SI Joint pain and how to stand.

List of Physiotherapists Worldwide; Techniques & Education to educate Physio's who are not PN aware, etc
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helenlegs 11
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Joined: Fri Sep 17, 2010 9:39 am
Location: North East England

SI Joint pain and how to stand.

Post by helenlegs 11 »

As some people have PN due to a misaligned pelvis, compensatory standing positions, walking patterns or holding stress in their pelvis (for whatever reason) I have found a few blogs and sites that may be helpful (and fun) teaching the basics of how it should be done. The first is standing properly!! I know I have been doing it nearly all of my life and possibly doing it wrongly :o Maybe you have too, check it out just in case.
http://www.alignintegrationandmovement. ... -pain.html
This also tells us how to sit, so I apologise in advance for this but thought the standing bit useful. Of course standing up properly is never going to help someone with an actual entrapment get rid of that entrapment, but standing up properly is never going to hurt (is it?)

This blog from the same author assesses the gluteal muscles and I know a few people complain about 'glutes not firing properly' Perhaps this will help.
http://www.alignintegrationandmovement.com/blog.html

This is something about the author, PSOAS release and NOT doing kegals
http://campaign.r20.constantcontact.com ... afcqL-8%3D

I also thought this may be useful.
http://www.facebook.com/AlignedandWellProgram

Especially this blog by Katy that begins. . . ..
I'm actually not a huge proponent of simply replacing the Kegel with a squat. My work specifically has to do with pelvis as it pertains to the gait cycle -- a "neutral" pelvis during gait. There is a period of weight-bearing hip extension during the stance phase that should be, via
gluteal contraction, applying a tensile load to the pelvic floor, allowing the pelvic floor to work eccentrically, preventing it from getting too short (and weak) as well as maintaining tension on the sacral-uterine ligaments so that the organs can continue to aid each other in maintaining
position, reducing prolapse symptoms.


See more on the link above

This is about squats
http://www.alignedandwell.com/katysays/ ... now-squat/

This part of the above squat blog shows a direct link to posture and a tight pelvic floor.
The squat might have grown attractive to you because of what you’re read here about squatting and pelvic floor issues. But, keep in mind that what keeps a pelvic floor working correctly (constantly responding to the loads that are fluctuating with positional changes) and continuously is the glute firing while walking with hip extension. Since you got heaps piled on your pelvic floor all. of. the. time., it is always trying to contract and shorten. Which means you need to be lengthening it back out while it is working. The only way to do that in real time is by walking around via hip extension a lot, not sitting on your sacrum, sitting in multiple postures and frankly, not sitting as much.

I am not recommending some of the deeper squat exercises for those that are entrapped but I think that just reading through this could give everyone a good insight into how we should be doing the normal motions of standing and walking.

Katy Bowen also has a facebook site which is fun as well as informative.
Fall 2008. Misdiagnosed with lumber spine problem. MRN June 2010 indicated pudendal entrapment at Alcocks canal. Diagnosed with complex variant piriformis syndrome with sciatic, pudendal and gluteal entrapment's by Dr Filler 2010.Guided piriformis botox injection 2011 Bristol. 2013, Nerve conduction test positive; new spinal MRI scan negative, so diagnosed for the 4th time with pelvic nerve entrapment, now recognised as Sciatic, pudendal, PFCN and cluneal nerves at piriformis level.
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