Combining multiple treatment methods for an upslip (Erik Dalton article)

Hey everyone,

So in my last few posts I’ve been focusing on upslips. They are one form of misalignment for the SI joints that can have a huge impact on your overall movement patterns, and can also be the hardest for a patient to self-correct.

I’ve been pulling together ideas because I really want to help get this info out there, and I’m also hoping that any practitioners looking to learn more about upslips will stumble across my blog!

So in this post today, I wanted to bring your attention to a really informative article I discovered while doing my own research. It’s from Erik Dalton, who is a well-known manual therapist who’s published articles on the SI joint. (I am not affiliated with him, I just think this is cool!).

So check out his article on Iliosacral Upslips (iliosacral is another term for sacroiliac). He describes why he thinks people get upslips, and how he treats them. He asserts that upslips are usually the result of a long-term deformation of the ligaments and other soft tissue, and not necessarily the result of one injury.

What I liked about his approach is that he really focuses on all the factors that could contribute to an upslip

Going through his article, you can see how he addresses multiple factors, out of everything I mentioned in my post on how to correct an upslip.

For his treatment method, he makes a point of first treating the soft tissue (muscle and fascia) with manual therapy to break up any adhesions, and help stop the quadratus lumborum muscle from pulling. He then adds in some deep breathing exercises, to also help reset the muscle spasms on a neurological level as well.

After that, he performs an adjustment which is a combination of tractioning (the “leg” pull), but also uses a contraction of the quadratus lumborum to help reset things as well.

As I’ve seen with the Muscle Energy Technique, sometimes there are ways to “hack” your nervous system into helping you get your joints back into place. This is because your body has certain neurological reflexes, when it comes to muscular contraction, and sometimes you can really get a muscle to contract or relax at just the right time, if you figure out how to use these reflexes to your advantage.

Again, I am not affiliated with Erik Dalton and have not used this method myself, but I thought it was really interesting how he incorporates so many different potential factors into his treatment.

My goal in these upslip posts has been to be super comprehensive, and help to collect ideas that can help you make more informed decisions as a patient.

Check out my previous upslip posts:

Knowledge is power– I hope this was helpful!

5 thoughts on “Combining multiple treatment methods for an upslip (Erik Dalton article)

  1. Barbara A Van Rooyan says:

    Thank you so much Christy for your recent focus on upslips!! It is definitely difficult to find good information on this so i really appreciate your research! Since I have never had an injury to which I can attribute my upslips this research is especially pertinent. I am becoming more and more convinced that the 3-way pseudo joint (LSTV) that I have on my right side (from birth or at least developmentally) is a major cause/contributor to my upslips. Still doing research to find ways to counteract that without surgery. Especially interested to explore if the pseudo joint is causing my QL to spasm. Other than referred pain to SI joint would I actually feel tightness or pain in QL? Because I can’t say that I do.

    Liked by 1 person

    • Christy Collins says:

      Hi Barbara, so glad the info has been helpful! To be honest, all the times I was told I had an upslip and had a PT correct it, my QL itself never really hurt. I felt very localized pain which I assumed to be in the joint itself. It may potentially have been by the attachment point of the QL, but it never really hurt the way you really think of a muscle spasm hurting. It certainly didn’t hurt throughout the whole length of the muscle, which runs up the side of the spine.

      It’s counterintuitive, but I think sometimes muscle spasms don’t have to hurt that much. To refer to this previous post, none of the muscle spasms I talked about in this post were ever very painful (maybe like a 2/10, barely).

      https://sijointsaga.com/2020/11/19/the-function-of-a-muscle-spasm/

      For me the pain of an upslip was in the joint itself, and then having trouble walking because one leg was suddenly, functionally, much shorter than the other!

      Liked by 1 person

      • Barbara A Van Rooyan says:

        Thanks. Going to talk to doctor doing prolozone therapy and my PT (whom I won’t see again until finish prolo) about keeping QL loose (with massage, stretch, exercise?) while at same time keeping ligaments tight with prolo.
        This puzzle can be frustrating but I also find it fascinating.

        Liked by 2 people

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