Understanding Sacroiliac Joint Pain 

I removed my SI Joint pain via two methods: First: Gunn IMS Dry Needling along the spine (specifically the muscles along the spine that were clenched). Second: After being referred to a bio-mechanical specialist, who first tested the forces on my feet via a Pressure Plate Analysis (to see the differences across my two feet as I walked on it) followed by a visual observation on a tread mill; a 3mm shim was added to my left shoe inside over its heal, which was later upgraded to a 5mm shim, and then eventually later built into some new orthotics. The shim kept my hips level, and the Gunn IMS Dry Needling kept my muscles free to work. Prior to all this, I had developed arthritis in my left foot's big toe with the occasional shooting pain, plus pain in my right hip during long walks. The hip pain went away after both the shim and the Gunn IMS Dry Needling. The joint mobility in my left foot's big toe is still limited, partly due to the arthritis and partly due to some clenching of the muscles in my feet, but its inflammation appears to be gone, as I don't get the occasional shooting pain there now anymore, and am now free to do my activities. Likely, the SI joint pain was due to having one leg shorter than the other, by 5mm, causing the hips to no longer be level, which over time caused the above issues. Because I didn't discover all this until my late 30s, my SI Joint mobility is now different from the left to right hip, but as long as I wear my shoes with the shim (most of the time) in my left foot's shoe, the hips stay level, and the pain stays away. I occasionally get a Gunn IMS tune up too. It took quite a few specialists to eventually discover all this. For example, both a Chiropractor and an Osteopath visually assessed my leg length while lying down with bent knees, and both concluded that my legs were the same length. The bio-mechanical specialist didn't do this, but instead used computer imagery, via the Pressure Plate Analysis, plus the visual assessment of how level my hips were, during a weight bearing scenario (i.e. standing up and walking on a tread mill; not lying down with bent knees), to conclude the imbalance. To truly discover if any of your bones have different lengths, you'd need to do an x-ray called a Scanogram, which I've not yet done.

Wow, I finally found the source of my pain that I have had for 3 months now. I did not even realize there was a joint there and have never even heard of the sacroiliac joint. Thanks so much !

I have been in such pain for a month, and after 1 session of these exercises, the pain is gone! Crying for joy! Thank you kindly🌺

Good video Dr. Shim. I was studying SI joint exam and pathologies and came across your excellent video. You are the man!! Rick Gutierrez MD

Thank you this is a great video to show family and friends that don’t understand what sacroilitis is or where the pain I have stems from xx

Dr. Shim, I Love your videos. They are easy to understand.

I am seeing Chiro for the first time. My sacrum was twisted. SI joint has been an annoying pain for a few years now. Your video explained more for better understanding. Thank you for sharing.

One of the main causes of sij pain or discomfort comes from BAD posture. As a yoga teacher for the last 35 years I have helped people sit on their ischial tuberosities, tilt the pelvis forward, restrain from placing their back on the chair, and most importantly, avoid crowding their thighs. Most people don’t manage their structure and alignment and the sijoints rely on these basics. Hope this helps 😊

I have been dealing with chronic pain from this for years, orthopedic couldn’t help but the chiropractor gives some relief. I also have Sjögren’s which causes chronic inflammation and definitely aggravates this problem.

I’ve lived my entire adult life getting acute back pain flare ups. I’ve also always had chronic aching in my pelvis and legs but just ignored it as daily aches and pains. I also get the pain shooting into the buttock if I move the wrong way. I always thought it was how I was moving my back or it was just a remaining ache from the last flare up. it wasn’t. It’s when I move my pelvis in the wrong way which is causing the problem. Some days my movement is so limited due to being in complete agony if I move in the wrong way! I shall be heading back to the dr to examine for possible arthritis in the si joints as my symptoms are so similar! Thanks for this video.

Great vid! Actually exceptional.. so thanks so much! I have this right now and getting a good Physical therapist is key here !

EXCELLENT! Thanks for presenting!

Yoni Steaming may help with the pain being that it affects the pelvic area. I was heard someone say that yoni steaming helped their sciatic and SI joint pain is known to cause sciatica related symptoms. Wishing healing on everyone experiencing this issue. 🙏🏾

Thank you. Really helpful information.

I have horrible chronic sacroiliac pain! Went to an orthopedic group for it and was told nothing they can do. Refused pain meds,but chiropractor has been helpful.

Thank you for another great video. I really enjoy your tutorials. However please mention chiropractic care as a possible treatment. In my practice we treat this quite successfully. Thanks Dr Troy

This pain can also be caused by NR-AxSpa. It took a year for the 4th rheumatologist to figure out what was going on. I am in so much pain and most days have trouble walking. Waiting for insurance to cooperate and approve a biologic medicine.

I have severe SI joint pain. I work in a kitchen all day, standing for 9 hours a day for almost 18 years now. I had the injections of the SI joint and they worked great for 3 weeks and now I’m in far more pain than I ever was before. I’m desperate for relief so I’m going to get the injections again against my better judgment. They are suggesting an SI joint fusion but I’m not on board with that.

That was excellent!

