20 some friggin years of adjustments after a car accident and disc herniations, loss of strength and balance and falls and repeated, increasing deepening agony from simply bending over, turning sideways, lifting a bag from the floor, sleeping. Then, the popping, finding a stretch that made it stopped for even a few minutes. Staring at anatomy books. Watching TH-cam videos. ANYTHING to understand why I can barely climb a stair the moment my pelvis gets tilted, or get out of a chair, or walk the dog. Constant sciatica one day, gone the next, back again, crazy. And, ever increasing stabbing pain in my sacrum relieved by the bridge IF, IF, big IF I did it just perfect. Now finally I understand. Now I can find a path forward and understand to be careful, mindful, and heal instead of always having to be hyper-careful to simply move out of worry that I would make my pelvis all cascade in pain. A loose ligament. Of course! Now I remember when I injured it after the accident compensating for the herniation. Bless you CBT kind person. Bless you. I will find and watch the video on how to really do the bridge. And, begin the muscle balancing.
40 years of Si pain, I solved it by strengthening the small glutes, Medias and Minimus with the simple side scissor. If the small glutes are not firing the pelvis will not stay in a normal position. Get the small glutes to fire and the large glute will also fire.
I appreciate you too. I had SI pain that was getting worse until I discovered your channel. The first video for me was when you pointed at the top of your hip and said if you have pain right here, it is likely that your SI joint is causing the pain. That was the exact spot I had pain. I was sitting wrong, standing wrong and favouring my right side over my left. I was advised by others to do stretches, which one of your videos said to stop immediately. I stopped them, corrected my imbalanced posture, and faithfully followed your advice for the bridges. My pain is gone in less than 3 months and I continue with the daily bridges etc... This most video recent was an excellent presentation. Thank you for the time you spend making them.
Hi Michael, thank you so much for sharing your journey with us. Your words mean a lot, and knowing that our channel has helped you find relief from your SI joint pain fills us with gratitude. It's stories like yours that inspire Dr. Ryan to continue going. We're absolutely thrilled to hear about your progress. Your success has been a direct reflection of your diligence and commitment to healing. Keep up the great work! 😊
I’ve dealt with si joint pain for 13 years (not knowing what was wrong until a couple weeks ago, before that I’d never heard of si joint pain) and I was to the point I couldn’t walk cause it felt like my hips were broken. I couldn’t lay down to sleep without it shooting up and down my hips, legs and back. I bought a si joint belt from serola and my wife helped me put it on and I stood up and all the pain was gone. The muscles on each side of my spine in my lumbar area stopped hurting and wasn’t tight anymore. The pain was gone just like that after 13 years of dealing with it. Over the last 13 years I’d had 9 mri’s, several X-rays, spine shots, pain meds, tons of physical therapy and chiro visits and 3 consults with neuro surgeons and none of them mention my si joints. I found out about si joints by watching videos online and took a chance and ordered a si joint belt.
Could not agree more👍 Trying a high quality pelvic belt will tell you almost immediately if you have an instability problem. Is the pain coming from the joints themselves or did lumbar nerve impingement start the fight between the 2 regions is the challenging part if you have both. It’s a process of elimination and a belt is a very cost effective measuring stick.
@@matth2340 before I got the serola belt, I used a old ace adjustable lumbar brace but I wore it along my hip bone down across my butt to almost my tail bone it did better than the serola belt in my opinion. The serola belt is only about 3” wide but the ace lumbar is 5” wide and the adjustable straps goes more around the front to where the adjustment straps on the serola only goes to the sides. The ace belt gives me more relief than the serola belt
@@matth2340 well I find that a ace lumbar belt does better around my hips than the serola belt. The ace belt is 7” in width which holds my hips together a lot better than the serola which I think is 3”. The ace belt has adjustment straps that come all the way to the front of the pelvis and the serola straps only go to the sides of the hips so the serola doesn’t seem to provide near enough support. I feel a lot less pain when I wear the ace around my hips
Strengthening core muscles, which includes pelvic floor exercises helps so much with SI joint pain. Be sure to tuck the lower back when performing exercises
If you don't strengthen every muscle involved, you'll have to use those belts forever and they will further deteriorate and get weaker and weaker! Why encourage dependency? Please try to strengthen and get better!
I have been having this pain on and off since I was pregnant with my second son, during the latter stages of that pregnancy I could barely walk without pain. It has come and gone for 21 yrs and recently, due to a very pully labrador and a few falls on ice etc, it has got really bad. ThenI wentto an NHS physio. BAD MOVE. He tried to do a manipulation which not only hurt the SI joint in question (RS) but also very mch aggravated the bulging disc(s) on the other side causing 10 times as much pain. I saw an osteopath at huge expense who didn't really do anything but cause more pain and prod my back a bit, and no suggestions for exercise. I'm now trying to do my own research and collate the exercises that are recommended the most. This is the first video to really explain this process and actually get into the nuts and bolts of the problem. I believe that the joint IS meant to move but only in women and for the purposes of a tiny amount of flexibility through childbirth and doesn't always go back together properly or remains aggravated. (Hence why it seems to occur most frequently amongst older women, according to my research so far). Anyway, thanks for this great information, I feel like I'm FINALLY getting somewhere and there is a slight hope that this pain isn't going to be the main feature of the remaining 20 - 30 years of my life.
Sorry you're dealing with the SI joint pain, I noticed unusual joint movements on my right side during pregnancy 19 years ago, there wasn't any pain until years later when I had a 2 hour commute, pelvic and core muscle were really weak. Now strength training was my answer to everything, not stretching, not medication, I believe in holistic approach. Bulgarian split squats and intuitively I put my feet up on the wall while supine pull my pelvic up hold it 20 seconds relax repeat, more challenging with one leg, keep the other leg up but not on the wall.
After endless visits to doctors, chiropractors, and physical therapists this is the most helpful education I’ve received in a way that truly helps me understand my issue with my SI joint.
Agreed. 10 years of pain. Started doing the bridge as he teaches, daily, 3-5 minutes. SI joint pain gone. Still stiff after sleeping or sitting. But stiff is NOT pain.
I have anterior spondy since 23 years, ddd on l4 l5, athrosis on l4 l5, neck and right knee. I am 49 female, my hip and back and all my muscles are too weak. I put on weight due to perimenopause. I have umbilical hernia since 14 years. I hardly get time to exercise. I am unable to sit on a chair nor stand for long hours. I started doing few exercise but I need guidance. I am following this channel but I hardly came across updates. I want to live without pain. I have chronic migraines and sinus headaches that took me off all my life. I want to heal. I dpnt know what to do. What helps me, can someone guide me.
Best video on TH-cam! I had YEARS of SI JOINT pain, and chiropractic bills, just to walk. Then I started to STRENGTHEN my glutes...and no more pain. Unbelievable.
May I ask what exercises you did? I’m going on ten years of SI joint pain/dysfunction.m, just got adjusted after a flare-up and I almost couldn’t walk for days.
This is the best explanation I have seen on the anatomy of the SIJ and one I wish I saw 20 years ago before hundreds of chiropractic manipulations and most recently bilateral SIJ and also lumbar fusions. Lumbar nerve impingement definitely created uneven torque in the beginning. Getting onto these instability issues early in life is the key. Great video and graphics are exceptional.
My ache in the SI joint come and goes. This is a very well explained video. My flare up is when the muscles in the lower back 'give up' or fatigue and go into a spasm. So i cant hold the weight of my upper body. Cant turn in bed. Sit to standing move almost impossible. Stabilisation is my way out of this traumatic situation. Its learning what not to do . This is key for me.
Sitting to standing feels like a rope tightening my groin and lateral thigh pain is so bad I cannot bear weight on the leg. Then I feel a “pop” and the pain is relieved. Hoping and SI joint injection will confirm my diagnosis soon and give me pain relief. Hoping you feel better.
Hi, I’m a PT as well, have been dealing with chronic SI instability off and on for about 10 years and it’s gotten more frequent recently. I’m doing everything we learned in school and you’re right - it’s a LONG process. It helped just hearing that from a fellow PT today so thank you for that!
man i m my self a Dr and i m suffering a lot of this SacroIliaque Joint Pain for years after a lot of reseraches you are the only one who really helped me understanding why my stretrching wasnt helping at all seems like i was just doing more harm than good , all i had to do is strengthening the only muscle that stablize it and let it rest to heal , THANK YOU SIR
Great video. Excellent job of communicating the problem and remedy. October 10 I suddenly had acute, severe, debilitating right-sided pain. I'm 68 and have always been hypermobile but never experienced this problem before. No medical treatment alleviated the pain. I watched "700" TH-cam videos and diagnosed myself, bought an SI belt and a giant ice pack. Those two things and time got me functional. I am still aware of it, but just low-grade pain. Going to get busy bridging daily. Thank you so much. Your video is the BEST! Subscribed!
