By Park Griffin on Friday, February 01, 2002 - 01:49 pm:

All SI dysfunction caused by a subluxation is anterior in nature. This causes the hip, or both hips if the dysfunction is bilateral, to ride lower down the vertical plane of the body. When you do appropriate "anterior innominate corrective adjustments", this causes the hip to ride HIGHER up the vertical plane of the body. When your hip rides up or down this makes the leg appear longer or shorter. No matter if the dysfunction is unilateral or bilateral you always adjust both sides of the pelvis. The reason for this is that you can move the sacum into place rather like trying to free a stuck drawer. When a therapist does a correction they should measure the apparent leg length. If after the correction, the leg appeared to shorten, there was dysfunction present. The corrections should be done on both sides until no more shortening oocurs in either leg. Too many therapists think that the SI is in place if the hips are even, but the hips can be even with bilateral sacroiliac joint dysfunction. When a person has SIJD, the top of the SI joint spreads a little. This allows a bit of movement at the joint at the "S1" segment. Many therapists can manipulate the SI at this point, making the hips move up or down a bit. They think that this subtle correction, making the hips even, is what the self-bracing position is. Actually, the primary subluxation of all variants of SIJD is the "S3" sacral segment. If you correct the subluxation at "S3", the rest will fall into place. In essence the self bracing position is a reduction of a subluxation at the "S3" sacral segment to the functional position.

Park

By Silvia on Sunday, February 03, 2002 - 04:58 am:

Park,

Thak you so very much for this information. I really appreciate the time you take to answer our questions regarding SIJ and prolotherapy. This might be part of the reason for my leg length discrepancy. I'm going to start doing those self-correcting exercises from the kalindra website. I don't have a physical therapist to make corrections for me. The only one in my area that knows how to do this is quite a driving distance from me, and he's not a provider for my health insurance.

Once again, thanks a bunch!

Silvia

By Park Griffin on Sunday, February 03, 2002 - 10:10 am:

Silvia, it takes time and patience to teach yourself how to correct the subluxation. Please as you go along ask questions. I have been down the road of self discovery and can help you find an exercise that suits your situation. If you have a partner who can help you with the exerices that require two people, you'll probably stand a better chance. Park

By Silvia on Monday, February 04, 2002 - 07:29 am:

Hi Park,

Now that the pain isn't as bad as before, I do want to start some physical therapy exercises. About a year ago I was seeing a therapist who has a lot of experience on SIJ dysfunction. He used to correct my SIJ subluxations when I used to go see him. He also taught me several exercises for core abdominal muscles stabilization and back muscle stabilization. All of these exercises involve contracting your abdominal/pelvic, and back muscles. He never really taught me how to do self corrections. The only problems is that he is pretty far from where I live, and due to my right SIJ/hip/knee problems, I really can't drive that far out. Also, he isn't a provider for my insurance company either. But I still have all the sheets of exercises he taught me and I'm going to start doing them again. I also intend to try out some of the Kalindra website exercises.

And yes, I do have a partner who can help me with the exercises. But the exercises my therapist gave me are ones I can do by myself.

Anyhow, are the exercises you're referring to the ones on the kalindra website? I printed those a while back ago and tried doing them, but I was still having problems with the pain. I really don't remember them that much but I intend to print them again.

Once again, thanks for all your information :-)

Silvia

By Park Griffin on Monday, February 04, 2002 - 09:15 am:

Silvia, the "exercises" I am referring to are really, "manual therapy techniques", ones that actually adjust and correct a subluxation. The article to print is "manual therapy rounds".

The premise is this: If your therapist gives you core stability and strengthening exercises, but your SIJ's are still dysfunctional, you can correct the subluxation at home and continue your therapy. The "manual adjustment techniques" requiring two people are the most effective.

Park