Vicki Sims, PT, CHT
Gainesville Physical Therapy
1296 Sims Street, Suite A
Gainesville, GA 30501
David Mesnick, PT, cMDT
Atlanta Falcons Physical Therapy Center
550 Peachtree Street, Suite 1760
Atlanta, Georgia 30308
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SIJD Conservative Treatment
Initial treatment is provided by a physical therapist skilled in diagnosing and treating sacroiliac joint pain. Following evaluation
and mobilization treatment the therapist will instruct the patient on proper biomechanics to avoid unnecessary and improper strain on the
injured joints. Therapeutic exercise is taught to improve neuromuscular stability of the low back and pelvis. Self-mobilization
techniques are instructed to the patient. Too much movement of the sacroiliac joint may indicate a laxity of ligaments that would
normally hold these joints within a normal range of motion. Therefore, additional stabilization procedures, for example
pelvic belt fixation and taping techniques may be required. Typically the sacroiliac joint dysfunction will stabilize with a good
stabilization program over a 6-8 week period of time.
A home program of self-mobilization is necessary: either by self-mobilization exercise or by family members who have been taught
to do the family assisted corrections. With those patients who continue to demonstrate hyper-mobility after failing to attain stabilization by conservation means
of rehabilitation, an orthopedic consultation for prolotheraphy or surgical stabilization may be necessary.
If the SI joint has been injured and the joint is now moving beyond
its normal capacity, ligamentous laxity may be present. Because
ligaments normally provide a great deal of stability in the SI joint,
a compromise may require additional external stabilization procedures.
For example pelvic belt fixation and special "Taping Techniques"
assist in providing stability.
Therapist mobilization of the SI joint helps to realign the joint. Additionally,
self-correction techniques are presented to the patient so that he/she
may assure proper SI Joint alignment throughout the day. Family
assisted mobilization techniques are taught so that follow up care
can be maintained at home.
A specially tailored exercise program is necessary to strengthen muscles that
have become weak from SIJD.
Typically the SI joint will stabilize with regular mobilization,
taping/belting, and exercise over a 6-8 week period of time.
Medical options such as prolotherapy or surgery may be indicated
for those patients that continue to demonstrate too much mobility
in the SI Joint after rehabilitation. Our clinicians recommend a series of 6 prolo sessions space
between 14-30 days if you continue to experience SI Joint instability after a 6 week trial of
Physical Therapy by a skilled expert. Prior to your injection it is recommended that your SI joint
be mobilized into proper alignment and maintained with self-correcting and family assisted techniques
to allow for adequate tissue healing. Taping and belting are also highly recommended during the
2-3 month period you are receiving Prolotherapy.
Our clinic specializes in the evaluation and
treatment of sacroiliac joint dysfunction. Our therapists are the
leaders in this field and therefore see patients from all over the
United States and Canada. Most patients receive all of their
treatment in our offices, while some are evaluated and referred
back to a local experienced physical therapists with a recommended