Sacroiliac joint pain
The information / discussion in the Cycling Health Forum is not qualified medical advice. Please consult your doctor.
-
- Posts: 114
- Joined: Tue Nov 16, 2010 3:19 pm
Sacroiliac joint pain
Postby busted_stuff » Fri Feb 11, 2011 12:43 pm
I aggravated it about a year ago, lifting my heavy-for-his age baby son. Physio got it going again. Then, following a crash in October, the glute muscles have tightened up, aggravating the pain again.
Just wondering if other people have similar experiences, and if they kept riding at a reduced rate, or stayed off the bike.
- scotto
- Posts: 2380
- Joined: Tue Dec 01, 2009 9:38 am
- Location: Baulkham Hills
- Contact:
Re: Sacroiliac joint pain
Postby scotto » Fri Feb 11, 2011 3:11 pm
- twizzle
- Posts: 6402
- Joined: Wed Aug 13, 2008 11:45 am
- Location: Highlands of Wales.
Re: Sacroiliac joint pain
Postby twizzle » Fri Feb 11, 2011 4:12 pm
...real cyclists don't have squeaky chains...
-
- Posts: 1421
- Joined: Sun Jan 17, 2010 7:00 pm
- Location: W.A
Re: Sacroiliac joint pain
Postby Marty Moose » Fri Feb 11, 2011 11:53 pm
MM
-
- Posts: 114
- Joined: Tue Nov 16, 2010 3:19 pm
Re: Sacroiliac joint pain
Postby busted_stuff » Mon Feb 14, 2011 11:23 am
twizzle wrote: Now it gives me a dull ache if I don't ride every day or two.
It hurts when you don't ride? Wow, I'd love that prescription
-
- Posts: 114
- Joined: Tue Nov 16, 2010 3:19 pm
Re: Sacroiliac joint pain
Postby busted_stuff » Fri Mar 18, 2011 11:47 am
Diagnosed with a bulging disc at L5/T1. It developed into very painful sciatica.
No riding for a good while...
- trailgumby
- Posts: 15469
- Joined: Sat Jan 03, 2009 5:30 pm
- Location: Northern Beaches, Sydney
- Contact:
Re: Sacroiliac joint pain
Postby trailgumby » Fri Mar 18, 2011 1:26 pm
Working with physio to improve core muscle strength to brace pelvic structures, but finding whenever I engage the hamstrings, glutes or lower back (eg, extended power-on seated climb, riding with bum off saddle in the mtb 'attack' position over surface obstacles) it gets uncomfortable pretty quickly.
Celebrex is helping to keep me sane while the strategy has time to kick in. I'm using a Com-Pressor pelvic brace when riding.
It's been a known issue in the past, so I started seeing the physio about 2 months ago as a preventive measure before the Mont 24, but it's looking like doing the WSMTB 4 Hour last month was definitely premature, and has irritated the left SIJ and stretched the ligaments.
-
- Posts: 114
- Joined: Tue Nov 16, 2010 3:19 pm
Re: Sacroiliac joint pain
Postby busted_stuff » Sat Mar 19, 2011 2:18 am
-
- Posts: 1421
- Joined: Sun Jan 17, 2010 7:00 pm
- Location: W.A
Re: Sacroiliac joint pain
Postby Marty Moose » Sat Mar 19, 2011 3:36 pm
Ahh Yes welcome to my life don't ignore it! I did ended in emergency spinal surgery after the disc ruptured . You sure its not L5 S1 ?? I'm no medical specalist but I belive my jammed Sacrum caused my disc issue. Really go try muscle energy stuff with a good physio it will work really well, I tried all sorts of things to free the joint up this is just great.busted_stuff wrote:Getting back to this topic, now I know what's been going on.
Diagnosed with a bulging disc at L5/T1. It developed into very painful sciatica.
No riding for a good while...
MM
ps mine is fine now no pain no jammed sacrum.
-
- Posts: 327
- Joined: Thu Feb 11, 2010 3:55 pm
- Location: Bentleigh, Melbourne
Re: Sacroiliac joint pain
Postby MiG » Sat Mar 19, 2011 5:30 pm
-
- Posts: 1421
- Joined: Sun Jan 17, 2010 7:00 pm
- Location: W.A
Re: Sacroiliac joint pain
Postby Marty Moose » Sat Mar 19, 2011 11:05 pm
MM
- ft_critical
- Posts: 2099
- Joined: Thu Jan 14, 2010 2:06 pm
- Location: watching the 11
- Contact:
Re: Sacroiliac joint pain
Postby ft_critical » Fri Dec 21, 2012 1:28 pm
Symptoms
• Post ride swelling/fluid on the right side at the sight of the Sacroiliac Joint
• Deep radiated pain in my right gluteal
• Occasional slight groin pain
• Lying on my back, feet together, knees out (breaststroke kick like position) I get a rotator-cuff like pain in my hip flexor
• Previously, in the morning I would have a very stiff lower back
Issues
• Poor core strength,
• Poor sitting posture (slumper)
• Penchant for doing Strength Effort climbs (generally like driving a bigger gear)
Diagnosis and Remedies
The physio is able to relieve the gluteal pain by massaging me mid back. I can replicate this through self-massage. Her diagnosis was excessive hamstring engagement during pedalling. She proscribed gluteal engagement exercises. Glutes then hamstring. These work quite well.
