Lumbopelvic Spine NAIOMT Soappman

Patient Case: Addressing SI Joint Pain

Posted by Stacy Soappman, PT, DScPT, COMT, FAAOMPT on Feb 18, 2019 11:39:57 AM

Do you see patients with SI joint pain? In the video below, NAIOMT faculty member, Stacy Soappman, discusses her approach to testing and treating a 27-year-old male who came into the clinic with SI Joint pain.


The lumbar scan was done to rule out neurological involvement and serious pathology. As part of her lumbar exam she did a biomechanical exam including joint and muscular assessment. What she found was the patient had a lot of muscular imbalance between sides. 


Since he experienced stability problems of the SI joint, she choose stability work that involved stance activities, as the SIJ is designed to be more stable in a loaded position. For example, she had him stand on the wobble board and balance, do squats on the flat side of the BOSU, and single leg activities while moving the non WBing leg. To wean him off the SI belt she had him start by doing short duration activity without it and gradually increased the time each day he was out of the belt. 


Watch below and if you're looking to improve upon your own clinical reasoning and lumbar spine manual therapy skills with patients in the clinic, join us for a few of these upcoming level I and II courses, which can be taken in any order:


Topics: lumbopelvic spine, lumbopelvic spine courses, NAIOMT, treating lumbar spine

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