Massage Therapy Journal Spring 2024

Spotting Sacroiliac Joint Dysfunction According to Veritas Health’s Spine-health , these are some of the most common symptoms of sacroiliac joint dysfunction. I’ve added some information specific to the work massage therapists do: • Lower back pain in the region of the PSIS or along the edge of the sacrum that feels dull, aching and can range from mild to severe. Typically, lower back pain related to sacroiliac joint dysfunction occurs on one side, but in some cases may be felt on both sides. Remember, the location of the pain isn’t always the location of the problem. For example, if there is fixity in one SI joint, the other side may hurt because it needs to move more to compensate. • Pain that spreads to the hips, buttocks and/or groin. One of the most common areas to feel SI joint pain is in the buttocks and upper back or side of the thigh. Again, pain is typically contained to one side, but may be felt on both sides in some cases. Often, SI-based pain will be more acute during walking, whereas lumbar disc pain will be more acute while sitting. • Sciatic-like pain in the buttocks and/or backs of the thighs that feels hot, sharp and stabbing. Numbness and tingling may also be present, and the symptoms may mirror sciatica, but rarely extend below the knee. • Stiffness and reduced range of motion in the lower back, hips, pelvis and groin that may make movements such as walking up stairs or bending at the waist more difficult. • Worsened pain when added pressure is put on the sacroiliac joint, such as when climbing stairs, running or jogging, and lying or putting weight on one side. • Instability in the pelvis and/or lower back that can cause the pelvis to feel like it will buckle or give way when standing, walking or moving from standing to sitting. arching and locking that side of the low back while leaving the opposite side in a tucked position, which often destabilizes it and can lead to both hip and low-back problems. Releasing the iliacus nearly always helps the SI joint, low back and hips. But there’s more. It’s easy to understand that tense muscles lock joints. But the opposite is also true! If a joint locks up, the muscle has no other option but to shorten when the client gets off the table. When you release the muscle and the joint, the client will stay supple, open and strong. The next time a client complains about low-back pain, think about the SI joint. Your client’s low back and hips will thank you.

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