Sacroiliac Joint Dysfunction Physiotherapy
What is Sacroiliac Joint Dysfunction?
Sacroiliac Joint dysfunction physiotherapy refers to physiotherapy to manage pain that in within the SIJ, which attaches from your sacrum and ilium.
Sacroiliac joint pain can be also caused or aggravated by any problems in any of the joints within the pelvic girdle, including the pubic joint (pubic symphysis) as well as the sacral-coccygeal joint (joint joining your sacrum and your tailbone).
The sacroiliac joints are very important joints as they transfer the weight from our legs to our body as we move.
Our pelvic girdle has a ring comprised of bones that are held together with ligaments and muscles.
These ligaments can contract, stretch and relax in response to hormonal changes during pregnancy, to prepare the body and the birth canal for delivery.
This hormonal relaxation results in the lengthening of the ligaments in the pelvic joints as well as the surrounding muscles that provides stability to the pelvic ring. Stretching leads to both de-stabilization as well as weakening.
And this explains why pregnancy is one of the main factors and causes of sacroiliac joint problems.
Other causes of SIJ problems and dysfunctions includes impact or trauma, as well as sports injuries.
Pelvic Floor Muscles
Pelvic floor muscle problems can also cause and/or aggravate sacroiliac conditions.
- Overly tight (hypertonic) pelvic floor muscles can lead to weakness and slackness of the back ligaments of the sacroiliac joint
- Overly lax (hypotonic) pelvic floor muscles can cause instability in the sacroiliac joint
During pregnancy, it is pretty common to have a "relatively unstable" pelvis, and it does not mean you will have pain. Actually, some laxity and looseness in these joints are good for delivery.
Problems only arise when women who have differing levels of laxity between their left and right sacroiliac joints.
The imbalance of looseness and laxity between the left and right joints are the main source of problem.
Having a significant enough difference in laxity can lead to a displacement of the ilium, the portion of the pelvic girdle that is the most mobile.
When one side of the pelvis is too lax, the body will try to compensate by increasing the tension of the muscles of and within the pelvis - it is this ongoing tension that leads to pain. It's like sustaining holding a weight for a long period of time, a couple of seconds is fine, but after holding on to a weight for an hour, your muscles will be very, very painful.
To make matters worse, if you already had a pre-existing pelvic floor muscle tightness, or tightness of the muscles in your legs, this will cause further asymmetry and aggravate pain in your pelvic girdle.
Sacroiliac Joint Dysfunction Physiotherapy
Who Are At Risk?
Women who are at risk for pelvic pain during pregnancy are:
- Women who did a lot of swimming because of the tension placed on the
adductor and pelvic floor muscles during this activity (likely
chronically tense before pregnancy began)
- Women who had low back pain prior to pregnancy
- Women who have demanding jobs, particularly prolonged standing
Sacroiliac joint pain is similar to a train being de-railed. The train is our ilium, which has de-railed from our sacrum. The railway system, which is our body, is immediately unable to move, and the railway workers (our nerves and muscles) go into a panic mode.
Movement must still continue, so other modes of movements are fired, so the railway workers call the buses (other supporting muscles that do other functions) to help support movement, and this is all approved by the railway central headquarters (which is our brain).
Once we've put the train back on track (through sacroiliac joint dysfunction physiotherapy intervention), symmetry is restored and panic and pain subsides.
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Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
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Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
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