My diagnosis. I am right side, pedal dominant. I always power off using the right foot and I am unevenly powerful on the right side. This causes me to hyper-extend my down stroke on the right side creating an imbalance. To prove this I noted extra discomfort when doing one-foot pedal drills on the right side, but none on the left. To correct, I have focussed on strengthening the left side pedalling.
This year I am focussing on core strength.
Conclusion
Self-massage, gluteal exercises and pedalling retraining mean I can ride pain free and remain so post ride. Any thoughts or additional experience out there? The swelling is still a bit of a worry, but I guess it will stop swelling in time as the remedies start to become more effective.
Cheers,
FT
- coffeeandwine
- Posts: 546
- Joined: Tue Aug 16, 2011 10:06 pm
- Location: Buninyong, Vic
Re: Sacroiliac joint pain
Postby coffeeandwine » Fri Dec 21, 2012 8:59 pm
Changing the rotation of the shin can change activation of thigh muscles etc (turning shin out activates thigh muscles more), can be achieved short term by a subtle rotation of cleats or longer term by employing wedges - would be interesting to see if Steve Hogg has anything to say on this (I don't know enough about it).
Maybe discuss with your physio, would be interesting to get their thoughts.
Merida 903 from the LBS; Diesel engine
- toolonglegs
- Posts: 15463
- Joined: Fri Jun 29, 2007 7:49 pm
- Location: Somewhere with padded walls and really big hills!
Re: Sacroiliac joint pain
Postby toolonglegs » Fri Dec 21, 2012 9:17 pm
Personal opinion is that it is never one thing in that area... But multiple problems that finally cause one area to fail.
For me they only looked at the problem, not the cause.
18 months back on the bike and I still have issues... I am doing regular core work but am starting to add in a lot more hamstring exercises as well... Just stretching my legs / hips feels nice but doesn't really solve anything long term. Doing strength work on the problem area seems to loosen up everything much more than the stretching.
FT... How tight are you in your legs / hip / butt ? .
- greyhoundtom
- Posts: 3023
- Joined: Sun May 31, 2009 6:28 am
- Location: Wherever the sun is shining
- Contact:
Re: Sacroiliac joint pain
Postby greyhoundtom » Fri Dec 21, 2012 9:46 pm
That is the bit that would worry me, to my understanding fluid and swelling indicates some sort of tissue damage at that site.• Post ride swelling/fluid on the right side at the sight of the Sacroiliac Joint
If I was in that situation I would opt for an X ray or scan of that area.
-
- Posts: 1421
- Joined: Sun Jan 17, 2010 7:00 pm
- Location: W.A
Re: Sacroiliac joint pain
Postby Marty Moose » Fri Dec 21, 2012 10:14 pm
MM
Sent from my MB526 using Tapatalk 2
- sogood
- Posts: 17168
- Joined: Thu Aug 31, 2006 7:31 am
- Location: Sydney AU
Re: Sacroiliac joint pain
Postby sogood » Sat Dec 22, 2012 12:39 am
It'll depend on what you mean by "free this joint up". If you have ever held a bony pelvis together and seen the contact surfaces and ligaments , that "free" will have to be pretty liberally defined. What's more important is a treatment worked for a particular individual. Just don't take that as sufficient proof of the "theory" behind it.Marty Moose wrote:I had the joint Jam on me I believe this was a major factor in my L5 S1 disc rupture but that's another story. I found one Physio who helped free this joint up (some even argue its not mobile) she used a technique called muscle energy technique. It uses your own muscles to mobilise the area worked for me...
RK wrote:And that is Wikipedia - I can write my own definition.
- ft_critical
- Posts: 2099
- Joined: Thu Jan 14, 2010 2:06 pm
- Location: watching the 11
- Contact:
Re: Sacroiliac joint pain
Postby ft_critical » Sat Dec 22, 2012 5:07 pm
CoffeeandWine, I was fitted up by Steve Hogg myself. I haven't been back since my refit about 1.5 years ago.
Not sure how to tell? I can easily touch my hands flat on the ground in the hamstring stretch. The pretzel stretch that you did pretty well. Tell me some ways to tell and I will try them out?TLL wrote wrote:How tight are you in your legs / hip / butt ?
