Sacroiliac Joint Dysfunction

by Maria

s1 dermatome

s1 dermatome

Pain in right lower back developed gradually after 2 to 3 years of pulling loaded wheelchairs from ground up into van up narrow ramps then lowering them at end of day to ground. Used right leg as brace to lift them and landed on right leg as chair weight pulled body forward when lowering.

When I trip or slightly jar the right side of my body my symptoms return (shortening of right leg/contraction, pain in outer right foot and right shin, altered breathing, head tightness, groin and inner leg pain) however is quickly controlled by my chiropractor who does the leg drop plus trigger point.

I believe this condition has caused significant arthritis also to the right hip and lumbar area. I have been doing the SIJ exercise on your site despite the hip issues and it is giving much relief. However the head heaviness/tightness is still prevalent, which I think may be connected to this issue also. Can you suggest something for the head tightening. Thanks.

Hello Maria,
Do three little tests for me please:
* Lying on your back pull the knee to your chest and then to the opposite shoulder, compare with other leg. What do you feel?

* Bend forwards and then backwards and then to the side. Is the naughty leg much tighter, more painful than the other leg?

* Go to C-H and do the Slump Test for Sciatica and let me know what the result is.

* A fourth. Stand on your toes on the good leg, raise the heel. Is the naughty lower leg as strong?

Let me know.

Dr B

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Dec 16, 2012
Cortisone injection?
by: Maria

Thanks - my chiropractor does keep things on an even keel. Must mention that I had a cortisone injection into SIJ and was free of pain and waking with bad heads for almost three months but have heard not so good to have too many of them.
Thank you for the informative tips on your page.
Just one thing - are there any exercises I should not be doing. My chiropractor does not mention doing any exercises just walking.

Dec 15, 2012
SIJ problem?
by: Maria

1. Unable to pull right knee to chest tight and sore - not able to cross centre line with right knee. Lower portion of right leg knee to foot angles inwards.

2, When bending forward backward and sideward naughty leg is much tighter and more painful.

3.Slump test - unable to raise right leg more than 45degrees not a lot of pain just tight with no give. Barely able to lift from accelerator to brake when driving.

4. When raising heel on left leg pain down outside of right leg not very strong.

Hello Maria,
This means that there are different things going on, perhaps interrelated, but together causing your disability. Let's look at them one by one.

1. There is fairly clearly something going on in your hip. It could be arthritis, or one of the pre-arthritic conditions like Femero Acetabular Impingement sydrome or hip dysplasia. Only an X-ray of the pelvis and a careful and thorough examination of your hip will make the diagnosis.

2. These are signs of significant nerve impingement in your lower back. That could be a grumbling slipped disc, or facet degeneration, or other. Again, X-rays and careful examination.

3. A positive Slump points to a pinched nerve in the back, confirming 2 above.

4. I'm not sure about this one. What is important is that you can raise your R heel off the ground. It's possible that you have a "crossed sciatic sign".

All in all... get started on regular back exercises every morning before getting out of bed, and start the hunt for a thorough and experienced chiropractor in your neck of the woods. These are problems that I treat on a daily basis. Mostly they respond well to chiropractic, though sometimes a good surgeon is essential.

Good luck, let us know how you get on.

Dr B

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