I have pain in the same area but it runs into my glutes and testes. It hurts whenever I bend over for more than a minute or two. People don't understand the pain we have. It's something they know nothing about. I hope I can one day get treated and find peace. I have attempted suicide by hanging twice from a low rope with knees hovering over ground and woke up panicking and the last time was trying to get the police to shoot me over a knife. They tased me and i cried and asked why they didn't shoot me and they didn't say anything. I want the pain to stop. No one should feel this way. So many people are suffering and I want to help them but there is nothing I can do. I am seen as a crazy person cause I went to a psych facility. I wasn't crazy. I was sane. If you have so much pain a normal person can turn suicidal. I hope you are ok and I hope anyone that is in this pain can find help. I am struggling so bad. Why is life like this?

Thank You

thank you !

Wow! This is so informative

Was in a bad car accident back in 2003. It messed up my lower back and neck. Now that I'm older this is what I'm dealing with, and something going on with my tail bone. I also have a old torn acl injury, so I can only balance on one side of my body. I'm supposed to get a CT scan, and see a neurologist soon. We'll see what happens. This is actually pretty painful to deal with. Thanks for the insight.

Thanks Doc

Very helpful video

Thank you

Thanks for info

Thank you doctor, my physical therapist believes the persistent pain in my lower left back is coming from my SI joint and surrounding ligaments. I have had this pain for many years and have had multiple procedures done to my spine including, spinal fusion and injections to my spine and hip. I am now disabled and so frustrated that none of my doctors will investigate this as a possible source of my pain. I am sure this is the situation of many people who suffer from this type of pain.

My SJD is from scoliosis and pregnancy , followed by AI connective tissue disease exacerbated it. Very painful but my Chiro helps a lot!

Always knew my problems where from here now I confirm it.

Very usefull information

Nice video

Many thanks for your advice.

The best relief for me was putting both hands on edge on my bed and arching back cobra style for 60 seconds at a time. Sitting too long at work caused it. Also use lumbar support in car to maintain lower back arch.

I have so much pain here as a highscool kicker, I have had multiple mri and x ray and guesses will help? Thanks

How does osteoporosis play into SI, or other joint issues in this area? I have just been diagnosed with osteoporosis, have been having a variety of different pains in my back for the last year, pretty much now have constant pain, mostly movement based. But I've had times after an "incident" where the pain has been acute. The incident was always at the gym, and what I felt was a "thunk" in my lower back. The thunk itself didn't hurt that much, took a few hours for it to really bloom. The last time it happened, the pain ultimately seemed to wrap around my whole pelvis, even the jutting part of my hips became tender to the touch, and it started to go down my leg. I walked like a frail 80 year old (I'm 61, was a runner until my back started to say no.) I read about SI joint instability, thought maybe that's what it was, and now, with osteoporosis on the table (never crossed my mind until my husband arranged a DEXA scan for me,) if it's true that bones actually get smaller, not just less dense, then increased instability and movement makes sense. Still not sure what the thunk in my back is, though. Just mechanically...I don't know.

Interesting Ive had occurences of pain in lower left back and lower left abdomen near hip. Ive had no luck with various healers who said I had sciatica or genitofemoral nerve pinching. However, one bodyworker told me over the phone to think about SI Joint pain and BINGO I think this is it. I look fwd to trying Dry Needling here in Los Angeles and seeing a woman who has been a rolfer for 40 years.

Thank you.

شرف وافي وأهم شيء في هذا الفيديو هو صراحة الطبيب إزاء الإحتيار للطب في حل هذه المشاكل ومنها الإنزلاق الغصروفي والتزحزح الفقاري ولعل إعطاء الوقت الكافي للإسشفاء الذاتي هو الحلول الناجعة لهذه الامراض

I’ve had si joint pain since my dirtbike accident in 2001 what a nightmare it is

I have pain in my r. Hip after fractura acetabulum, and in Si region and lumbalpain and knees 🙏

What is the relationship between sacro-illeitis and Piriformis Syndrome?

Do the L5/sacrum play a role in the developing of height?

would you talk more about the "self curing process"..? its going on 7 years with intense pain

next week I have radio ablation on my si nerve something different is that i have pain radiating from butt to the sides but down the front of my legs.. not the back of the legs as mentioned

Good

If infection is create in sacroiliac bone and puse flowing with this joint ,then how we take releaf this infection,

I have this. My ligaments are ripped near the si joint, but they need screws it hurts so bad. I thought it was just severe back pain.

I just found out I have sacroiliac joint dysfunction I been going trough this for years😓😫😭

Question: can a hip replacement that was handled too roughly during surgery cause problems with my SI joint? *My surgeon admitted they had problems and had to manhandle my leg.

In other words, they have no idea how to cure this.

En español por favor. Gracias

you didn't list massage therapy as a treatment for pain, why not?

Por favor en españo

I have no idea whats wrong with me. First I was told it was a torn muscle, next time it happened I was told sciatica. Now back from the er tonight, i was told sacroiliitis

Ligament disorders also cause this.

They are the shock absorbers of the human body think of a car without the shocks it would be a bumpy ride

Dear sir please help me. My X-ray report says " sacralization of left side" Please suggest me . What I should do, Will it cure ? Please sir. I am just 21 years old. Please sir

Offered no resolution

I’ll just put a shim in it.😆

The dirty little secret is it can never be cured....only managed.

the literal pain in the ass

And lots and lots of debt

I'm only 15

Stop drinking coffee and caffeinated energy drinks. These pains will go away within a few days.