Is the SI Joint Overrated or Underated?

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One of the more controversial areas in the body is the sacroiliac joint. This area has either been identified as the key to back/lower extremity pain or called a non-factor. The literature points to a lack of specificity and sensitivity in diagnosing, treatment is mostly anecdotal, and the therapists who dare “treat” it are frauds.

However, did we throw the baby out with the bath water? Clinically, is there a correlation with symptom complaints, objective limitations, and the SI joint? In an attempt to “legitimize” our profession we have begun to scrutinize by yelling at the top of our lungs about the lack of research.

The question I ask is simple: Why do clients have unilateral pain at the SI area? Why does it limit their SLR? Why does an audible cavitation occur with a resisted hip adduction? Finally, why does this cavitation very often reduce the complaints of pain in the area?

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