If you happen to think of it, share an update on how the strengthening affects your healing. I have Ehlers-Danlos syndrome and my hypermobility has had an outsized impact on my ability to run (I've been a competitive runner for quite a while and understand I may need to alter my ambitions in life, but I'm only 35...), and a couple weeks ago I sprained my SI joint simply by pushing through a run I should apparently not have begun. I'm doing everything I can to try to heal this while I re-evaluate what I'm able to do in the long term. Tried to hike a very short distance with my 6-year-old son this past weekend and it was so painful; I have priorities to stabilize, not just my SI joint!
This was SO helpful and encouraging. The doctor/chiropractor I've been seeing figured out that my pain is caused by my SI joint, but he doesn't seem to know how to properly treat it and the pain continues to get worse. It is now so intense that I've had to take time off of work. This video is the first encounter that helped me to feel hopeful that this pain can be healed! And that the treatment is less complicated than I expected. Thank you so much for this video!
This is the BEST SI explanation I've ever heard! I have Psoriatic Arthritis which has ravaged soft tissues in the SI and hip area. Ligaments were stretched and their attachment points broke down and nerve sheaths shredded by my autoimmune system. This is what a pain doctor told me. HOWEVER, THIS VIDEO GAVE ME A VISUAL OF INSIDE THE SI AREA AND INFORMATION IN LAYMAN'S TERMS WHICH HELPED ME picture what I'm really dealing with. NOW I UNDERSTAND! NOW I CAN MOVE FORWARD AND WORK TOWARD HEALING THE ENTIRE AREA. Thank you for this outstanding video! May God bless you.
Thank you so very much. I have struggled with SI joint pain for over a year now and everything I tried has failed...even to the point of impacting my sleep on a nightly basis. Your explanations of the physiology, along with a reaffirmation of the bridge and bridge/belt techniques, are really helpful!
Excellent video of explaining the SI joint. I’ve had issues over 40years after a car accident. This explains it so very well. I’m a visual person and this help me understand.
Wow I have 2 decades of SI joint dysfunction, rounds with PT, some amount of general strength training, acupuncture and of course doctor visits. No one has ever explained in the detail you provide in these videos what is actually happening and what specifically needs to be worked on. Thank you so much. I'm so grateful for this information and I hope you provide!
Fantastic clip/ great animation/ loved the analogy with the arch building block and the sacrum wedge shape!!! So appealing to a structural engineer like myself - and the orientation of fibers in the muscles being perpendicular to the SI joint - much like carbon fiber laminates running perpendicular to cracks in reinforced concrete structures! So appreciated your comment that these joints are not to be manipulated - and that ligament healing takes time and one needs to be patient!!! Absolutely the best clip on SI joint instability and how to heal and render the patient pain free!!! Thank you🌺😌
I fell in September and had severe coccyx pain and SI pain. I now have groin pain and LBP when I stand too long or attempt stairs. This was a wonderful explanation of the SI joint and all it's amazing anatomy. Thank you for this video.
may i tell you this is the best explanatory video ive ever seen on SI joints! Thank you! I have pain there loong years and im being manipulated by chiropractors. I am on a long holiday now and my pain is going lower. it makes sense
I discovered your video late last night. I have been suffering for weeks. This is new for me. I did your exercise last night and again this morning before getting out ( the moment I woke up, I could feel pain) of bed I did three of these exercises. I actually got out of bed without pain and just walked downstairs without pain and I’m still without pain and that’s just after doing three repetitions. I went to bed last night so miserable and depressed that I didn’t know how I was going to continue living if I had to, suffer through this debilitating pain for the rest of my life. And because of you, everything has been turned around. I am so excited. I am so thrilled. Thank you, thank you thank you.!!!
I’ve gone to the Dr. and urgent care at least 4 times in the past few years trying to describe the pain in my lower back & every time, they X-ray me, find no fractures, and send me home with ibuprofen. No follow up, no investigation. This singular 11 minute video is now my primary care physician, since this video actually gives a damn about me getting better!
Thanks for the great content as always. I suffered the entire last year from left SI joint pain and started working on CBT from last summer. now I have virtually no pain. to this day, I still do the main movements that helped me the most from CBT, starting off with anchor-related movements to loaded squat and hinges. I found that unilateral exercises such as split squat or single leg hinges also help you to focus on stabilizing the weak side of your body when you have side to side imbalance. The work you are doing really saved my life! Keep up the great work Ryan!
Hi Won, thank you so much for sharing your journey with us! We really appreciate your kind words and gratitude. It's wonderful to hear that the program has made such a positive impact on your life and helped with your SI joint pain. Way to incorporate the principles into your ongoing routine! We're honored to have played a part in your health journey, and so grateful to have had you in the program! 🙏
Oh my gosh. This is my 2nd video of yours, watching on the SI joint. Only 4 days, I have stopped doing the Chiropractic SI adjustment, all the daily pigeon stretches, the hip flexor stretches and amazingly am getting relief! I am starting these stretches and seeing relief from pain. I am so hopeful. Just a week ago after increasing my stretches with the pain worsening, I thought I would be searching for SI specialist to fuse my loose right side joint. Now, 4 days later with NO pain, I am see a different path. Your advice is different and just what this 67 year old body, whom carried 4 children, 6+ grandchildren on her right hip needed!
I've just signed up for the workshop. Day 1 with breathing info. Excited, worked in my garden with no pain. Did have to start with minor SI joint adjustment, which did the trick. I've been practicing the core breathing and straight sitting. So happy things turning around!
Great info thanks. I had to give up my career as an aerobic instructor due to lower back pain back in the 1990’s. I loved yoga and Pilates though, and became an instructor in both but I realised recently that whilst the pilates was strengthening my core and stabilising my lower back the yoga is undoing all my good work. The postures in the standing flows are horrendous for sacroiliac stability! All of the warriors and the lunges just destabilise it more and more. One of the biggest tips is to reduce lower back hyper lordosis. As we teach in Pilates, tuck your butt under whilst lifting your pelvic floor, plus gentle engagement of the glutes. I’m also a masseur and I recommend you get a massage to release the tension in your piriformis and around your iliac crest too, that helps.
Thank you so much for this video. I used to do 20minutes on the rebounder, and use 3 or 4kg arm weights, plank and sit ups every morning. I thought I had great core strength....I picked up my Grandson 8 weeks ago and I have been almost immobile since then. My back was in total spasm for 4 days. The hospital gave me morphine but sent me home with no diagnosis. The sacroiliac joint wasn't even mentioned. This was detected at the chiropractor two weeks later. The daily pain and not being able to exercise has really got me down. I'm so glad I've found your channel.
One of the most informative, conclusive videos I’ve seen about SI joint pain and SI structure, with explanation on how it all functions. Having suffered with SI discomfort for such a long time now, it’s only now I feel I understand. Thank you so much.
I have watched many, many videos on “Si Joints” as I fell back in Jan 2023, and have been in constant pain. No one has gone into such details explaining the Si Joint and the functionality as you have, not even the Physical therapist. Thank you so much for the great content, 👍🏻👍🏻
Clear and transparent information! Very well put together. I am a Neuromuscular Therapist and thoroughly enjoyed this video. I will look forward to viewing more.
I think I have SI joint pain. I’m recovering from a 6 week stretch of very painful sciatica, and now my lower back feels as if it’s fused together. Thank you for this explanation
Your explanation of how the muscles work was perfect for a lay person to understand. I tore SI ligaments at work in the 80’s and was off work for a full year with physio. As I’ve aged I really notice issues with that area in my back (not to mention arthritis). Thanks for a great video
You are the only one rhat makes complete srnse to me, in regards to the need of stabilizing and not manipulating the SI Joint. When you explained that an SI Joint's purpose or function, is the same in comparison to what architects use as a keystone, which is what is needed to build archs. For that detailed explanation and comparison to a structure is exactly what i needed to fully understand. People like you make a person like myself not want to just accept ongoing pain, but instead fix without a quick fix or temporary manipulation tactic that causes more harm than anything in the long run. AMAZING, AMAZING, AMAZING!!!
