I will try to summarize my situation as best possible. Awhile ago, I was seeing a chiropractor quite frequent for a 'locked SI joint' because the adjustments were not holding for more than 24-48 hours. Eventually, I was referred to a spine center physical therapist and where an anterior pelvic tilt was diagnosed. From there we worked out stretching hip flexor, strengthening glutes and transverse abdominus, etc.
Something to take note of was my severely limited right side internal hip rotator range of motion. To this day (I am not in the same city as I was doing PT in and have not started PT here yet) my right side psoas, rectus femoris, IT band are much tighter than my left and a cause of major discomfort and my ROM for internal hip rotation is still very limited. I stretch these muscles and foam roll them multiple times daily, but am not finding very much relief. Does anyone have any suggestions, because I still have the 'locked SI joint' feeling some times and with always having limited internal hip rotation + super tight right side hip muscles.
Post by Glenn Fleisig, Ph.D. on Apr 13, 2009 15:07:25 GMT -6
Although SI joint dysfunction is certainly a possibility, it may not be your primary pathology. I suggest that you undergo a comprehensive spine exam and evaluate simpler things like a LS spine referred pattern, (disc-> nerve irritation->shortening of the muscles innervated by that root), a true limb length discrepancy, and abnormalities of the femoral head/acetabulum on the affected side etc. Other factors- like when did the problem first appear, severity of the pain, etc. - will also be considered in the exam.
I suggest that you see a physician of "physical medicine and rehabilitation." If you post your city here, I may be able to recommend one to you. Or, you can find a "physiatrist" near you on the AAPMR website.
Hi, Dr. Fleisig: I went to a "Physical Medicine and Rehabilitation" doctor and after MANY tests, she said, "I have no idea what's causing your pain". Unfortunately, this has been the history of my 9 1/2 year ordeal. She did not even diagnose the anterior pelvic tilt. I hurt myself jabbing the ground with an iron over and over while attempting to play golf. I did this at full thrust about 80 times. I herniated L2-3 and L4-5 and, after 4 years of using traditional medical techniques that did not help, I found Vax-D that did heal my herniations. At some point during this ordeal, I was standing on my right foot (to wash my left) and my Right SI joint completely slipped--like to plates slipping against one another. It was extremely painful. I believe this is probably when my pelvis shifted out of place. I had prolotherapy about 18 months ago (which helped a lot) and about 50 Chiropractic adjustments within the last 6 months. I am making headway, but my pelvis is still out of alignment which causes the SI joint to stay out of alignment. It has also pulled on the stomach muscle attachments, the inquinal ligament attachment, the glut attachments, hamstring and calf attachments. (The prolotherapy help to strengthen these attachments, but the "pull" is still there.) I'm pretty certain my illio-psoas muscle is involved, also.
I found a post on "All Experts" which seemed to represent my case almost exactly. The Doctor who responded recommended a Chiropractor who could specifically adjust the anterior pelvic joint (I'm not sure what that is) AND the symphysis pubis joint. Mine is narrowed which is what this Doctor suspected in this other person's post/situation. I live in Scottsdale, Arizona. If you know of a Chiropractor who is qualified to perform these manipulations, I would be very grateful to know the name. Also, if you have any other advice to offer, I would be happy to hear it. I have had many blind allies throughout this ordeal, and I just keep praying that the right door will open for me. Thank you in advance!