The sacroiliac joint (SIJ) is one of the more hotly debated areas in orthopaedic physical therapy. There are some who preach that it cannot move. There are some classes and theories of treatment that lay treating the SIJ as the foundation of the program. And then you have others that state we cannot possibly assess it even if it does move, so why bother. Personally, I will occasionally still assess the SIJ, however, I try to assess and treat through more general approaches, such as repeated motions, first. Occasionally, you will get a patient that is obsessed with the SIJ anatomically and pathologically. Check out this post from Dr. E at Modern Manual Therapy for some excellent advice on how to deal with these patients.
-Dr. Chris Fox, PT, DPT, OCS
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