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what is done  when someones SI jt is locked up?

 

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Kristi, don't quote me on this, but here's my take/experience on what a locked SI joint is.

 

The SI joint basically consists of the Sacrum and Ilium - the Sacrum being at the very bottom of the spine beneath the last lumbar vertebrae, and the Ilium being the large, elephant-ear looking bone that sits right above the hip joint. From my experience, when someone tells me their SI joint is locked, it means the bones between the Sacrum and Ilium are fused or, more literally, locked together. You may have had someone tell you before that have fused vertebrae - it's pretty much the same thing. The bones are supposed to remain separate but in cases of an accident or trauma, they become fused or locked. I've had experience where they became fused or locked via surgery or from severe trauma. 

 

In either case, a locked jont typically causes pain and tension in the immediate and surrounding areas. Lots of times, it pulls muscles out of whack, causing tension and knots. I'm sure there is nerve compression going on as well, thus adding to the pain and tension. Sometimes the fusion causes a limited range of motion. 

 

Hope this helps!

 

As massage therapist we can offer relief of tension to the surrounding muscles which would be Latissimus Dorsi, ES group and gluts. I also do long gliding strokes (not to much pressure) along the ES group and over the SI and then moving laterally over the origin of glut max and med. I find that to be effective. I also find working across the fibers over the iliac crest to be useful as well as with the fibers of latissimus dorsi. I also give my client some stretches to do that will release Latissimus Dorsi and gluts. I also spend a little extra time on the post. and ant. thighs just to support the work I do in the gluts and low back.

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