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Dr Ozello's Sports Medicine Report: Sacroiliac Joint (SI Jt) Sprain / Strain ***Disclaimer: Viewing this video does not take the place of seeing a medical professional or working with a fitness professional. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Perform all exercises through a symptom free range of motion. Sacroiliac Joint Sprain/Strain Low back pain is one of the most common musculoskeletal complaints. It is the leading cause of disability in the developed world. Repetitive shear and torsional forces may arise from sports such as figure skating, golf and bowling. The sacroiliac (SI) joint lies between the sacrum and ilium bones of the pelvis. There are two joints, one on each side of the sacrum. The joint serves to transfer weight from the upper body to the lower limbs. Strong ligaments and muscles stabilize the joints. Up to 25% of low back pain could arise from the sacroiliac joint. Sacroiliac joint dysfunction (SIJD) refers to improper position or movement of sacroiliac joint (SIJ) structures that may or may not result in pain. When the Sacroiliac Joint is dysfunctional, it affects a person’s biomechanics, which may lead to low back problems, localized tenderness over the joint itself, pain in buttock or posterior thigh and asymmetry of pelvic landmarks. Older athletes are more susceptible to SIJD because of poor spinal mobility and reduced ability to absorb forces applied to spinal column. Lumbosacral muscle strains/sprains Follows traumatic incident or repetitive overuse. Pain worse with movement and better with rest. Restricted range of motion. Tenderness to palpation of muscles. Symptoms Pain while sitting down, lying on ipsilateral side or when walking up stairs. References Mechanical lower back pain and sacroiliac joint dysfunction in golfers at two golf clubs in Durban, South Africa https://www.ncbi.nlm.nih.gov/pmc/arti... Rehabilitation of Low Back Pain in Golfers From Diagnosis to Return to Sport https://www.ncbi.nlm.nih.gov/pmc/arti... Back Pain https://www.ncbi.nlm.nih.gov/books/NB... Sacroiliac Joint Pain https://www.ncbi.nlm.nih.gov/books/NB... Lumbosacral Facet Syndrome https://www.ncbi.nlm.nih.gov/books/NB... The piriformis muscle runs across the gluteal region and attaches to the outer hip. When contracted concentrically, the piriformis muscles performs lateral flexion AKA external rotation of the hip. (Turning the hip outward.) Piriformis Muscle Stretches Supine Bent-Knee Piriformis Stretch: Lie supine on the floor. Bend the painful leg and keep the opposite leg straight. Place the foot of the painful leg on the floor on the outside of the opposite leg. Keep the gluteal area of the straight leg on the floor. Exhale and use the hand on the side of the straight leg to pull your bent leg to the opposite side. Knee to Opposite Shoulder Stretch: Lie supine with the painful leg bent and the opposite leg straight. Grab the back of the thigh of the bent leg with both hands. Exhale and slowly pull the knee toward your chest. When a stretch in the gluteal area begins, angle the pull toward the opposite shoulder. Figure Four Piriformis Stretch: Lie supine with both knees bent. Bend the painful leg at the hip and place the outer aspect of the lower leg just above the opposite knee. Grab hold of the opposite leg around the lower thigh with both hands. Exhale and slowly pull the knee toward your chest. Side Lying Piriformis Stretch: Lie on your side near the edge of a training table or firm bed. Keep your bottom leg straight and bend the upper leg. Place the foot of the upper leg behind the knee of the lower leg. Exhale and slowly lower the knee of the upper leg toward the floor. Apply slight downward pressure with your hand to the outside of the upper thigh. Seated Piriformis Stretch: Sit up straight in a sturdy chair. Cross the painful leg over the opposite lower thigh. Place the outer aspect of the ankle on the opposite lower thigh. Hinge forward at the hips. Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV Web Site: http://www.championshipchiropractic.com/ Blog: https://www.championshipchiropractic.... Twitter: / drdozellodc Facebook: / championship-chiropractic-280141628688300 LinkedIn: / dr-donald-a-ozello-dc-716b3233 YouTube: / drdozellodc "Running: Maximize Performance & Minimize Injuries" https://www.amazon.com/Running-Perfor...