Great question: Can you still realign your SI joint, even if it’s been stuck for many years?

Hi everyone,

I had a great question from a reader in Latvia this morning (that’s one of the perks of running this blog- I get to hear from people all over the world!).

This reader was wondering if it’s still possible to get the sacroiliac joint back into alignment, even if it’s been stuck in the wrong position for many years.

My answer is yes– it just might take longer.

Basically, if your SI joint has been stuck in the wrong position for an extended period of time, the muscles that surround it are likely going to be weak.

Additionally, muscles have a “memory,” which means if they are in one pattern of alignment for a long time, they become used to that pattern. Holding your SI joints in a stuck position may actually come to feel “normal” for your muscles, because it’s what they are used to.

So it may take quite a bit to break the cycle.

The #1 thing you can do is find yourself a good physical therapist (or physiotherapist, for my reader in Latvia).

A truly experienced PT will be able to properly assess and realign the joint, so it’s no longer in the “stuck” position.

This will also give your muscles the chance to “learn” a new pattern, one where the SI joint will actually be in alignment.

The key to maintaining this in the long-term will be strengthening.

The more you can help to strengthen the muscles around the SI joint, the better able they will be to do their job and actually stabilize the joint.

As your muscles get stronger, you will begin to find that you need adjustments by your PT less often.

Then only difference is that for someone who has had the problem for a long time, it will just take more time to create a new pattern.

I hope this helps!

If you need help finding a good PT in your area, check out our PT and doctor directory.

I’m constantly adding to it on an ongoing basis, so if you have anyone to recommend, please let me know!

Thank you so much!

One thought on “Great question: Can you still realign your SI joint, even if it’s been stuck for many years?

  1. Harriet D Hatzikostantinou says:

    When you went to PT, did they teach you how to realign your pelvis yourself? or was it more strengthening that allowed your pelvic to go into the right place?
    I guess what I am trying to say is, I have read alot of people learning to “put their pelvis back into place” from their pt. Is that something that you learned as well?


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