SIJD - cause of many pains

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expatient's picture

SIJD - the reason for low back pain, scoliosis, lordosis, lumbar/thorax hypermobility, forward head position, bad posture, headaches, leg length inequality, knee problems, achilles problems and so many others... Very common problem and yet so poorly understod!

(SIJD = sacroiliac joint dysfunction/dislocation/syndrome, rotated pelvis, rotated iliac, pelvis misalignment,... A lot of different names to this!)

After years of search I finally found one professional who knew how to cure my back pain: to correct my SIJD. Before him I met tens of others who did it wrong or didn't know anything at all! I spent thousands of dollars for doctors, physical therapists, pictures, exams, test,...

My problem was anteriorly rotated left iliac bone (SIJD), but all the doctors were totally lost, or few of them diagnosed something wrong on right side of my back where the pain was... That is wrong side!!

After I got rid of my back pains (and many other problems too connected to SIJD: achilles pain, leg numbness, knee problems,...) I started to search information about SIJ dysfunction and to interview patients who have the same problems I did.

According to many research studies almost all people have leg length inequality that causes bad posture, scoliosis and other problems. That is because of misalignments in pelvis -> SIJD. When iliac bone is rotated (other PSIS higher than other/other ASIS lower that other) it causes leg shortening, sacrum to lead forward -> lordosis. That leg length inequality causes pelvis misalignment. Those all cause problems to not only to spine all the way from lumbar to cervical spine but also down to groins, knees, achilles and ankles!

In a normal person the spine sits on top of a neutrally positioned sacrum (central portion of the pelvis) and has a slight lordosis (arch forward). When the pelvis is anteriorly rotated the sacrum is tipped forward and the rest of the spine has no choice but to follow suit. Rather than fall over forward, the body compensates for this excessive forward tilting of the lower spine by tilting backward at some point higher up the chain. This creates a large increase in the amount of curvature (lordosis and scoliosis) of the lower back. This deep curvature of the back can result in extreme pain and various problems including muscle spasms, pinched nerves, and possibly damage to the intervertebral discs.

Due to the ligamentous structure around the pelvis, an anteriorly tilted pelvis causes the femur (usually the left femur due to the muscular arrangement of the body) to rotate inward. The inter-rotation of the femur creates a misalignment at the knee joint between the patella (kneecap) and the femur causing patella femoral pain.

One side (usually the left) is rotated forward and then the other side is rotated back. This creates the unstable pelvic condition while under weight-bearing stress. As a result, the sacrum is off-center and tipped which initiates a direction for the scoliotic compensation (the curvature) to begin. The bottom line is, not treating the pelvic area puts limits on relieving scoliosis conditions.

The left pelvis is anteriorly tipped and forwardly rotated. This directional, rotational influence on the low back and spine to the right, mandates compulsive compensatory movement in one or more areas of the trunk, upper extremities and cervical-cranial-mandibular muscle. The greatest impact is on rib alignment and position, therefore influencing breathing patterns and ability. It is very possible that respiratory dysfunctions, associated for example with asthma or daily, occupational, repetitive, work positions, can also influence pelvic balance and lead to a compensatory pattern of an anteriorly tipped and forwardly rotated pelvis on the left.


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