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#461739 - 02/02/12 11:38 AM Light Bulb on the Hip - SI Joint
MollyC1i Offline
Very_Addicted_to_AS_Kickin

Registered: 01/21/04
Posts: 9357
Loc: Brittany, France (since Nov 08...
Let's start with the full orthopod test -
Orthopaedic Physical Examination - hip
http://www.youtube.com/watch?v=CCBOccgQZ0o&feature=endscreen&NR=1

More FABER tests and other tests -
http://www.youtube.com/watch?v=xcIQDMQZilM

FABER - excellent test for SI...'the' SI test
http://www.youtube.com/watch?v=xcIQDMQZilM

Useful Article
http://www.arthritis-treatment-and-relief.com/inflammation-si-joint.html

Useful tests - series of
http://www.med.ufl.edu/rheum/rheumTests.htm

Useful article -
http://www.sidysfunction.com/articles/misdiagnosingsacroiliacjointdysfunction.html

Hip and Pelvis exam -
http://rehabmanual.com/Hip_Pelvis_Exam

Maneuvers, Not Imaging, Can Confirm Sacroiliac Joint Syndrome
http://www.rheumatologynews.com/news/cli...d50f156bf2.html
"...“You can avoid a lot of needless diagnostic injections of the SI joint if you examine the patient using a cohort of provocative exam maneuvers,”

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cat
_________________________
MollyC1i - Riding OutAS

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#461746 - 02/02/12 03:26 PM Re: Light Bulb on the Hip - SI Joint [Re: MollyC1i]
The_Inflammator Offline
Journeyman_AS_Kicker

Registered: 06/27/11
Posts: 133
Loc: Northern Virginia
Thanks a lot for this info. I wonder if this is more useful for mechanical versus inflammatory pain though. I get a pain flare in the area with Piriformis enthesitis and spasm but no pain with the FABER test or any other SI tests.


Edited by The_Inflammator (02/02/12 03:27 PM)

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#461748 - 02/02/12 04:15 PM Re: Light Bulb on the Hip - SI Joint [Re: MollyC1i]
MollyC1i Offline
Very_Addicted_to_AS_Kickin

Registered: 01/21/04
Posts: 9357
Loc: Brittany, France (since Nov 08...
Most are for inflammatory pain - typical areas for spondy inflammation areas. There is a video specific for piriformis - check the menus various that will pop up when you click on the videos.
_________________________
MollyC1i - Riding OutAS

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#461751 - 02/02/12 04:53 PM Re: Light Bulb on the Hip - SI Joint [Re: MollyC1i]
The_Inflammator Offline
Journeyman_AS_Kicker

Registered: 06/27/11
Posts: 133
Loc: Northern Virginia
Thanks. Nothing with that test either. I've never had sciatica... yet. I just don't seem to get pain with specific movements. I have been using most of these movements in my daily stretching routine though. I always thought piriformis pain WAS SI joint pain.

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#461752 - 02/02/12 05:10 PM Re: Light Bulb on the Hip - SI Joint [Re: MollyC1i]
MollyC1i Offline
Very_Addicted_to_AS_Kickin

Registered: 01/21/04
Posts: 9357
Loc: Brittany, France (since Nov 08...
Might help throw a bit of light on -

How Are Sacroiliac and Piriformis Syndrome Pain Different?
erikdalton.com/piriformis-or-si-joint-pain/http://erikdalton.com/piriformis-or-si-joint-pain/
(Will have to copy and paste)
What's the difference between sacroiliac joint pain and piriformis syndrome pain? Find out from Erik Dalton who outlines how massage therapy can help both.
Sacroiliac Joint Dysfunction and Piriformis Syndrom - Steven ...
www.vancouverspinedoctor.com/sacroiliac-joint-dysfunction.php - Similarto Sacroiliac Joint Dysfunction and Piriformis Syndrom - Steven ...
Sacroiliac Joint Dysfunction. Dysfunction of the sacroiliac joint may cause low back and/or leg pain. The sacroiliac joint is the "chameleon" of the spine; SIJ ...
Sacroiliac Dysfunction and Piriformis Syndrome :: Natural Pain ...
www.naturalpainsolutionsportland.com/abcs-of-backpain/sacroiliac-dysfunctio...
Sacroiliac Dysfunction and Piriformis Syndrome. types stenosis 300 Sacroiliac Dysfunction and Piriformis Syndrome Spinal Stenosis frequently accompanies ...

http://wehelpwhathurts.homestead.com/sacroiliacpain.html

--------------------##

PubMed Search - 111 hits for
piriformis syndrome diagnosis and treatment

--------------------#
PubMed Search - 70 hits for
sacro iliac and ankylosing spondylitis

cat
_________________________
MollyC1i - Riding OutAS

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#461759 - 02/02/12 06:42 PM Re: Light Bulb on the Hip - SI Joint [Re: The_Inflammator]
Sue22 Offline
Very_Addicted_to_AS_Kickin

Registered: 01/13/08
Posts: 20705
Loc: Upstate NY
here's the way my PTs and physiatrists explained it to me:

when my SI joint is inflamed and the ligaments can't do their job of "holding it together" as they should, the piriformis tries to help out. but its just a little muscle (connects from the SI over to the trochanter) and is used to turn our foot out (or in?) and was never meant to stabilize the SI joint.

so SI joint inflammation makes the piriformis muscle spasm.

what i can tell you from experience. when i have inflammation (pain) in my SI joint, my piriformis spasms. when the inflammation in my SI is dealt with via either nsaid, cortisone to the SI, flector patch over the SI, ice on the SI, the piriformis pain (in the middle of my butt) goes away.

like a lot of our body. like when my neck facet joints become more inflamed, the neck and upper back muscles spasm in response.
_________________________


sue

Spondyloarthropathy, HLAB27 negative
Humira (still methylprednisone for flares, just not as often. Aleve if needed, rarely.)
LDN/zanaflex/flector patches over SI/ice
vits C, D. probiotics. hyaluronic acid. CoQ, Mg, Ca, K.
chiro
walk, bike
no dairy (casein sensitivity), limited eggs, limited yeast (bread)

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#461775 - 02/03/12 02:26 AM Re: Light Bulb on the Hip - SI Joint [Re: MollyC1i]
Angelmom Offline
Very_Addicted_to_AS_Kickin

Registered: 11/12/03
Posts: 8190
Loc: Oklahoma..where the wind comes...
Boy I knew what this was a soon as I saw it..lol it's the only test that picked up on what was remotely wrong with me (thank the Lord)

Bone Scan for me was a life saver!
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Speak kindly, Live simply, Care deeply, Love generously, and BLAH, HA, HA, LOUDLY! every chance you get.


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