Category ArchivePhysical Therapy



Physical Therapy &Sacroiliac Joint Dysfunction 17 Mar 2007 04:10 pm

Sacroiliac Joint Dysfunction – Exercise or Rest?

Boy, where did February go? It’s already halfway through March and I haven’t made a blog post since mid-January. Where does the time go?

Anyway, time to get caught up on a few things and tops on that list is an excellent forum discussion on sacroiliac joint dysfunction initiated by Karen. Here’s the gist of her question:

… I got in to see the local physiotherapist yesterday (after a 5 month waiting list), and she told me the pain I have in my left buttock isn’t due to sciatica but because I have a strained sacroiliac joint.

What I need to know is does this affect my exercise routine here? Are there certain exercises I shouldn’t be doing etc., etc? I’m not doing any other kind of physical exercise at the moment.

Thanks
Karen

Now I have to admit that I don’t have much experience dealing with sacroiliac joint dysfunction. I know it exists and I know the symptoms can mimic sciatica, but beyond that, I personally haven’t had to deal with it.

Fortunately, Bill P. has kindly stepped-up to fill the gap. He has suggested a novel new exercise (new to me, anyway) that Karen is currently trying out that you might wish to try as well. (Even if you don’t have SIJD.)

If you have questions about sacroiliac joint problems … or any additional tips you wish to share with the group … come join in the conversation here: Sacroiliac Strain

And, if Bill’s exercise helps you, be sure to let us know.

Always willing to learn more,
Dean

Chiropractic &Physical Therapy 04 Aug 2006 07:04 pm

Physical Therapist Warns Against Spinal Manipulation

The following are just a few excerpts I pulled from an article written by physical therapist, Paul Lee about the dangers of spinal manipulation particularly in relation to the cervical spine:

“Cervical manipulation, especially with rotation (the most commonly used method by chiropractors), should be considered a contraindicated technique.”

In light of the number of injuries (and deaths due to stroke) following chiropractic neck adjustments, medical professionals like Lee are urging their colleagues to pay closer attention to the patient’s recent treatment history when they present neck related symptoms. He further advises:

“All healthcare professions, including Emergency Room staff, must be alert to the possibility of injuries caused by spinal manipulative therapy (SMT). The patient’s medical history should include questions about possible spinal manipulation within the last 30 days, at the very least.”

He goes on to write:

“Physical Therapists should encourage patients with such injuries to report them to their own doctors. (I can’t be the only PT who has encountered patients with fractured spines, spinal stenosis, herniated discs, paralysis, stable fractures made unstable, severe sprains and strains, torn muscles, and unremitting headaches for years, all as a direct result of a specific chiropractic adjustment…”

There is a growing body of evidence that spinal manipulation can cause injury and even death especially when applied to the cervical spine. The medical profession is just beginning to understand and compile evidence about this very serious health risk to patients.

I strongly urge all medical professionals, chiropractors and anyone considering chiropractic treatment to carefully investigate all the facts surrounding this issue. A good place to start would be to read Paul Lee’s entire article, Risks Related to Manipulation of the Cervical Spine.

(Update added 10/11/2006)

Also, be sure to check out this latest article on the subject: How Chiropractic Damages Your Spine.

– Dean