sacroiliac joint (SI joint) syndrome

[Kayt5]

my husband fell on his butt while climbing on friday. he has a lot of pain on the illiac crest. he actually has all of the typical symptoms:
Back pain - particularly low back pain
Buttock pain
Thigh pain
Sciatic-like pain - pain that travels from the sciatic nerve in the lumbar region into your buttocks, back of the thighs, and sometimes calf and foot. The pain is typically caused by irritation of the nerve roots that join outside the spine to make up the sciatic nerve. You might feel numbness, tingling, or burning sensations.
Difficulty sitting in one place for too long due to pain.
http://www.spineuniversity.com/public/spinesub.asp?id=89

the pain is especially bad in the morning when getting out of bed. what is helping is i give him a heating pad before i leave in the morning. after heating the area, he stretches his hamstrings and IT band. if he doesn't, then he is bent over at the waist and can't straighten his legs for about an hour. we've been doing heat and ice, stretching, tons of massage & ART (active release tech), but it's not helping as much as i'd like. for massage and ART i've been focusing on the erectors (tight like steel cables), glutes, psoas (always tight on him), dosal-sacrol ligaments, sacro-tuberous ligaments , quadratus lumborum, quads, hamstrings. the treatments help, but they are not lasting. this is puzzling for me. he does have a touch of lordosis.

is there something i'm missing? what else can i do?
thanks!

 

[Dodger Town]

Sounds like you are doing the right things...perhaps from the MFR stand point, ease into it and hold the area longer, like 3-5 minutes, waiting patiently for the releases.

 

[princess_of_god_89]

it sounds like you've got it all covered.
the only thing i could possibly add is maybe some abs and obliques when your doing psoas.
i really can't say that it'll help, but it seems to me if he fell backwards, flat out, he'd have more back issues. since you said, he busted his butt, like he was somewhat flexed at the hip when it happened, the abs and obliques would be flexed as well and maybe they're a little crunched?

:2cents:

 

[Old Fat Bald Guy]

Have you tried "gapping" the SI jt ???? I found this to help sometimes.

Tim

 

[Blurry revenginator]

i haven't heard of that? what is it and how do you do it?

he tried doing a back bend a couple days ago. he heard a pop in his groin. immediately he felt better. he still hobbles around in the mornings, but felt much better this morning. tightness and spasms are still there. he is going to see a PT on thursday.

thanks everyone with your help on this. it's hard to see someone you love hurting.

Have you tried "gapping" the SI jt ???? I found this to help sometimes.

Tim

 

[lotpot]

he was flexed at the hip when it happened. i wouldn't have thought of abs. i'll try it and see. heck i'll try anything. :

it sounds like you've got it all covered.
the only thing i could possibly add is maybe some abs and obliques when your doing psoas.
i really can't say that it'll help, but it seems to me if he fell backwards, flat out, he'd have more back issues. since you said, he busted his butt, like he was somewhat flexed at the hip when it happened, the abs and obliques would be flexed as well and maybe they're a little crunched?

:2cents:

 

[BangkokBob]

"pop" in the groin area could have been the pubic symphosis...that can come misaligned and create problems. Sounds like he's getting better.

 

[p0p0]

He may have also injured his coccyx which is common during a fall... and yes it does pop back out. But it can be any of the above. Any type of fall is really trauma to the whole body.

 

[Bloo]

Gapping is a traction on the leg,supine, with the leg straight, will open the "gap" of the hip jt. move leg lateraly to abouy 10 - 15 degrees and apply traction again, will open tha SI jt

Tim