Had an L4/L5 disc injury and subsequently a lot of SI joint paid as well. Went to so many Chiros chasing the silver bullet. I only got worse and worse after each adjustment and it only healed 6 months later after I stopped getting any treatment. My SI pain is back, presumably from sitting a lot and my glutes being switched and off shrivelled away. Lots of instability . Will give this a go! Cheers
I am so thankful I came across your video, because you shed a new light on the anatomy around the SI that none of the doctors or specialists I had seen in the past had ever shared with me. So thank you for explaining the SI in such a simple way that made so much sense about the SI joint and how its meant to remain stabilized/kept in place the way you did. Again, thank you so much. I am gunna get started on foing that exercise you recommended to do to strengthen and balance out the SI. You gave me hope now of getting some long awaited relief for me that I hadn't had since 2008. Thank you again... ❤❤🥰😃😃
I feel so grateful to have found this channel! While my SI joint pain is only within the last 10 months it has become chronic and so severe to the point I started taking pain medicine, and I have an extremely high tolerance to pain. I also recently had an adjustment by a chiropractor and was confused why my back hurt so much worse after, feeling like that area was swimming around, now I understand! Thank you for your knowledge and expertise, I tried my first Bridge exercise this evening and it gave me some relief, I am elated. I never would have thought that starting a new healthy habit by walking my dog 5-6 miles a day (in flat sandals that provided no support :/) could have caused so much damage to my body, but I am 90% sure that is the cause since the popping in my SI joint area began about a month into starting my new walking routine. I look forward to learning more and beginning the healing process, thank you! ❤
What a relief to hear this explanation that confirms my experiences on that matter thank you so much sir ❤ I will keep training my glutes by doing the bridge with the help of my Flex Doctor machine and nobody will manipulate me anymore, never. Thank you
This is the best video I have ever seen . My SIJ comes and goes.I have'd the pain for 4 to 5 years, and I just learned how to deal with it . Thank you so much for all the good information❤
I am a PT also. Love the video! In my clinical experience, I have found that SI joint manipulations are OK to do when pain around the SIJ has become extremely localized and fairly low, as manipulations are a great way to reduce pain. Having said that, they should not be the first line of defense, especially in the midst of an SI joint flare up, as it can make the pain and instability worse. Glute and core strengthening are the long term, with a heavy influence on exercises that focus on glute strengthening and pelvic/core stability. Awesome video!
Oh thank you sooooo much for this! My doctor didn't even explain any of this and although a chiro I saw knew exactly what the problem was, gave me manipulation, which in turn made me worse. I shall include flute bridges several times a day in my routine, thank you! You may actually have saved my life, I've been so miserable with this pain. ❤
I’ve just signed up for your program, and watching all your TH-cam videos plus the program really help with visualizations in order to do the exercises better. Thank you
Best video I have ever seen on SI Joint dysfunction, I fell in 08 six to 8 feet slammed down on my R hip and I wore a SI joint belt for 4 years and a cane. I finally went to a chiropractor who did that twist you showed . The snap we both heard was loud. I felt blood flowing into my lower back. I walked out without a belt and cane for the first time in 4 years. I have had over the years PT and blocks and I now just injured it again. This was a real great video explaining all the muscles and ligaments. ❤
I can't express my gratitude enough. I had to go through lumbar and bilateral decompression 6 weeks ago, and been healing extremely well...BUT I think my right SI joint is now reacting to the changed situation, AND I might have had a mild injury to the ligaments (maybe..?) when getting up from a bed that was too low at the time. I have already noticed that certain kind of stabilising exercise is good (laying on my back for longer periods is not good). I have an excellent surgeon taking care of me, but with this advice I have even more certainty I am on the right path. Makes so much sense (as do many other videos in this channel). Thank you so much.I wish they would teach this more in med school also (I am a physician).
My favorite thing abt your background is that u surf and as a skater who messed up his si joint it gives me so much hope that I can get back on Bord like u did. Glute bridges and clam shells till then lmao
Hey there! It's awesome to hear that you find inspiration in Dr. Ryan's background as a surfer, especially given your passion for skating. You've got this! Keep up with those glute bridges. We're rooting for your journey back on the board!
@@CoreBalance Hi there. Thanks for the great video. Do you have any additional info on how often to do glute bridges, is there an optimal amount of times per week? Thanks
Today as a Therapy Yoga Consultant, I am able to get many imbalances corrected by doing gentle exercises without manipulating. Releasing hip structure by gentle splitting exercises gives good results. There are today many yoga coaches teaching splitting exercises and muscle balancing exercises. You are right in understanding
I spent 32 yrs as a Physician Assistant in Orthopedic Surgery and saw many with SI pain. Dr. Ryan's approach to this disorder is spot on and therefore has great potential for those who suffer. I am presently experiencing SI pain, and have in the past, and his analysis and exercises will no doubt be helpful to me @ 68 yo and wanting to get back on the links, and in my garden.
Hi Dale, thank you so much for your kind words and for sharing your experience! We're really glad to hear that Dr. Ryan's approach resonates with you. Wishing you all the best in your recovery! 😊
I have severe scoliosis and my left hip is higher than the right. Everything is off kilter to say the least. I’ve had multiple injections everywhere on the left and it’s not helping. I was doing the bridges as part of a plan put together by my Physical Therapist but I hurt myself and it set me back. This video really cleared up a lot for me! Thank you! I’ll start back slowly doing bridges knowing it will take time.
The greatest relief to my lower back pain I get from walking and hiking. I also do core strength exercises at the gym - hanging leg raises and back raises. In the past year my hiking ability has been hindered by leg problems, and now my SI pain has returned.
Hi Alien, thank you for sharing your situation! I'm sorry to hear that your hiking has been hindered by leg problems. It's possible that your hiking ability has been affected by leg problems, which could be contributing to the return of your SI pain. When you have issues with your legs, such as muscle imbalances, muscle weakness, or injuries, it can sometimes alter your gait patterns and the way you distribute weight while hiking. This altered movement pattern can put extra strain on your SI joints, which may lead to SI joint pain. Additionally, if you've been compensating for your leg problems by overusing certain muscles or favoring one side, it can further exacerbate SI joint issues. The program can help by strengthening and creating stability around the SI joint, as well as identifying abnormalities in your gait while promoting proper muscle balance and coordination. If you're interested, we offer a free 7-day trial which you can learn more about here: www.corebalancetraining.com/program. We'd love to help you get back to hiking pain-free!
@@CoreBalance Thanks for the comment. My hiking disability is caused by PAD - peripheral arterial disease. I recently discovered I have blocked circulation, which manifests as sudden intense fatigue in calves and arches. It was progressive for several years, but I really noticed it until about a year ago. My Dr. says it was caused by too much starchy carbs, as I don't fit the typical profile. Change of diet, and exercise appears to be helping - and lots of walking. Hopefully I can return to some lite hiking this spring and summer - and redevelop some lost muscle mass. Incidentally, I have noticed that I suffer intermittent fatigue in my hips when walking, which is probably caused by the tendency to compensate for the lack of support in my calf and arch muscles. The fatigue causes an imbalance in my step, which apparently translates to my hips. The hip fatigue subsides when I force my calves and arches to take the stress properly.
I’m dealing with SI joint pain. It really really hurts. In any case I’ve noticed that if someone isn’t trying to sell me something, or a service I tend to agree and listen. I’m going to try these exercises. I have purchased an SI belt and it helps. Ty very much for posting this video because I was considering going to a chiropractor but I will try this and do the work instead and know there are no quick fixes just incremental changes
Best explanation I've watched, read or advice that I've had from any doc or pt therapist in over a year. I have hope. I've know I've had si joint dysfunction, but didn't know how ro heal it. Thank you
Wonderful explanation. I am having a worst pain after many years suffering this problem. Manipulación bad for me. One of the doctors was very upset because l did not want that therapy. I was having a shot every year or less for the last 5 years . I sprained my ankle last year and now a shot does not last long. I will try these exercises . Thanks so much.
this is so good! I'm a profesional dancer and have been having trouble with my SI joint since months ago, this is super helpful and know where I have to work to get it better
Can somebody show this to the NHS in England? I was in a car crash five years ago and the drs and physios only spoke about the crushed vertebra and nobody mentioned the SI joint when I repeatedly complained about instability and pain across my hips when walking or exercising. I pointed to exactly the areas of the muscles and ligaments shown in this video and they all said there was nothing in those areas to create an issue! I am so pleased now to have found out what was causing me the mobility issues they implied I was making up. Thank you so much.
Wow! 🤯 This just makes so much sense 🤓 I was never able to do bridges at all until I strengthened my core, which included the gluteus maximus 🍑 I am now able to hold a bridge for at least 2 minutes, and am instructing a dance fitness class 💃🏻 Be kinder to your vessel people, we only get one.... Thank you so much for this information 🙏🏼
Hi Dr. Ryan. I have focused on fitness my whole life but lost my motivation during covid. In November, I got back on track with a personal trainer which was great. I believe deeply in Chiropractic and use it as part of my annual self-care. However, I had some SI joint pain and did what I'm hearing you say NOT to do. I got it adjusted 3 weeks ago. The next day was brutal. I've been working on education and strengthening for 3 weeks now but wanted to get your feedback on the best program of yours to start with to go full core support. I'm so grateful for your content and dedication to low back health 🙏
Thank you for taking the time to put this information out there were a lot of suffering people can take advantage of it and star having quality of life.
You are absolutely right about adjustments! Due to Core Balance (and Pain-Free You on TH-cam, who goes into Dr Sarno's work) I have been going Chiropractic free. However, I felt I needed a touch up and went for an adjustment. I should have only gotten the parts adjusted that needed it as my SI joint has been swollen and sore ever since. Back to square one!
Thank you, I wish more people would share this knowledge. I worked in a chiropractic clinic for many years as a massage therapist and would have the clients come crawling to me in agony after having their soli joint adjusted, and I’d have to fix the damage chiropractic adjustments caused. Suggesting to clients stability and glute activation via bridges and static abduction. ❤❤❤❤ thank you for this video
Thank you so much for this video, the problematic with the joints is so well explained, I did not hear this before. Since my accident, nobody told me where is the origin of my pain and low mobility, bad posture. Now since a few weeks, I do myself some exercises. I did not get any explanation from the physiotherapist before but the pain is exactly there in the joints, which are now after a few years very stiff and painful, leading to an overall bad body posture😅. I still hope to improve.
