6 Sacroiliac Joint Tips: Dos and Don'ts
Sacroiliac Joint (SIJ) dyscfunction is becoming more frequent than ever.
Dr Simon suggests the following tips to avoid opening the sacroiliac joints and/or stressing the sprained ligaments of the SIJ:
1) Do Not Bring the Knee Across the Midline. For example, crossing the legs while sitting by placing the knee of upper leg on the opposite leg. However, crossing the ankle or lower leg over the opposite knee while sitting is okay. Also, while lying in bed; do not let the knee of the upper leg touch the bed. Rest the upper knee either on or behind the lower knee or, better yet, place a pillow between your knees.
2) Follow the 90 Degree Rule. The prohibited actions will cause the sacral base to rotate forward and the ilia to rotate relatively backward, opening the SI joint.
* With knees straight, do not flex the trunk to, or past, a 90 degree angle
with the legs.
* With knees bent, do not flex the knees closer than a 45 degree angle
between the legs and chest:
o When tying shoes do not bring knee to chest. Both arms should go
inside of knee.
o Bringing the foot up to the trunk is okay if they bring the knee out
to the side.
3) No Trunk Twisting Past 25 Degrees or to the point where mild tension is felt
in the low back. This action causes the sacrum to rotate away from the ilia.
4) No Hanging by the Arms or Feet. No lumbo-pelvic traction, with the exception of the Sacrotrac because its pull is from the sacrum. Hanging and conventional lumbo-pelvic traction pull the ilia and spine apart, stressing the SI ligaments.
5) No Extending the Back Past Neutral. For example, you can do back strengthening
exercises, but you should not bend backwards at the waist past neutral; this
action causes both the sacral base and ilia to rotate forward, but the
lumbo-sacral area becomes compressed, and this causes the sacral base to go
farther than the ilia, opening the joint.
6) No Heat on the Low Back. Ice is fine at 20-minute-intervals every hour for
three hours or more.