How I healed my SI joints without surgery

I realized yesterday that everything I’ve written about my own road to healing really comes down to two factors:

  1. Letting sprained ligaments heal
  2. Building muscle strength

These two factors make up two equally important sides of the same coin.  You need both for healing.  Unfortunately, you’ll also have to balance one against the other.

Why?  Let’s look in more detail.

1) Letting sprained ligaments heal

Basically, SI joint injuries occur when some sort of trauma or overuse sprains the ligaments that are meant to hold the joint in proper alignment.

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ligaments of the SI joint

When a ligament is sprained, it means there has been “a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints” (check out this article from the Mayo Clinic).

The unfortunate reality is that when a ligament has been sprained/stretched out, it may never completely heal and shorten back up to its original length.

However, it can still heal and tighten back up to an extent, so that at least the acute injury phase/inflammation is over, and it becomes a little more stable.

So part of recovering from an SI joint injury requires allowing the ligaments to heal, and not continuing to perform motions or activities that continue to re-injure them, or possibly cause them to become even more stretched out.

For me, this corresponds to the parts of my story where I talked about learning to adjust my motion patterns and habits, so as not to put more strain on the joint:

It also meant eventually coming to the conclusion that receiving chiropractic adjustments to the area were more trouble than they were worth, because of how they stressed the ligaments:

Essentially, you need to cut way back on anything that stresses the joint, so that your ligaments have a chance to calm things down.  If you keep stressing them and continually pushing them outside of their normal range of motion, you’ll prolong your healing process (or possibly never heal).

(Side note: This is why people use prolotherapy: its purpose is to try to help ligaments tighten back up).

2) Building muscle strength

The other equally important thing you need to do is build your muscle strength back up to where it was before the injury– and then some.

posterior_hip_muscles_3

Because the truth is, you’ll probably never be able to count on your ligaments to the way you were able to before your injury (not that it’s something you ever had to think about consciously! They were just quietly doing their job).

However, when your muscles are strong enough, they can “take over” for ligaments that have been stretched out.

You have all sorts of major muscle groups that contribute to the stability of the SI joint, and when they are strong enough, they can support the joint to the extent that you may no longer notice your ligaments being sprained.

This is essentially what happened for me.  I know my ligaments will never quite tighten back up to the way they used to be.  But once I stopped constantly re-spraining them with chiropractic adjustments and got physically stronger, my joints stopped moving out of place.  I stopped having to think about my movement patterns as much, because my muscles were holding my joints stable.

3) Uniting the two factors

Unfortunately, when your ligaments are already sprained, building muscle strength will probably be easier said than done.

Your muscles and joints were designed to move with your ligaments holding things in place.  Without them doing their job, things get a little bit tricky.  Normal movements that wouldn’t have hurt before can end up putting way too much stress on your joint.

This is why I truly consider aquatic therapy and pool exercise to be the key to my recovery.

In the water, you weigh so much less; your body is protected from the force of sudden impact.  For me, it was the best way to give my muscles a workout without further irritating my ligaments.

For the first few weeks following my injury, I only seemed to get worse (despite the fact that I was in land-based physical therapy, and my PT said she was giving me exercises that would help my SI joint).

My chiropractor is the one who insisted, over and over, that I join a gym with a pool, and I have to admit he turned out to be right.  The moment I finally started doing aquatic exercises is the moment I truly started to get stronger.

That’s why I’m such a huge advocate of aquatic therapy now.  People email me asking for exercise recommendations all the time, and although I know the idea of pool exercise can be a bit daunting (and potentially expensive) it is really the best thing I can suggest.

I do have a few land-based exercises which I think some people ought to be able to do without making things worse (I’m planning to put these up at some point).  However, I still really think the pool is the best.

For me, it was the only way to build up enough strength while simultaneously allowing my ligaments to heal.

For more, I’ve written a few posts on Strengthening, including:

I’ve also written a few posts on Aquatic Therapy specifically, including:

Conclusion

Gosh.  Okay, that was a lot of information.  Hopefully you were able to follow what I was trying to say.

The SI joint is a super complex subject– which is what can make it kind of fun to write about.  But it’s also why I personally struggled with it for over five years before finding the answers I needed.  That’s why I’m so determined to share what I’ve learned.

I have a lot of ideas for upcoming content, including some more visual explanations and even (potentially) videos!  Please stay tuned!

If you have any comments or questions, please don’t hesitate to contact me or leave a comment below.

And just a note– 

There are many people who decide to proceed with SI joint stabilization surgery, or require other forms of treatment such as prolotherapy.  The purpose of this post is not to make a value judgement on anyone else’s path to healing, or imply that you should be able to heal without surgery.

I am simply sharing what worked for me, and I’m grateful that the extent of my injury wasn’t worse, so that I could recover in the way I did.  What worked for me may not work for everyone, which is why I make an effort to address other potential avenues for healing on my blog.

10 thoughts on “How I healed my SI joints without surgery

  1. Angie says:

    I feel like I’m reading about myself! Thank you so much for writing about your recovery! I’m am excited and hopeful for the first time in a very long time! Thank-you, thank-you, thank-you!!!

    Like

    • sunlight in winter says:

      Hi Mel,
      I personally didn’t use an SI belt. I tried one on once and didn’t like the way it seemed to be restricting my movement, so I took it off. However, the shape of individual people’s SI joints can be really different, as can be the nature of our injuries. What works for one person won’t necessarily work for another. I do know of others who have found belts to be helpful, so I still think they are worth a try.

      Like

    • Cat says:

      Hi, just like to say I totally agree with the pool for strengthening the SI joint, i have had chronic SIJD for over a year and could barely walk across the room but after one 10 minute sesssion I felt the difference. I would also like to mention I do wear an Sij belt and it worked really well for me, I’m still recovering because I have a failed l4/5 fusion which I think is the reason for my SIJD and not sure if I will ever fully recover until I have revision surgery on my spine, does anyone else have this issue?

      Like

      • sunlight in winter says:

        Hi Cat, sorry to hear about what you’re going through. That’s really great that the pool has been helpful for you, however. Hopefully someone else will chime in if they’ve had a similar issue– I will say that I think it makes a lot of sense to think your failed fusion could be the cause of your SIJD. If you have restricted or abnormal motion at the lumbar spine, this can definitely affect way forces travel through your SI joints, and your body will have to compensate. It’s hard to say if you could recover without revision surgery– I think it would depend on the degree to which your overall spinal motion is currently being affected. But certainly, doing whatever you can to build up your strength in the meantime is key! Wishing you the best of luck in your recovery.

        Like

  2. Tina Smith says:

    Thank you for writing this down. I got more information here than any other site.
    I am 58 and went to Zumba for the first time. Guess I did something I shouldnt as the next day I was really hurting. After Dr visits and no help but pain pillz I went to
    a chiropractor who said I had tilted my pelvis, I had been walking lopsided for a few weeks and he said he wasn’t surprised I hurt …Well 4 visits later I was hurting more and one morning I woke writhing in pain my husband having to call 911 as I couldn’t walk.
    I have never had back pain so this is all new to me. So again Thankyou !!

    Like

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