Thank you, Brooks Koepka (jk -but seriously). Been dealing with a nagging SI issue within my right side that has that sensation of needing to POP when i lean/bend of anything of that sort.
Good video. My low back has hurt on and off for years on one side and pulls through my groin. When I do this bridge exercise it helps it every time, Thank you.
I took a bad fall on my butt 6 weeks ago, and now have si joint issues on my right side. Chiropractic adjustment has been little help. I tried the “Bridge “ exercise yesterday. It is working like a charm!! 😊 I know it will take time to stabilize my S.I. joint, but I’m looking forward to doing this exercise to gain full recovery!
Thanks a lot ! You descibe my problem 100%. Doctors have been treating me wrong for a long, long time. Overextending my ligaments is what happened recently due to a stupid sittingposition on my meditationpillow while shaving my dogs fur off. I have had SI Joints problems on and off for years and there always was a feeling like my lower abdomen can not stabelise my lower back. Now I know what I will do after giving my body the rest it needs to heal again. A little Tai Chi and easy Qi Gong movements to keep the rest of my body mobile and then I will start working at the bridge exercise❤
You have been adjusted by an individual who did not know how to properly stabilize you pelvis. Not all Chiros do the same. Try to find a Chiropractor with a good working knowledge & experience in the Sacro-Occipital Technique, “SOT.”
And Re: getting an adjustment for this condition by a Chiropractor. Seriously look into and research the technique Sacro-Occipital Technique, “SOT.” It’s a more complicated technique, but uniquely address the issue.
@@dr.stephenflorezdc6358 actually he also severely irritated or even damaged my spinal nerve roots. I have had several spinal surgeries, which he knew well. He caused weakness in my calf and a lot of pain in my S1 nerve as well. No one who has had spinal surgery or who has any disc or nerve problems should go within a mile of a chiropractor.
@@dr.stephenflorezdc6358 My problems got worse after adjustment too. I think this video is correct and in most cases they need to be stabilized rather than adjusted. I got temporary relief with mild tingling, but then started getting lots of tingling, especially after trying to stretch the area.
This makes PERFECT sense! Long story short, I am having lots of SI joint issues which translates to lots of problems upward in my back IF and when the SI joint gets triggered somehow. Going for a long hike, no problem, sitting down on a bench for a few minutes to rest, probably hitting a specific point turns into a big problem. My chiropractor, whom I don't see anymore as manipulation of joints don't seem to do anything for me, gave me the advice to strengthen my "bad" side (my word for it). Sadly I didnt listen... However, I have noticed over and over that if I get up from sitting and put a majority of the weight and muscular effort on the right leg (right side SI joint problem) standing up is no problem. I am guessing in doing so I am activating my glute max? I am 100% going to start some specific strengthening/activating activities of the muscles in question! Thanks a lot for this very informative and useful video! .. I have scoliosis, by the way, and it has unjustly been given the blame for all my back problems over the years ;-)
A great video and I appreciate the honesty that there's no quick fix but with the positivity that there is a solution. Others I've watched promise instant results with exercises that seem to exacerbate the condition. This all makes sense though. Thank you.
I realise you posted this 4 months ago so you probably won't reply, but I'm glad I stumbled across your content. My lower back pain flared up again recently and I haven't been able to afford to go to my osteo so have just been ignoring it. I always describe it as my lower back feeling "jammed up" on one side, just at the top of my buttocks. Getting an adjustment does bring pain relief but I've never been able to stop it from coming back, even though I am very active. I get the popping usually from lowering in a leg lift. So I've been dealing with "ignoring" this pain and last weekend I went for a 23km hike, with the last 5km all uphill. After that my hip flexor on that side was incredibly sore and I was limping, but no trauma occurred so I thought that was odd. The pain is in very distinct places and I've been googling hip flexor injuries, sciatica, piriformis syndrome, etc. I have significant hip flexor pain and weakness on standing still and walking, so mostly hip extension not flexion, so that seemed to rule out a lot of the hip flexor pathologies. I found a site that described sacroiliitis and where the pain sits and had a bit of an aha moment. Am about to binge this content 😅
Yes I would agree with this. No touching. I had mine massaged and gently moved back and forth by a pelvic health physio and it has woken up all my nerve pain, bone grinding pain and increased loss of sensation in my lumbar with off/on loss of bladder control. Not sure how a pelvic floor specialists didn't know this. They were told I was hypermobile as well.
I can understand why mobilizing the SI would hurt, but when I go to the chiropractor as a person with hypermobility., that does actually relieve pain if I rest after, rather than move around and lift weight (aka not gardening). I just did a series of SI joint mobilization and strengthening exercises from another PT, it popped back into place with the mobilizations and exercises. If the keystone is in the wrong place, it reduces mobility ROM, which is what happens when mine moves out of place. It also causes pain that when it stays irritated out of place moves through my buttocks and hip. I agree with everything you said for the long term, but as someone with hypermobility, mobilization is a relief for me. Now that I’m back in place I can now do more strengthening to heal. My reasoning for thinking my SI is back in place - pain relief - increased range of motion No pain on si joint with provocative tests that were all positive for pain previous to the adjustment. Such as Thigh flexion thrust, or crossed foot over leg pushing knee down.
I had Sacroilitis since 2019 after giving birth. It took a year to get the right diagnosis and then a journey of healing and sickness and healing and sickness which affected me mentally and emotionally. Now I am on a flare up for the past two months and I think it happens over time of doing wrong movements. I just want to add that beside the exercises, I think the focus on anti inflammatory food speeds up the recovery.
Same!! Second flare up, and came up worse , 4 months and different meds, shots, pt and It seems it doesn't go away with anything!! So bad that I began having anxiety and panic attacks ramdomly, probably bc stress ....I heard some ppl responded well to the shots! Have u tried? For me at this point I feel like ready to si fusion and get over with this nightmare
Thank you for this vid. Coming off a double fusion L4-S1 I started to have serious issues a couple years ago, SI going out while standing, squatting, chopping wood, not fun. Along with the Bridge I started to walk backwards. SI has gone out once since starting these exercises. Thanks again for helping me understand that area
I love this explanation! I have SI joint dysfunction with piriformis syndrome and I am pretty sure that a chiropractor is the reason that it got so bad.
Thank you so much, Marina! We're so happy to hear that you found the video informative. We appreciate your support and recommendation of our other SI Joint video! 😊
20 some friggin years of adjustments after a car accident and disc herniations, loss of strength and balance and falls and repeated, increasing deepening agony from simply bending over, turning sideways, lifting a bag from the floor, sleeping. Then, the popping, finding a stretch that made it stopped for even a few minutes. Staring at anatomy books. Watching TH-cam videos. ANYTHING to understand why I can barely climb a stair the moment my pelvis gets tilted, or get out of a chair, or walk the dog. Constant sciatica one day, gone the next, back again, crazy. And, ever increasing stabbing pain in my sacrum relieved by the bridge IF, IF, big IF I did it just perfect. Now finally I understand. Now I can find a path forward and understand to be careful, mindful, and heal instead of always having to be hyper-careful to simply move out of worry that I would make my pelvis all cascade in pain. A loose ligament. Of course! Now I remember when I injured it after the accident compensating for the herniation. Bless you CBT kind person. Bless you. I will find and watch the video on how to really do the bridge. And, begin the muscle balancing.
I hope u find answers ❤😊
Get PRP injections for your SI joint ligaments, I did it and I'm way way better now. I had 12 years of your pain you described.
Same @@laceyarens1818
Chiropractors are dangerous quacks and have no real medical training of any kind.
40 years of Si pain, I solved it by strengthening the small glutes, Medias and Minimus with the simple side scissor. If the small glutes are not firing the pelvis will not stay in a normal position. Get the small glutes to fire and the large glute will also fire.
Can you suggest small glute moves. Specify? I might need these.
R u saying lay on your side and lift the leg up and lower it back down?
A dog healed my tailbone ..
Not joking.😊
@@supertrucker99do tell - you can’t just leave that comment without any explanation! 😊
@@tereyes5633would also be interested if you have a minute to explain. Ty
As a doctor of 20+ yrs this is the best explanation I’ve seen on the SI joint. 👏
I appreciate you too. I had SI pain that was getting worse until I discovered your channel. The first video for me was when you pointed at the top of your hip and said if you have pain right here, it is likely that your SI joint is causing the pain. That was the exact spot I had pain. I was sitting wrong, standing wrong and favouring my right side over my left. I was advised by others to do stretches, which one of your videos said to stop immediately. I stopped them, corrected my imbalanced posture, and faithfully followed your advice for the bridges. My pain is gone in less than 3 months and I continue with the daily bridges etc... This most video recent was an excellent presentation. Thank you for the time you spend making them.
