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:
- What is an upslip?
- How to correct an upslip
- Levels of pathology: how some forms of misalignment are more serious than others
- The function of a muscle spasm: how overall strengthening has helped reduce my QL spasms
Knowledge is power– I hope this was helpful!