Another major way my physical therapist Paula helped me was by teaching me to adjust my own SI joints.
The general name for the type of adjustment she taught me to use is called Muscle Energy Technique, or MET.
Essentially, the Muscle Energy Technique allows you to correct a forward or backward rotation of the hip bones, by tensing the right muscles.
(Again, as I’ve mentioned in previous posts, another way to refer to the problem of is to say that you are correcting an anterior or posterior rotation of the ilium).
Many people first receive MET adjustments, often called manual adjustments, from their physical therapists. But it *is* possible to perform them yourself– if, and only if, you have someone qualified show you how.
I would say that the most difficult thing to get right about these adjustments is knowing which way your hips are rotated in the first place.
Paula adjusted my hips for me during my first few visits, and then we progressed to me performing my own adjustments under her supervision.
It wasn’t so much that the adjustments themselves were hard– it was making the initial diagnosis and knowing which way my hip bones were rotated in the first place.
This is so key, because if you perform an adjustment to move your SI joints the wrong way, well, you’ve just made things worse.
Luckily, thanks to all the time I’d spent getting chiropractic adjustments over the past few years– when I always made them tell me what was going on, instead of just silently adjusting me– I had already begun to develop a pretty good sense for which way things were going. So Paula was mostly able to just confirm what I already thought.
(Generally speaking, if your SI joints are continually rotating out of place, it is more likely than not that they are usually going in the same direction. In other words, if it’s usually your left hip bone that’s rotating backwards, and your right hip bone that’s rotating forwards, that will tend to be your usual pattern. It is possible for the pattern of dysfunction to switch, especially if you have some kind of precipitating event, but in general I’ve found that my body tended to get stuck in a pattern of one kind or another).
Anyway, learning how to adjust my own SI joints meant
A) I was able to become much more independent, no longer living in fear of having to get through a whole weekend without being able to go to the chiropractor if one of my SIJ’s locked up.
B) Over time, I came to realize that chiropractic visits, although they helped to “unstick” my SI joints in the short term, were actually having a destabilizing effect on my pelvis as a whole. (I figured this out by accident when I spent three weeks in California, without getting any adjustments).
Once I realized this, I cut way, way back on chiropractic visits and almost exclusively used my self-adjustments to keep things in line.
This development, I really feel, marked the most significant turning point I really needed in order to be on my way to heal.