Hi Michael, thank you so much for sharing your journey with us. Your words mean a lot, and knowing that our channel has helped you find relief from your SI joint pain fills us with gratitude. It's stories like yours that inspire Dr. Ryan to continue going. We're absolutely thrilled to hear about your progress. Your success has been a direct reflection of your diligence and commitment to healing. Keep up the great work! 😊
Hello would you mind sharing what your daily workout routine is?
which video was the pointing out pain at top of hip
@@RobFrancis-s3q th-cam.com/video/VvfwP-XPakk/w-d-xo.html
@@RobFrancis-s3q Sacroiliac (SI) Joint Pain Relief Exercises | Stretches To Avoid th-cam.com/video/VvfwP-XPakk/w-d-xo.html
I’ve dealt with si joint pain for 13 years (not knowing what was wrong until a couple weeks ago, before that I’d never heard of si joint pain) and I was to the point I couldn’t walk cause it felt like my hips were broken. I couldn’t lay down to sleep without it shooting up and down my hips, legs and back. I bought a si joint belt from serola and my wife helped me put it on and I stood up and all the pain was gone. The muscles on each side of my spine in my lumbar area stopped hurting and wasn’t tight anymore. The pain was gone just like that after 13 years of dealing with it. Over the last 13 years I’d had 9 mri’s, several X-rays, spine shots, pain meds, tons of physical therapy and chiro visits and 3 consults with neuro surgeons and none of them mention my si joints. I found out about si joints by watching videos online and took a chance and ordered a si joint belt.
Could not agree more👍 Trying a high quality pelvic belt will tell you almost immediately if you have an instability problem. Is the pain coming from the joints themselves or did lumbar nerve impingement start the fight between the 2 regions is the challenging part if you have both. It’s a process of elimination and a belt is a very cost effective measuring stick.
@@matth2340 before I got the serola belt, I used a old ace adjustable lumbar brace but I wore it along my hip bone down across my butt to almost my tail bone it did better than the serola belt in my opinion. The serola belt is only about 3” wide but the ace lumbar is 5” wide and the adjustable straps goes more around the front to where the adjustment straps on the serola only goes to the sides. The ace belt gives me more relief than the serola belt
@@matth2340 well I find that a ace lumbar belt does better around my hips than the serola belt. The ace belt is 7” in width which holds my hips together a lot better than the serola which I think is 3”. The ace belt has adjustment straps that come all the way to the front of the pelvis and the serola straps only go to the sides of the hips so the serola doesn’t seem to provide near enough support. I feel a lot less pain when I wear the ace around my hips
Strengthening core muscles, which includes pelvic floor exercises helps so much with SI joint pain. Be sure to tuck the lower back when performing exercises
If you don't strengthen every muscle involved, you'll have to use those belts forever and they will further deteriorate and get weaker and weaker!
Why encourage dependency? Please try to strengthen and get better!
One of best talk and educational videos I have heard on this subject. Thank you so much
I have been having this pain on and off since I was pregnant with my second son, during the latter stages of that pregnancy I could barely walk without pain. It has come and gone for 21 yrs and recently, due to a very pully labrador and a few falls on ice etc, it has got really bad. ThenI wentto an NHS physio. BAD MOVE. He tried to do a manipulation which not only hurt the SI joint in question (RS) but also very mch aggravated the bulging disc(s) on the other side causing 10 times as much pain. I saw an osteopath at huge expense who didn't really do anything but cause more pain and prod my back a bit, and no suggestions for exercise. I'm now trying to do my own research and collate the exercises that are recommended the most.
This is the first video to really explain this process and actually get into the nuts and bolts of the problem. I believe that the joint IS meant to move but only in women and for the purposes of a tiny amount of flexibility through childbirth and doesn't always go back together properly or remains aggravated. (Hence why it seems to occur most frequently amongst older women, according to my research so far).
Anyway, thanks for this great information, I feel like I'm FINALLY getting somewhere and there is a slight hope that this pain isn't going to be the main feature of the remaining 20 - 30 years of my life.
Sorry you're dealing with the SI joint pain, I noticed unusual joint movements on my right side during pregnancy 19 years ago, there wasn't any pain until years later when I had a 2 hour commute, pelvic and core muscle were really weak. Now strength training was my answer to everything, not stretching, not medication, I believe in holistic approach. Bulgarian split squats and intuitively I put my feet up on the wall while supine pull my pelvic up hold it 20 seconds relax repeat, more challenging with one leg, keep the other leg up but not on the wall.
After endless visits to doctors, chiropractors, and physical therapists this is the most helpful education I’ve received in a way that truly helps me understand my issue with my SI joint.
Agreed. 10 years of pain. Started doing the bridge as he teaches, daily, 3-5 minutes. SI joint pain gone. Still stiff after sleeping or sitting. But stiff is NOT pain.
I have anterior spondy since 23 years, ddd on l4 l5, athrosis on l4 l5, neck and right knee. I am 49 female, my hip and back and all my muscles are too weak. I put on weight due to perimenopause.
I have umbilical hernia since 14 years. I hardly get time to exercise. I am unable to sit on a chair nor stand for long hours. I started doing few exercise but I need guidance. I am following this channel but I hardly came across updates.
I want to live without pain.
I have chronic migraines and sinus headaches that took me off all my life. I want to heal. I dpnt know what to do. What helps me, can someone guide me.
Best video on TH-cam! I had YEARS of SI JOINT pain, and chiropractic bills, just to walk. Then I started to STRENGTHEN my glutes...and no more pain. Unbelievable.
May I ask what exercises you did? I’m going on ten years of SI joint pain/dysfunction.m, just got adjusted after a flare-up and I almost couldn’t walk for days.
Same here. 10 years of pain 95% relieved after 1 month of 5-minute daily bridge exercise. Very, very grateful.
Oh wow I will start doing exercises
I went through so much pain 😮
@@leemack7399 The Bridge, done as he instructs on another video, worked wonderfully for me. Done daily, 3-5 minutes = SI joint pain gone.
@@larahbusman6528 I have pain in my butt when sitting. Is this a SI problem?
I am a doctor and this is excellent content. Well done.
I'm not a doctor and this is excellent content.
@@lokanoda 😂 True THAT!
100% Excellent info.
This is the best explanation I have seen on the anatomy of the SIJ and one I wish I saw 20 years ago before hundreds of chiropractic manipulations and most recently bilateral SIJ and also lumbar fusions. Lumbar nerve impingement definitely created uneven torque in the beginning. Getting onto these instability issues early in life is the key. Great video and graphics are exceptional.
My ache in the SI joint come and goes. This is a very well explained video. My flare up is when the muscles in the lower back 'give up' or fatigue and go into a spasm. So i cant hold the weight of my upper body. Cant turn in bed. Sit to standing move almost impossible. Stabilisation is my way out of this traumatic situation. Its learning what not to do . This is key for me.
the turning in bed is so relatable - excruciating pain just trying to rotate body!
Sitting to standing feels like a rope tightening my groin and lateral thigh pain is so bad I cannot bear weight on the leg. Then I feel a “pop” and the pain is relieved. Hoping and SI joint injection will confirm my diagnosis soon and give me pain relief. Hoping you feel better.
Hi, I’m a PT as well, have been dealing with chronic SI instability off and on for about 10 years and it’s gotten more frequent recently. I’m doing everything we learned in school and you’re right - it’s a LONG process. It helped just hearing that from a fellow PT today so thank you for that!
man i m my self a Dr and i m suffering a lot of this SacroIliaque Joint Pain for years after a lot of reseraches you are the only one who really helped me understanding why my stretrching wasnt helping at all seems like i was just doing more harm than good , all i had to do is strengthening the only muscle that stablize it and let it rest to heal , THANK YOU SIR
Great video. Excellent job of communicating the problem and remedy. October 10 I suddenly had acute, severe, debilitating right-sided pain. I'm 68 and have always been hypermobile but never experienced this problem before. No medical treatment alleviated the pain. I watched "700" TH-cam videos and diagnosed myself, bought an SI belt and a giant ice pack. Those two things and time got me functional. I am still aware of it, but just low-grade pain. Going to get busy bridging daily. Thank you so much. Your video is the BEST! Subscribed!
If you happen to think of it, share an update on how the strengthening affects your healing. I have Ehlers-Danlos syndrome and my hypermobility has had an outsized impact on my ability to run (I've been a competitive runner for quite a while and understand I may need to alter my ambitions in life, but I'm only 35...), and a couple weeks ago I sprained my SI joint simply by pushing through a run I should apparently not have begun. I'm doing everything I can to try to heal this while I re-evaluate what I'm able to do in the long term. Tried to hike a very short distance with my 6-year-old son this past weekend and it was so painful; I have priorities to stabilize, not just my SI joint!
@@walt4670hi there i think i have this problem too have you found a way yet out of it.
So glad I came across this video. I have had manipulations, and my pain and frequency of having flare ups have increased!
