#sacroiliacjoint #sijoint #backpain #backpainrelief

The sacroiliac joint (SI) is between the sacrum and the iliac bone, at the base of the spine. This is the largest axial joint in the entire body. It is the transition point between the upper and lower body and requires a large amount of stability.

This joint stable barely moves (only a few millimeters), so strengthening and stabilizing should be the goal, rather than mobilization. Also important to temporarily reduce provocative activities or exercises.

You may feel like your SI joint is "out of place" but the likelihood of this is very low, even if it FEELS like it is. Two times where the joint can move, is during severe trauma or times of pregnancy (hormones relaxing the ligaments).

There is no "best exercise" for this issue. As axial and rotation load, especially in single leg format, starting with a double leg version is optimal for most people. Then gradually progress to single leg options as your symptoms allow.

Timeline:
0:00 Start
0:13 Anatomy
0:33 Clinical Presentation
0:56 What causes this condition?
1:30 Posture/Activity Modifications
2:13 Level 1 Rehab
3:15 Level 2 Rehab
4:34 Risk Factors
4:48 Joint Movement
5:43 Clinical Assessment/Tests
6:30 Radiofrequency Denervation
6:55 Other Conditions

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References:
Juch 2017 https://pubmed.ncbi.nlm.nih.gov/28672...
Goode 2008 https://pubmed.ncbi.nlm.nih.gov/19119...
Tullberg 1998 https://pubmed.ncbi.nlm.nih.gov/9615363/
van der Wurff https://pubmed.ncbi.nlm.nih.gov/10688...
Vleeming 1990 https://pubmed.ncbi.nlm.nih.gov/2326706/
van der Wurff 2006 https://pubmed.ncbi.nlm.nih.gov/16584...

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