SI Joint Pain Lecture by Dr. Ryan Peebles

Introduction

• Presenter: Dr. Ryan Peebles
• Topic: Understanding and addressing SI joint pain
• Objective: Provide clarity on misconceptions and offer solutions for chronic SI joint pain.

Misconceptions About SI Joint Pain

• Common belief: SI joints in pain are stuck out of place (e.g., upslip or anterior rotation).
• Tendency: Seek adjustments or manipulations (e.g., chiropractic treatments).
• Reality: Often leads to increased pain post-adjustment.

Understanding SI Joint Pain as a Ligament Injury

• Similar to other sprain injuries (ankle, wrist, knee).
• Ligaments involved: Posterior SI joint ligaments.
• Cause: Repetitive trauma, not a single traumatic event.
• Factors: Muscle imbalances, tight hip flexors causing joint torque.

Proper Approach to SI Joint Pain

• Stabilization: Joint is like a loose joint, requires stabilization.
• Avoid Adjustments: Manipulating a sprained joint can worsen micro tears.
• Brace for Healing: Use an SI belt for temporary relief but address root causes.

Addressing the Root Causes

• Muscle Imbalances: Tight hip flexors, weak glutes, and abdominals.
• Exercise and Rehabilitation:
  • Focus on restoring muscular balance.
  • Lengthen hip flexors, strengthen glutes and abdominals.

Case Study: Professional Experience

• Example of a physical therapist friend:
  • Experience: Worsened pain post-chiropractic visit.
  • Solution: Exercise demonstrated by Dr. Peebles provided immediate relief.

Exercise Recommendation

• The Bridge Exercise:
  • Perform in a "core connected" way.
  • Use a non-stretch belt around thighs, push out into the belt during the bridge.
  • Engage hip abductors and external rotators with maximum effort.
  • Goal: Force closure of the SI joint using muscles, especially glutes.
  • Benefits: Provides immediate relief and aids in long-term stabilization.

Recommendations

• Avoid activities that stress the joint (e.g., hanging from gravity boots).
• Watch related videos for further guidance.
• Regularly practice strengthening exercises to prevent repetitive trauma and stabilize the joint.

Conclusion

• Emphasis on understanding SI joint pain as a condition of repetitive strain rather than a single injury.
• Importance of consistent stabilization efforts and addressing muscle imbalances.
• Encouragement to continue learning and practicing healthy movement patterns.

Dr. Peebles encourages viewers to engage in Core Balance Training for comprehensive guidance and solutions. Note: Trial available for learning proper bridge technique.