This was SO helpful and encouraging. The doctor/chiropractor I've been seeing figured out that my pain is caused by my SI joint, but he doesn't seem to know how to properly treat it and the pain continues to get worse. It is now so intense that I've had to take time off of work. This video is the first encounter that helped me to feel hopeful that this pain can be healed! And that the treatment is less complicated than I expected. Thank you so much for this video!
This is the BEST SI explanation I've ever heard! I have Psoriatic Arthritis which has ravaged soft tissues in the SI and hip area. Ligaments were stretched and their attachment points broke down and nerve sheaths shredded by my autoimmune system. This is what a pain doctor told me. HOWEVER, THIS VIDEO GAVE ME A VISUAL OF INSIDE THE SI AREA AND INFORMATION IN LAYMAN'S TERMS WHICH HELPED ME picture what I'm really dealing with. NOW I UNDERSTAND! NOW I CAN MOVE FORWARD AND WORK TOWARD HEALING THE ENTIRE AREA. Thank you for this outstanding video! May God bless you.
Psoriasis loves the SI joints.
Thanks for sharing. I am about a year in of doing the right things and avoiding a lot of the wrong things. The time line is great to hear.
Thank you so very much. I have struggled with SI joint pain for over a year now and everything I tried has failed...even to the point of impacting my sleep on a nightly basis. Your explanations of the physiology, along with a reaffirmation of the bridge and bridge/belt techniques, are really helpful!
Excellent video of explaining the SI joint. I’ve had issues over 40years after a car accident. This explains it so very well. I’m a visual person and this help me understand.
Everyone is a visual person when it comes to understanding a physical phenomenon.
Wow I have 2 decades of SI joint dysfunction, rounds with PT, some amount of general strength training, acupuncture and of course doctor visits. No one has ever explained in the detail you provide in these videos what is actually happening and what specifically needs to be worked on. Thank you so much. I'm so grateful for this information and I hope you provide!
Fantastic clip/ great animation/ loved the analogy with the arch building block and the sacrum wedge shape!!! So appealing to a structural engineer like myself - and the orientation of fibers in the muscles being perpendicular to the SI joint - much like carbon fiber laminates running perpendicular to cracks in reinforced concrete structures! So appreciated your comment that these joints are not to be manipulated - and that ligament healing takes time and one needs to be patient!!! Absolutely the best clip on SI joint instability and how to heal and render the patient pain free!!! Thank you🌺😌
I fell in September and had severe coccyx pain and SI pain. I now have groin pain and LBP when I stand too long or attempt stairs. This was a wonderful explanation of the SI joint and all it's amazing anatomy. Thank you for this video.
may i tell you this is the best explanatory video ive ever seen on SI joints! Thank you!
I have pain there loong years and im being manipulated by chiropractors. I am on a long holiday now and my pain is going lower. it makes sense
I discovered your video late last night. I have been suffering for weeks. This is new for me. I did your exercise last night and again this morning before getting out ( the moment I woke up, I could feel pain) of bed I did three of these exercises. I actually got out of bed without pain and just walked downstairs without pain and I’m still without pain and that’s just after doing three repetitions. I went to bed last night so miserable and depressed that I didn’t know how I was going to continue living if I had to, suffer through this debilitating pain for the rest of my life. And because of you, everything has been turned around. I am so excited. I am so thrilled. Thank you, thank you thank you.!!!
I’ve gone to the Dr. and urgent care at least 4 times in the past few years trying to describe the pain in my lower back & every time, they X-ray me, find no fractures, and send me home with ibuprofen. No follow up, no investigation. This singular 11 minute video is now my primary care physician, since this video actually gives a damn about me getting better!
Thanks for the great content as always. I suffered the entire last year from left SI joint pain and started working on CBT from last summer. now I have virtually no pain. to this day, I still do the main movements that helped me the most from CBT, starting off with anchor-related movements to loaded squat and hinges. I found that unilateral exercises such as split squat or single leg hinges also help you to focus on stabilizing the weak side of your body when you have side to side imbalance.
The work you are doing really saved my life! Keep up the great work Ryan!
Good to hear.
His bad did your pain get?
Did it ever stop you walking unaided?
Hi Won, thank you so much for sharing your journey with us! We really appreciate your kind words and gratitude. It's wonderful to hear that the program has made such a positive impact on your life and helped with your SI joint pain. Way to incorporate the principles into your ongoing routine! We're honored to have played a part in your health journey, and so grateful to have had you in the program! 🙏
What is CBT? Thanks
@@Rockymtnbloom
I think he means CBPT: Cognitive-behavioral based physical therapy. CBT usually means cognitive based therapy.
Oh my gosh. This is my 2nd video of yours, watching on the SI joint. Only 4 days, I have stopped doing the Chiropractic SI adjustment, all the daily pigeon stretches, the hip flexor stretches and amazingly am getting relief! I am starting these stretches and seeing relief from pain. I am so hopeful. Just a week ago after increasing my stretches with the pain worsening, I thought I would be searching for SI specialist to fuse my loose right side joint. Now, 4 days later with NO pain, I am see a different path.
Your advice is different and just what this 67 year old body, whom carried 4 children, 6+ grandchildren on her right hip needed!
I've just signed up for the workshop. Day 1 with breathing info. Excited, worked in my garden with no pain. Did have to start with minor SI joint adjustment, which did the trick. I've been practicing the core breathing and straight sitting. So happy things turning around!
@@vickimachovsky3480how’s the program going now for you?
Great info thanks. I had to give up my career as an aerobic instructor due to lower back pain back in the 1990’s. I loved yoga and Pilates though, and became an instructor in both but I realised recently that whilst the pilates was strengthening my core and stabilising my lower back the yoga is undoing all my good work. The postures in the standing flows are horrendous for sacroiliac stability! All of the warriors and the lunges just destabilise it more and more. One of the biggest tips is to reduce lower back hyper lordosis. As we teach in Pilates, tuck your butt under whilst lifting your pelvic floor, plus gentle engagement of the glutes. I’m also a masseur and I recommend you get a massage to release the tension in your piriformis and around your iliac crest too, that helps.
Thank you so much for this video. I used to do 20minutes on the rebounder, and use 3 or 4kg arm weights, plank and sit ups every morning. I thought I had great core strength....I picked up my Grandson 8 weeks ago and I have been almost immobile since then. My back was in total spasm for 4 days. The hospital gave me morphine but sent me home with no diagnosis. The sacroiliac joint wasn't even mentioned. This was detected at the chiropractor two weeks later. The daily pain and not being able to exercise has really got me down. I'm so glad I've found your channel.
One of the most informative, conclusive videos I’ve seen about SI joint pain and SI structure, with explanation on how it all functions. Having suffered with SI discomfort for such a long time now, it’s only now I feel I understand. Thank you so much.
I have watched many, many videos on “Si Joints” as I fell back in Jan 2023, and have been in constant pain. No one has gone into such details explaining the Si Joint and the functionality as you have, not even the Physical therapist.
Thank you so much for the great content, 👍🏻👍🏻
Clear and transparent information! Very well put together. I am a Neuromuscular Therapist and thoroughly enjoyed this video. I will look forward to viewing more.
I think I have SI joint pain. I’m recovering from a 6 week stretch of very painful sciatica, and now my lower back feels as if it’s fused together. Thank you for this explanation
Your explanation of how the muscles work was perfect for a lay person to understand. I tore SI ligaments at work in the 80’s and was off work for a full year with physio. As I’ve aged I really notice issues with that area in my back (not to mention arthritis).
Thanks for a great video
You are the only one rhat makes complete srnse to me, in regards to the need of stabilizing and not manipulating the SI Joint. When you explained that an SI Joint's purpose or function, is the same in comparison to what architects use as a keystone, which is what is needed to build archs. For that detailed explanation and comparison to a structure is exactly what i needed to fully understand. People like you make a person like myself not want to just accept ongoing pain, but instead fix without a quick fix or temporary manipulation tactic that causes more harm than anything in the long run. AMAZING, AMAZING, AMAZING!!!
Had an L4/L5 disc injury and subsequently a lot of SI joint paid as well. Went to so many Chiros chasing the silver bullet. I only got worse and worse after each adjustment and it only healed 6 months later after I stopped getting any treatment.
My SI pain is back, presumably from sitting a lot and my glutes being switched and off shrivelled away. Lots of instability .
Will give this a go! Cheers
you brought up an important point here-don't mobilize that which needs to be stabilized.
I am so thankful I came across your video, because you shed a new light on the anatomy around the SI that none of the doctors or specialists I had seen in the past had ever shared with me.
So thank you for explaining the SI in such a simple way that made so much sense about the SI joint and how its meant to remain stabilized/kept in place the way you did.
Again, thank you so much. I am gunna get started on foing that exercise you recommended to do to strengthen and balance out the SI.
You gave me hope now of getting some long awaited relief for me that I hadn't had since 2008.
