T Nation

SI Joint Misalignment

Hi,
I don’t know where else to post this, so here it is. I’ve recently been diagnosed with a SI joint problem. Actually the injury has been around for months now, and despite foam rolling and tennis ball work, it has not improved. I guess the heavy lifting isn’t doing it any favors either.

Anyway, I’m wondering what kind of treatments I can do(stretching, mobility work, etc) that can aid?

Thanks!

Eric Cressy has an article called shoulder savers or somthing like that. Also, I took some IGF-1 for my shoulder, you might want to research that…

[quote]galapogos wrote:
Hi,
I don’t know where else to post this, so here it is. I’ve recently been diagnosed with a SI joint problem. Actually the injury has been around for months now, and despite foam rolling and tennis ball work, it has not improved. I guess the heavy lifting isn’t doing it any favors either.

Anyway, I’m wondering what kind of treatments I can do(stretching, mobility work, etc) that can aid?

Thanks![/quote]

Go see a liscenced Physical Therapist. Find one that specializes in the back if you can.

A PT that does a lot of manual therapy is what you want. If they are not putting their hands on you, find another PT.

Try a chiropractor. I have a problem with my ilium tending to move superiorly so my chiro adjusts it, does soft tissue work and gives me advice on what I need to stretch to avoid/lessen the problem. So far everything is under control and I’m able to squat and DL.

I had an issue where I kept spraining my SI joint. I went to a chiro who also did ART work. He adjusted it and did a little work on it, but the main thing was rest.

My chiro also told me to avoid sitting down when I could. He told me that when you sit, your pelvis spreads out and allows the inflamation to get into the SI Joint, causing pain, delaying healing, etc.

It took me a long time to come back from. I’m a PL and I spent a month doing Split Squats with a close stance. That was all my lower body training. I used a belt too – I felt like it added stability. I think the movement itself protected the SI and I also didn’t use over 300 pounds in a month, so the low weight also helped.

After the month of Split Squat only work, I started doing squats and deadlift. I was a high 700 squatter and a high 700 deadlifter at the time. I started coming back with 315. Each week, I’d add a plate until it got to where I could train.

Some things still aggrivate it slightly, but I don’t injure it anymore. I can train heavy and it’s fine. I’ve been timid about bringing back box squats. I’ll probably wait until next year to bring them back. I think that I need to make sure the SI is really strong before I start bringing back the whole box squat thing.

Oh yeah, it’s been about 8 months since I hurt it the first time.

[quote]StandTall wrote:
Eric Cressy has an article called shoulder savers or somthing like that. Also, I took some IGF-1 for my shoulder, you might want to research that…
[/quote]

You are probably referring to the A-C joint or the S-C joint. The S-I joint is where the Sacrum and Ilium meet.

Thanks guys,
I actually have Eric and Mike’s Magnificent Mobility, and have been doing the drills faithfully for a couple months now.

The guy who gave me the initial SI misalignment diagnosis also told me that I probably have a pronation distortion syndrome(problem), which was causing the SI misalignment(symptom). After talking to some experts and googling around, it seems that pronation distortion syndrome is caused by tight calves/hamstrings/hip flexors/adductors/IT band and weak glutes/VMO/ankle flexors.

Are there any lifts that I should do/avoid? Currently I’ve replaced my pendlay rows with bent over DB rows over a bench, BB deadlifts with single legged DB deads, heavy ATG squats with high box squats(the lighter sets I’m still doing ATG). Other than that I also do flat bench, military press, chins and dips for upper body.

My GP simply gave me muscle relaxants and told me to stop the lower body weightlifting. He’s gonna refer me to an orthopedic, but I’m gonna try to get me to refer me to a sports doctor instead since this IS a sports injury afterall, and I have more trust in sports doctors than orthopedics in fixing these kinda injuries. Meanwhile, I’ll continue stretching the tight muscles and activating the weak ones.

Thanks again!

Yeah dude, you are right. I started laughing when I realized how absolutely clueless I was! I was thinking AC and ah, whatever…

[quote]Modi wrote:
StandTall wrote:
Eric Cressy has an article called shoulder savers or somthing like that. Also, I took some IGF-1 for my shoulder, you might want to research that…

You are probably referring to the A-C joint or the S-C joint. The S-I joint is where the Sacrum and Ilium meet.[/quote]

You’re in luck; I did a Q&A on this in my blog the other day:

http://ericcressey.blogspot.com/2007/05/si-joint-relief.html

Wow, thanks! I guess I am in luck! I do own your M2 as well, and I’ve been advised by the specialist who diagnosed me to avoid dynamic warm-up for now. I guess that goes in line with your recommendation against twisting/rotation? Regarding that, I guess I should stay away from woodchops now too huh?

Regarding the list of movements, what do you mean by “calf mobilizations” and “overhead lunge walk”? I don’t remember seeing those in M2. Do you mean the calf stretch and the crossover overhead lateral lunge?

You also mention other movements outside of those on the DVD that would help. Care to mention some of those?

As for weight training, I’ve switched from BB deads to single legged DB deads. I’m still doing ATG squats on the lighter weights and high box squat on the heaviest set.

I’ve also replaced pendlay rows with DB bent over rows. Upper body work remains the same(flat bench, standing milt, weighted chins/dips). Does this look fine? Or should I stay away from some movements and concentrate on others?

Thanks again!