Because this joint relies on strong ligaments for support and stability, any condition, including injury, poor posture or overuse can loosen the ligaments causing varying degrees of instability.

Patients sometimes might question the value of their adjustment as sometimes the benefits are short-lived. These are some suggestions we provide to our patients when there is instability involving the sacroiliac joint.

If at all possible avoid long-sitting and especially after an adjustment.

  • When sitting, keep the knees slightly higher than the hips. This might require using a stepstool when sitting in a recliner.
  • In some instances a foam wedge should be used when sitting. This changes the weight bearing load placed on the spine and pelvis.
  • Avoid sleeping on the side of pain or the side of which your doctor has made mention.
  • I encourage patients at bedtime to use a pillow between their knees to avoid strain on the low back and pelvis.
  • Use ice of the SI joint six to eight minutes, three times daily for 2 – 3 weeks.
  • Avoid bending at the waist for any length of time without support.
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