Thank you again... ❤❤🥰😃😃
I feel so grateful to have found this channel! While my SI joint pain is only within the last 10 months it has become chronic and so severe to the point I started taking pain medicine, and I have an extremely high tolerance to pain. I also recently had an adjustment by a chiropractor and was confused why my back hurt so much worse after, feeling like that area was swimming around, now I understand! Thank you for your knowledge and expertise, I tried my first Bridge exercise this evening and it gave me some relief, I am elated. I never would have thought that starting a new healthy habit by walking my dog 5-6 miles a day (in flat sandals that provided no support :/) could have caused so much damage to my body, but I am 90% sure that is the cause since the popping in my SI joint area began about a month into starting my new walking routine. I look forward to learning more and beginning the healing process, thank you! ❤
What a relief to hear this explanation that confirms my experiences on that matter thank you so much sir ❤ I will keep training my glutes by doing the bridge with the help of my Flex Doctor machine and nobody will manipulate me anymore, never. Thank you
This is the best video I have ever seen . My SIJ comes and goes.I have'd the pain for 4 to 5 years, and I just learned how to deal with it . Thank you so much for all the good information❤
I am a PT also. Love the video! In my clinical experience, I have found that SI joint manipulations are OK to do when pain around the SIJ has become extremely localized and fairly low, as manipulations are a great way to reduce pain. Having said that, they should not be the first line of defense, especially in the midst of an SI joint flare up, as it can make the pain and instability worse. Glute and core strengthening are the long term, with a heavy influence on exercises that focus on glute strengthening and pelvic/core stability. Awesome video!
Oh thank you sooooo much for this! My doctor didn't even explain any of this and although a chiro I saw knew exactly what the problem was, gave me manipulation, which in turn made me worse. I shall include flute bridges several times a day in my routine, thank you! You may actually have saved my life, I've been so miserable with this pain. ❤
I’ve just signed up for your program, and watching all your TH-cam videos plus the program really help with visualizations in order to do the exercises better. Thank you
Best video I have ever seen on SI Joint dysfunction, I fell in 08 six to 8 feet slammed down on my R hip and I wore a SI joint belt for 4 years and a cane. I finally went to a chiropractor who did that twist you showed . The snap we both heard was loud. I felt blood flowing into my lower back. I walked out without a belt and cane for the first time in 4 years. I have had over the years PT and blocks and I now just injured it again. This was a real great video explaining all the muscles and ligaments. ❤
I can't express my gratitude enough. I had to go through lumbar and bilateral decompression 6 weeks ago, and been healing extremely well...BUT I think my right SI joint is now reacting to the changed situation, AND I might have had a mild injury to the ligaments (maybe..?) when getting up from a bed that was too low at the time. I have already noticed that certain kind of stabilising exercise is good (laying on my back for longer periods is not good).
I have an excellent surgeon taking care of me, but with this advice I have even more certainty I am on the right path. Makes so much sense (as do many other videos in this channel). Thank you so much.I wish they would teach this more in med school also (I am a physician).
My favorite thing abt your background is that u surf and as a skater who messed up his si joint it gives me so much hope that I can get back on Bord like u did. Glute bridges and clam shells till then lmao
Hey there! It's awesome to hear that you find inspiration in Dr. Ryan's background as a surfer, especially given your passion for skating. You've got this! Keep up with those glute bridges. We're rooting for your journey back on the board!
@@CoreBalance Hi there. Thanks for the great video. Do you have any additional info on how often to do glute bridges, is there an optimal amount of times per week? Thanks
As always, you explain things in a very good and understandable way
Today as a Therapy Yoga Consultant, I am able to get many imbalances corrected by doing gentle exercises without manipulating. Releasing hip structure by gentle splitting exercises gives good results. There are today many yoga coaches teaching splitting exercises and muscle balancing exercises. You are right in understanding
I spent 32 yrs as a Physician Assistant in Orthopedic Surgery and saw many with SI pain. Dr. Ryan's approach to this disorder is spot on and therefore has great potential for those who suffer. I am presently experiencing SI pain, and have in the past, and his analysis and exercises will no doubt be helpful to me @ 68 yo and wanting to get back on the links, and in my garden.
Hi Dale, thank you so much for your kind words and for sharing your experience! We're really glad to hear that Dr. Ryan's approach resonates with you. Wishing you all the best in your recovery! 😊
I have severe scoliosis and my left hip is higher than the right. Everything is off kilter to say the least. I’ve had multiple injections everywhere on the left and it’s not helping. I was doing the bridges as part of a plan put together by my Physical Therapist but I hurt myself and it set me back. This video really cleared up a lot for me! Thank you! I’ll start back slowly doing bridges knowing it will take time.
I have the same issue with scoliosis which complicates everything.
The greatest relief to my lower back pain I get from walking and hiking. I also do core strength exercises at the gym - hanging leg raises and back raises. In the past year my hiking ability has been hindered by leg problems, and now my SI pain has returned.
Hi Alien, thank you for sharing your situation! I'm sorry to hear that your hiking has been hindered by leg problems. It's possible that your hiking ability has been affected by leg problems, which could be contributing to the return of your SI pain. When you have issues with your legs, such as muscle imbalances, muscle weakness, or injuries, it can sometimes alter your gait patterns and the way you distribute weight while hiking. This altered movement pattern can put extra strain on your SI joints, which may lead to SI joint pain. Additionally, if you've been compensating for your leg problems by overusing certain muscles or favoring one side, it can further exacerbate SI joint issues.
The program can help by strengthening and creating stability around the SI joint, as well as identifying abnormalities in your gait while promoting proper muscle balance and coordination. If you're interested, we offer a free 7-day trial which you can learn more about here: www.corebalancetraining.com/program. We'd love to help you get back to hiking pain-free!
@@CoreBalance Thanks for the comment. My hiking disability is caused by PAD - peripheral arterial disease. I recently discovered I have blocked circulation, which manifests as sudden intense fatigue in calves and arches. It was progressive for several years, but I really noticed it until about a year ago. My Dr. says it was caused by too much starchy carbs, as I don't fit the typical profile. Change of diet, and exercise appears to be helping - and lots of walking. Hopefully I can return to some lite hiking this spring and summer - and redevelop some lost muscle mass.
Incidentally, I have noticed that I suffer intermittent fatigue in my hips when walking, which is probably caused by the tendency to compensate for the lack of support in my calf and arch muscles. The fatigue causes an imbalance in my step, which apparently translates to my hips. The hip fatigue subsides when I force my calves and arches to take the stress properly.
This is one of the best informational videos I have ever seen!!! Thank you!
I’m dealing with SI joint pain. It really really hurts. In any case I’ve noticed that if someone isn’t trying to sell me something, or a service I tend to agree and listen. I’m going to try these exercises. I have purchased an SI belt and it helps. Ty very much for posting this video because I was considering going to a chiropractor but I will try this and do the work instead and know there are no quick fixes just incremental changes
Best explanation I've watched, read or advice that I've had from any doc or pt therapist in over a year. I have hope. I've know I've had si joint dysfunction, but didn't know how ro heal it.
Thank you
Best images and explanation ever! Thank you 🙏
Omg someone finally mentioned the clicking!! Been searching for someone to explain this for so long. This was so so helpful thank you.
Wonderful explanation. I am having a worst pain after many years suffering this problem. Manipulación bad for me. One of the doctors was very upset because l did not want that therapy. I was having a shot every year or less for the last 5 years . I sprained my ankle last year and now a shot does not last long. I will try these exercises . Thanks so much.
this is so good! I'm a profesional dancer and have been having trouble with my SI joint since months ago, this is super helpful and know where I have to work to get it better
Best explanation of SI joint I ever read/heard. So helpful, thank you very much!
Can somebody show this to the NHS in England? I was in a car crash five years ago and the drs and physios only spoke about the crushed vertebra and nobody mentioned the SI joint when I repeatedly complained about instability and pain across my hips when walking or exercising. I pointed to exactly the areas of the muscles and ligaments shown in this video and they all said there was nothing in those areas to create an issue! I am so pleased now to have found out what was causing me the mobility issues they implied I was making up. Thank you so much.
Wow! 🤯 This just makes so much sense 🤓 I was never able to do bridges at all until I strengthened my core, which included the gluteus maximus 🍑 I am now able to hold a bridge for at least 2 minutes, and am instructing a dance fitness class 💃🏻 Be kinder to your vessel people, we only get one.... Thank you so much for this information 🙏🏼
This was amazing. I've been trying to research this pain and this gave me a straight starting point. Thank you!
Hi Dr. Ryan. I have focused on fitness my whole life but lost my motivation during covid. In November, I got back on track with a personal trainer which was great. I believe deeply in Chiropractic and use it as part of my annual self-care. However, I had some SI joint pain and did what I'm hearing you say NOT to do. I got it adjusted 3 weeks ago. The next day was brutal. I've been working on education and strengthening for 3 weeks now but wanted to get your feedback on the best program of yours to start with to go full core support. I'm so grateful for your content and dedication to low back health 🙏
What about arthritis in the SI joints?
Thank you for taking the time to put this information out there were a lot of suffering people can take advantage of it and star having quality of life.
