What is the best solution for S.I. Joint back problems (sprain/strain)?
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First, get a really good assessment to be sure that's the problem. I believe the existance of SI problems is really quite rare and (except in the cases of infection or direct trauma to the joint...such as being dragged by a horse) will primarily affect women only. It is almost nonexistent in men (again, except for infection or direct trauma) I used to think they were very frequent...coming across 1 every month or so...and some of them got better and some didn't. Until I started MDT training (see below)...now I find that it is much rarer...about once a year I find someone who I believe TRUELY has an SI problem.
The SI joint is a VERY strong joint with VERY little movement available...unless you are a woman who has just given birth to a child. It takes an incredible amount of force to disrupt the ligaments of the SI.
I have found that many physicians and other health care practicioners are too quick to diagnose someone with an SI disorder just because that is the location of the pain. In reality, I find that MOST SI problems are found to really be misdiagnosed back problems that commonly refer pain to the SI joint. A good mechanical assessment can differentiate between the two. I would recommend seeing a PT who is credentialed in mechanical diagnosis and therapy. (You can go to: http://www.mckenziemdt.org )
However, when SI problems DO occur, it is usually due to some sort of misalignment...anterior or posterior iliac rotation, etc. Physical therapy would still be an option, but so would chiropractic care. Manual therapy, muscle energy techniques, manipuation and stretching are all things that can help a misaligned pelvis realign.
Cortisone injections will only help if you have a purely inflammatory pain (without misalignment), and I see no basis for natural supplements in the treatment of an SI misalignment...more vitamins are not going to realign your pelvis.
Good luck...and I highly recommend a good evaluation by an MDT certified PT to make sure it's not really coming from the lumbar spine.
That's really hard to say, you might want to see a primary physician first for a better understanding of your problem, since inflammation may occur leading to more serious problems.
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