3 Steps to Permanent Relief for SI Joint and Pelvic Pain
Today we are going to cover the 3 steps topermanent relief for pelvic and SI joint pain. Now what is SI joint painé The SI joint, ifyou do have SI joint pain, is pain on either side of the tailbone where the tailbone connectsto the pelvis. So this is a drawing of the pelvis. This is your tailbone. This isyour lumbar spine or your lower back, the bones in your lower back called vertebraesitting on top of your tailbone. Then on either side of that you have your right hip or yourleft hip if we are looking at a person from the front. When we see somebody with SI jointpain, they will typically have pain on that given side. 70% of the time, it is on theright side. Don't ask me why that is but
70% of the time we know it is on the right. You canalso get shooting groin pain, buttocks pain and symptoms down the outside of the leg thatis affected. It might be pain, numbness, tingling, burning. Typically, that personsuffers from a heaviness as well. It can also cause some incontinence and leaking issuesas along to effect sexual performance as well. It can be absolutely devastating ifthe pelvic problem is bad enough. Fortunately, most people just have pain on one side. Sowhat can you do about ité That person who has SI joint problems typically has troublerolling over in bed, getting in and out of a car, crossing one leg over the other. Usuallythey have trouble sitting for long periods
of time especially if it is on a couch or a softsurface. So it can be absolutely devastating. Now what are the steps to permanent relieffor thaté Number 1 is this. Most people when we seethem if they are going to try exercises on their own and they only have a little bitof SI joint pain or pelvic pain, they are doing stretches. Yes, there is a very basic stretchwhich most people show me on Day 1. It is a piriformis stretch which is where you grabthe knee and pull it up and across to the opposite shoulder. It will give the personwho suffers pelvic or SI joint problems and pain temporary relief. However, long termwe don't want to stretch. We want to
strengthen or stabilize. Why is thaté Whensomebody has an SI joint problem, so the center of gravity of your entire body is inthe center of your pelvis. That needs to move the right way and it needs to be stable whenyou are doing day to day activities. If it is not stable enough, what will happen is thejoint will move so far that it becomes stuck. So if we are looking at the tailbone, we havethe tailbone and we have the pelvis and you get a normal gliding day to day. If morestress, more force is put through the pelvis than the pelvis itself can handle, that SIjoint can handle, what will happen is you actually become stuck. Now that creates allsorts of problems for the muscle around it.
What most people do is try to stretch theirway out of it. The problem is not stretching and it is not flexibility. It is actuallya stability issue. If we want to stabilize, we need to do strengthening exercises. If you go on ourYouTube channel, on the Madden PT official YouTube channel, there is a tutorialcalled Top 3 Exercises for SI Joint and Pelvic Stability. They are very low grade, kindergartenlevelexercises where you can at least begin stabilizing the muscles that controlyour pelvis. But we don't want to stretch, we want to think stabilize. Step 2 is we want to take a look at our habits.So what are some habits that lead to
pelvic instability and problemsé Number oneis standing with the weight shifted. So if I'm standing like this with my weight shiftedside to side for long periods of time, what that does is over years and years and yearsit weakens the ligaments which are tissue that hold joints together that we can't control.Think about somebody with an ankle sprain. They sprained a ligament. They stretchedthe ligament but it is not a muscle. It is different than a muscle. There are littlehabits that we do. If I stand like this and let's say I weigh 175 pounds and if I'm standinglike this, I have 150 pounds on one side and 25 pounds on the other. Where if I'm standingbalanced, I have 87 Â½ pounds on each
TMJ and Myofascial Pain Syndrome Animation
The temporomandibular joint â€“ the TMJ isthe joint between the lower jawbone the mandible and the temporal bone of the skull.The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibulardisorders, or TMD, refer to a group of conditions characterized by pain in the jaw area andlimited movement of the mandible. TMD may be caused by problems in the joint itselfor in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammationand internal derangements. When the problem is in the muscles, the condition is calledmyofascial pain syndrome. Myofascial pain syndrome is very common andcan occur in patients with a normal temporomandibular
joint. The syndrome is characterized by presenceof hyperirritable spots located in skeletal muscles called trigger points. A trigger pointcan be felt as a nodule of muscle with harder than normal consistency. Palpation of triggerpoints may elicit pain in a different location. This is called referred pain.Trigger points are developed as a result of muscle overuse. Commonly, the muscles of chewing,or mastication, are overworked when patients excessively clench or grind their teeth unconsciouslyduring sleep. The medical term for this condition is â€œnocturnal bruxismâ€�. A trigger pointis composed of many contraction knots where individual muscle fibers contract and cannotrelax. The sustained contraction of muscle
sarcomeres compresses local blood supply,resulting in energy shortage of the area. This metabolic crisis activates pain receptors,generating a regional pain pattern that follows a specific nerve passage. The pain patternsare therefore consistent and are well documented for various muscles.Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lowermolar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalisare also associated with headache and toothache from upper teeth. The main culprits of myofascialpain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer painto the TMJ region in front of the ear, inside
the mouth and upper outside of the neck. Theymay also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid triggerpoints can be felt in front of the ear and on the upper jaw.Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatmentoptions include: Therapies: stress management, behavior therapy,biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage. Medication: pain relievers, muscle relaxants,botox injections. Trigger points release techniques such asneedling and â€œspray and stretchâ€�.