You are absolutely right about adjustments! Due to Core Balance
(and Pain-Free You on TH-cam, who goes into Dr Sarno's work) I have been going Chiropractic free.
However, I felt I needed a touch up and went for an adjustment.
I should have only gotten the parts adjusted that needed it as my SI joint has been swollen and sore ever since.
Back to square one!
Thank you, I wish more people would share this knowledge. I worked in a chiropractic clinic for many years as a massage therapist and would have the clients come crawling to me in agony after having their soli joint adjusted, and I’d have to fix the damage chiropractic adjustments caused. Suggesting to clients stability and glute activation via bridges and static abduction. ❤❤❤❤ thank you for this video
This is a wonderfully helpful video showing the structure of muscles v. ligaments that support the SI joint.
Thank you for a detailed description & visuals, really helpful in my healing process.
Thank you so much for this video, the problematic with the joints is so well explained, I did not hear this before.
Since my accident, nobody told me where is the origin of my pain and low mobility, bad posture. Now since a few weeks, I do myself some exercises. I did not get any explanation from the physiotherapist before but the pain is exactly there in the joints, which are now after a few years very stiff and painful, leading to an overall bad body posture😅. I still hope to improve.
This is the video that I needed. This is explanation and graphics are superb.
So much new info for me.
I’ve already shared this twice.
New follower.
Very sound medical advice. I need to continue to strengthen my glutes as a regular part of my exercise routine. Thank you!
Thank you, Brooks Koepka (jk -but seriously). Been dealing with a nagging SI issue within my right side that has that sensation of needing to POP when i lean/bend of anything of that sort.
Good video. My low back has hurt on and off for years on one side and pulls through my groin. When I do this bridge exercise it helps it every time, Thank you.
THANK YOU VERY MUCH FOR EXPLAINING THIS SO WELL. BRIDGES ARE GREAT TO DO, AND SPRINTING AS WELL.
I took a bad fall on my butt 6 weeks ago, and now have si joint issues on my right side. Chiropractic adjustment has been little help. I tried the “Bridge “ exercise yesterday. It is working like a charm!! 😊 I know it will take time to stabilize my S.I. joint, but I’m looking forward to doing this exercise to gain full recovery!
Very good visuals and explanations - very clear
Thanks a lot ! You descibe my problem 100%. Doctors have been treating me wrong for a long, long time. Overextending my ligaments is what happened recently due to a stupid sittingposition on my meditationpillow while shaving my dogs fur off. I have had SI Joints problems on and off for years and there always was a feeling like my lower abdomen can not stabelise my lower back. Now I know what I will do after giving my body the rest it needs to heal again. A little Tai Chi and easy Qi Gong movements to keep the rest of my body mobile and then I will start working at the bridge exercise❤
A chiropractor completely wrecked my left SI joint when being adjusted for my right SI joint! Listen to the Dr. DONT get an adjustment!!!
You have been adjusted by an individual who did not know how to properly stabilize you pelvis. Not all Chiros do the same. Try to find a Chiropractor with a good working knowledge & experience in the Sacro-Occipital Technique, “SOT.”
And Re: getting an adjustment for this condition by a Chiropractor. Seriously look into and research the technique Sacro-Occipital Technique, “SOT.” It’s a more complicated technique, but uniquely address the issue.
@@dr.stephenflorezdc6358 actually he also severely irritated or even damaged my spinal nerve roots. I have had several spinal surgeries, which he knew well. He caused weakness in my calf and a lot of pain in my S1 nerve as well.
No one who has had spinal surgery or who has any disc or nerve problems should go within a mile of a chiropractor.
@@dr.stephenflorezdc6358 My problems got worse after adjustment too. I think this video is correct and in most cases they need to be stabilized rather than adjusted. I got temporary relief with mild tingling, but then started getting lots of tingling, especially after trying to stretch the area.
Me too 😢
This makes PERFECT sense! Long story short, I am having lots of SI joint issues which translates to lots of problems upward in my back IF and when the SI joint gets triggered somehow. Going for a long hike, no problem, sitting down on a bench for a few minutes to rest, probably hitting a specific point turns into a big problem. My chiropractor, whom I don't see anymore as manipulation of joints don't seem to do anything for me, gave me the advice to strengthen my "bad" side (my word for it). Sadly I didnt listen... However, I have noticed over and over that if I get up from sitting and put a majority of the weight and muscular effort on the right leg (right side SI joint problem) standing up is no problem. I am guessing in doing so I am activating my glute max? I am 100% going to start some specific strengthening/activating activities of the muscles in question! Thanks a lot for this very informative and useful video! .. I have scoliosis, by the way, and it has unjustly been given the blame for all my back problems over the years ;-)
Excellent advice and presented in a clear professional manner. Excellent graphics.
Thanks I've had pain for many yrs. New for me is this info.
Thank you you have really put me in the picture , got problems in this area and a rasping thirst too
This is fantastic content - excellent visuals and superior attention to detail - nicely done
A great video and I appreciate the honesty that there's no quick fix but with the positivity that there is a solution. Others I've watched promise instant results with exercises that seem to exacerbate the condition. This all makes sense though. Thank you.
I realise you posted this 4 months ago so you probably won't reply, but I'm glad I stumbled across your content. My lower back pain flared up again recently and I haven't been able to afford to go to my osteo so have just been ignoring it. I always describe it as my lower back feeling "jammed up" on one side, just at the top of my buttocks. Getting an adjustment does bring pain relief but I've never been able to stop it from coming back, even though I am very active. I get the popping usually from lowering in a leg lift. So I've been dealing with "ignoring" this pain and last weekend I went for a 23km hike, with the last 5km all uphill. After that my hip flexor on that side was incredibly sore and I was limping, but no trauma occurred so I thought that was odd. The pain is in very distinct places and I've been googling hip flexor injuries, sciatica, piriformis syndrome, etc. I have significant hip flexor pain and weakness on standing still and walking, so mostly hip extension not flexion, so that seemed to rule out a lot of the hip flexor pathologies. I found a site that described sacroiliitis and where the pain sits and had a bit of an aha moment. Am about to binge this content 😅
Yes I would agree with this. No touching. I had mine massaged and gently moved back and forth by a pelvic health physio and it has woken up all my nerve pain, bone grinding pain and increased loss of sensation in my lumbar with off/on loss of bladder control. Not sure how a pelvic floor specialists didn't know this. They were told I was hypermobile as well.
Great explanation!
Very motivating too as I now know exactly what to work on. Thank you.
I can understand why mobilizing the SI would hurt, but when I go to the chiropractor as a person with hypermobility., that does actually relieve pain if I rest after, rather than move around and lift weight (aka not gardening). I just did a series of SI joint mobilization and strengthening exercises from another PT, it popped back into place with the mobilizations and exercises. If the keystone is in the wrong place, it reduces mobility ROM, which is what happens when mine moves out of place. It also causes pain that when it stays irritated out of place moves through my buttocks and hip. I agree with everything you said for the long term, but as someone with hypermobility, mobilization is a relief for me. Now that I’m back in place I can now do more strengthening to heal.
My reasoning for thinking my SI is back in place
- pain relief
- increased range of motion
No pain on si joint with provocative tests that were all positive for pain previous to the adjustment. Such as Thigh flexion thrust, or crossed foot over leg pushing knee down.
Thank you You are amazing and the way you explain it takes time . Understood 😊
I had Sacroilitis since 2019 after giving birth. It took a year to get the right diagnosis and then a journey of healing and sickness and healing and sickness which affected me mentally and emotionally. Now I am on a flare up for the past two months and I think it happens over time of doing wrong movements. I just want to add that beside the exercises, I think the focus on anti inflammatory food speeds up the recovery.
Same!! Second flare up, and came up worse , 4 months and different meds, shots, pt and It seems it doesn't go away with anything!! So bad that I began having anxiety and panic attacks ramdomly, probably bc stress ....I heard some ppl responded well to the shots! Have u tried? For me at this point I feel like ready to si fusion and get over with this nightmare
Thank you for this vid. Coming off a double fusion L4-S1 I started to have serious issues a couple years ago, SI going out while standing, squatting, chopping wood, not fun. Along with the Bridge I started to walk backwards. SI has gone out once since starting these exercises. Thanks again for helping me understand that area
I love this explanation! I have SI joint dysfunction with piriformis syndrome and I am pretty sure that a chiropractor is the reason that it got so bad.
Thank you for this great visual of the SI and ligaments & muscles. Helps understand the body & how it works, great video.
I will. I have to stop doing sing dance videos and follow your great advice. Thank you.
Great video! I learned a lot. Your other SI Joint video called “Stop hurting your SI Joint” is a must watch along with this one! 👍
Thank you so much, Marina! We're so happy to hear that you found the video informative. We appreciate your support and recommendation of our other SI Joint video! 😊
You did an amazing job explaining everything in a way that made it easy to follow! Thank you
IT WAS GREAT ! SO HARD TO FIND THE RIGHT VIDEO THESE DAYS! APPRECIATED