Really informative article, scientific info checks out in my book…
“What is SI joint dysfunction
From what I have been told and from what I have read, SI joint problems develop when 1.) The joint doesn’t move enough (hypomobility), or 2.) The joint moves too much (hypermobility). Keep in mind that there are actually two joints (one on either side) that are designed to move together as one.
Hypomobility (The joint doesn’t move enough)
The joint locks up and doesn’t have enough motion. This typically happens when the joint wears down due to age.
Hypermobility (the joint moves too much)
If the ligaments surrounding the joint are weakened, maybe by pregnancy, a car accident, or another high impact injury (such as a bad fall from a steeple barrier, in my case). When the ligaments become weak, the SI joint moves too much and causes all sorts of problems, and pain. The locking sensation that can sometimes occur (for me between mile 4-8 of every race) is because the joint has over rotated. SI joint problems (for me) get worse as the race shortens and the pace gets faster (I.E. 10ks are a terrible race for SI joint problems)
Hypermobility can be quite tricky, especially in runners. Because there are essentially two SI joints, one side may actually move too much while the other may move just enough or not enough. This can make you feel off balance, like one side is tight (or needs to be pulled on or pulled out) and the other is loose. Its very annoying, believe me, I know.”
She also points out something I wish someone had suggested to me YEARS ago:
“Chiropractic care creates more motion in the joint, which in the beginning may be relieving if the area around the joint is inflamed, but over the course of a few weeks or months, might actually make your problems worse. My suggestion, make sure you understand just what your SI joint problems are before you consult a chiropractor.”
OMG, OMG, OMG. Why didn’t someone just tell me this BEFORE???? I concur.
“Anti-inflammatory medicine, incline tables, acupuncture, I’ve done all these things in excess. Thought they initially will give you some relief, over time your problems will return without strength exercises and a good physical therapist that understands your SI joint problems.” Yes. Well put.