual from his maintenance care. He has had no pain for nearly a year, and neglected to come for his usual adjustment, every few months. Over the weekend, he connected a heavy trailer to his car, and bingo... acute SIJ pain, radiating to the lower leg, despite having done his exercises for sacroilac joint pain faithfully. Me!
Happily after only one sacroiliac joint treatment I am at least fifty percent better with, most important, minimal pain in the leg.
Fifty percent less pain is the dangerous time, and I of all people know it. This is not a one-treatment-miracle. I too have to go the discipline of being careful, doing my exercises faithfully, sitting less at this computer! and rescheduling for the next treatment. Tomorrow.
She in turn is seven months pregnant, and beginning to experience some lower back pain and upper leg pain. She too is doing her exercises for sacroiliac joint pain faithfully, but still in need of chiropractic treatment.
This is not going to be an extensive comment on nutrition in pregnancy. That's a big subject on its own.
What is vital is that the pregnant woman eats sufficiently omega-3 fats and oleic acid fat. Why? Because the brain is sixty percent fat, half of which is omega-3 fatty acids, and because all nerves are coated in a fatty myelin sheath consisting mainly of oleic acid.
Oleic acid and the ALA omega-3 fatty acid are found richly in many fatty foods such avocado, ground flaxseed and pecan nuts. This is not the time to cut out all the healthy fats in the diet.
The other vital component of the pregnant woman's diet is foods rich in folic acid (folate) to prevent spinal cord anomalies like spina bifida.
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Interesting challenges of the day
1. Mr B has the trophy for the most acute neck in February. He has quite advanced lower neck arthritis for a forty year old, thanks to a severe fall on the head from a trampoline. But this is upper cervical pain. Right rotation is simply impossible. Luckily he is improving rapidly, eighty percent better he says after three treatments. See cervical facet syndrome.
2. Mrs C is a new patient with a long history of lower back pain, hip pain and pain in both feet. We'll see how we get on, Rome wasn't built in a day.
3. Miss U sprained her ankle two months ago, wearing high heels. She still has severe mid foot pain. Xrays and perhaps a CT scan.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. Mrs X, a young mother has severe lower back pain, with numbness down the posterior thigh, calf and side of foot. It started after a long drive in the car. Update, she's forty percent less painful after four treatments, but the leg is still numb. Update two; she 60% better, but it's slow and is going to take the full 6 weeks to heal. Further update; a setback, after lifting her child she now has leg pain. It's going to the be difficult.
7. Mrs Y, a 70 year old woman is on maintenance care fo a nasty lumbar stenosis despite having to do everything at home. Her husband has a hospital acquired infection in the shoulder. After 4 operations he is incapacitated and going rapidly down hill.
8. Mrs Z, an 78 year old woman is doing remarkably well with a bad sciatica. But at over 200 lbs she is not losing weight, in fact gaining despite my suggestions. She's high risk for a stroke. Referral to a dietician to crack the whip.
9. Mr A, a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. Reassured him it's not hip arthritis.
10. Mrs B, a 64 year old woman has had Scheuermanns disease; it's left with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment, provides she come every six weeks or so for treatment.
11. Mr C, a young engineer fell off his mountain bike injuring his cervical spine and pelvis. Luckily both responded very quickly to a few chiropractic adjustments. Update: his neck is sore again. It all goes back to a whiplash injury ten years ago when he was rammed by a fully laden truck carrying a load of stone. Time for Xrays.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.
And so the day goes. Chiropractors shouldn't be treating the elderly? Bunkum.
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