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
A new treatment for knee osteoarthritis with a funny name G Block
A new treatment for knee osteoarthritis witha funny name G block for knee osteoarthritiséAlthough surgery is generally effective for patients with advanced osteoarthritis of theknee, individuals with multiple medical conditions may not be appropriate surgical candidates.In patients who have failed traditional therapies, radiofrequency (RF) neurotomy might be a minimallyinvasive treatment with low risk of complications. This procedure is based on a theory that blockingthe nerve supply to a painful area may alleviate pain and restore function. Several nervescan be approached with a needle under fluoroscopic guidance. Patients can get a diagnostic nerveblock to determine if this will provide adequate
relief. Since the purpose is to block thegenicular nerves, it is called a G block. Not a G spot or G string. a G block. Comment: This seem to be a safe, effective,and minimally invasive procedure for chronic knee OA patients. The procedure can also berepeated if necessary when nerves regenerate. Unfortunately, it does nothing to regrow cartilage.
Radiofrequency AblationRFA Question Answer
MUSIC Radiofrequency ablation is abrand new, innovative treatment option to treat kneepain of varying causes. By selectively targetingnerves that surround the knee, one can effectively treat painthat comes from the knee, without need for surgery, orany other invasive treatment. MUSIC The nice thing about thistreatment is that it's actually
suited for a variety ofdifferent scenarios. For patients whoare not a candidate for knee replacement surgery, eitherbecause they are too young and they need to postpone it, or forthose who have too many medical comorbidities and cannot beplaced on the operating table, are good candidate forthe this procedure. It's a low risk nonsurgicaltreatment option. It's also really good treatmentoption for patients who have
either poorly controlleddiabetes, or poorly controlled high blood pressure, andcan't have steroid injections. And also for patients whosimply wanna avoid surgery and have some nonsurgical,noninvasive treatment option. MUSIC Benefits of using radiofrequencyablation for knee pain is that it's low risk, noninvasive,nonsurgical treatment option to help people who have kneepain of different causes,
whether it's arthritis, ordegenerative joint disease. The nice thing about thisprocedure is that it's done completely outsidethe knee joint. Nothing is injectedinto the knee joint, nothing is placedinside the knee joint. So the risks are very minimal,and it can be used for a variety of differentcauses of knee pain, and then variety of differentkinds of patients.
MUSIC Pain relief from thistreatment lasts, on average, anywhere from 6months to 12months of relief of pain. MUSIC This procedure actually has twophases done on two different occasions. The first phase is actuallya nerve block, a genicular nerve block, and that only takesabout five to ten minutes and
it involves placing threeneedles and injecting an anesthetic medication,such as Lidocaine, and to see if there is enough pain relief tojustify radiofrequency ablation. If there is, the patientwill have the second phase, which is the actualradiofrequency ablation. And that takes a little bitlonger, maybe about 30, 35 minutes. MUSIC