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Sacroiliac Dysfunction and Bracing 



The sacroiliac (sacro-iliac) joint is the joint between the sacrum, at the base of the spine, and the ilium of the pelvis, which are joined by ligaments. This is the area where the sacral bone (found in the center of the upper buttocks) is connected to the pelvic bone on both sides.  It is a strong, weight bearing joint with irregular elevations and depressions that produce interlocking of the bones. 

 

It is common for these joints to become fused eventually, but the majority of people do have a small amount of motion in these joints.  These hip joints can become swollen and irritated when under stress and during repetitive abnormal movement.  Irritation can also be caused due to long periods of sitting, where the surrounding tissue becomes stiff.  When damaged, scar tissue will form to help heal the joint and secure it together.    

 

The initial treatment approach is to support this area, compress and protect the joint from unnecessary movement, and to reduce pain.  This is often accomplished using a sacroiliac orthosis.  This type of orthosis is flexible, provides pelvic-sacral support, and reduces motion of the sacroiliac joint.  Sacro-iliac (sometimes referred to as S.I. joint braces) also helps Sacroiliac Joint Dysfunction by reducing tension in the surrounding muscles.  These braces are typically recommended in the early stages of treatment.  The brace includes straps, closures, and may include a pendulous abdomen design.  There is also a low-profile belt brace available.  However, once the joint has sufficiently healed, it is usually recommended to proceed to the second phase of recover:  resuming normal joint function. 


Typically, the scar tissue will continue to form for approximately six weeks.  After this time, many medical professional recommend breaking down the scar tissue to regain the tissue’s normal elasticity.  Breaking this scar tissue down can be done using methods such as ultrasound, massage, and gentle chiropractic adjustments.  Each joint condition is unique, and a physician should always be consulted as to the correct approach for treatment.     

 

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