Yep, I am concerned. If it persists I will be off to see a chiro who is highly recommended to check for any bulging discs.greyhoundtom wrote wrote:to my understanding fluid and swelling indicates some sort of tissue damage at that site.
Googled that, yes, that would be one I would have to learn from the physio first.Marty Moose wrote wrote:muscle energy technique
-
- Posts: 1421
- Joined: Sun Jan 17, 2010 7:00 pm
- Location: W.A
Re: Sacroiliac joint pain
Postby Marty Moose » Tue Dec 25, 2012 12:06 pm
The point being some said it was fixed did not move, slide, glide or what ever terminology you want to use to infer movement. Others who solved my issues said it did move and from them I got relief specific to the area. I've never held a pelvis together, if you have can you please explain in detail what does move??sogood wrote:It'll depend on what you mean by "free this joint up". If you have ever held a bony pelvis together and seen the contact surfaces and ligaments , that "free" will have to be pretty liberally defined. What's more important is a treatment worked for a particular individual. Just don't take that as sufficient proof of the "theory" behind it.Marty Moose wrote:I had the joint Jam on me I believe this was a major factor in my L5 S1 disc rupture but that's another story. I found one Physio who helped free this joint up (some even argue its not mobile) she used a technique called muscle energy technique. It uses your own muscles to mobilise the area worked for me...
MM
- toolonglegs
- Posts: 15463
- Joined: Fri Jun 29, 2007 7:49 pm
- Location: Somewhere with padded walls and really big hills!
Re: Sacroiliac joint pain
Postby toolonglegs » Tue Dec 25, 2012 7:34 pm
BTW...my completely unqualified test for mechanical pain relief... when you are not suffering too badly, take a superduper long hot bath, if pain reduces and movement increases after the bath then time to look for mechanical reasons .
-
- Posts: 1421
- Joined: Sun Jan 17, 2010 7:00 pm
- Location: W.A
Re: Sacroiliac joint pain
Postby Marty Moose » Wed Dec 26, 2012 2:28 pm
- ft_critical
- Posts: 2099
- Joined: Thu Jan 14, 2010 2:06 pm
- Location: watching the 11
- Contact:
Re: Sacroiliac joint pain
Postby ft_critical » Wed Jan 30, 2013 8:17 pm
Back in Sydney, I essentially narrowed my exercise routine down to just loosening up the quads. Simple quad stretch (foot behind, pull into the bum) and Sun Salutation. I started with rocking into and out of the sun salutation. When ever I did these two the pain in my glute and the one in the SI Joint itself went away.
Weekend, I thought there was a bit of a click from the SI Joint. Then two nights ago it was a big click. It suddenly felt way better and the swelling has all but subsided. I have continued to ride a bit. Riding doesn't hurt, it is the post ride stiffening that is uncomfortable. I even did a little bit of interval work.
The physio was amazed. My hip alignment was nearly correct. Physio said we are done. Keep working this and the tight hip flexors and in 3mths you are good, 1yr fixed.
Now as a racing cyclist, I only heard the 3mths as this fits nicely with my base period.
So I almost never stretched. Physio said, I have to roll in 15min early from training and do my stretches - must, have to. I believe her.
Cause: Stiff quads, hip flexors and psotas have dragged my hip forward. Symptoms: Glute pain dull/deep at the top of the glute, dull pain where the SI joint and hip interact and local swelling there. Worse in the morning, no effect on rides. Cure: Stretching.
Hope this might add to the wealth of info on the forum. Though yet again, without professional guidance, I would not have solved the riddle, I would have made it worse.
- Apple
- Posts: 3513
- Joined: Sun Apr 11, 2010 4:00 pm
- Location: sydney
Re: Sacroiliac joint pain
Postby Apple » Wed Jan 30, 2013 9:30 pm
I am good now but I need to be careful, I changed my surgeon for the last op and that was 3 years ago. Every so often if I go hard or work in the garden it will get irritated up
I had an MRI to make sure the diagnosis was correct. Good luck and take care.
Speak your mind,Those that mind dont matter, Those that matter dont mind!!
- toolonglegs
- Posts: 15463
- Joined: Fri Jun 29, 2007 7:49 pm
- Location: Somewhere with padded walls and really big hills!
Re: Sacroiliac joint pain
Postby toolonglegs » Wed Jan 30, 2013 10:01 pm
- ft_critical
- Posts: 2099
- Joined: Thu Jan 14, 2010 2:06 pm
- Location: watching the 11
- Contact:
Re: Sacroiliac joint pain
Postby ft_critical » Thu Jan 31, 2013 8:35 am
Too funny. I should have just come to you. The foam roller came out and she showed me how to use it and explained all the moves I need to do as a cyclist. Including some for the mid back. I truth though, I still needed to go to her to be told what muscles to stretch. If anything I have been over stretching (or more precisely only stretching) hamstrings.toolonglegs wrote:FT... good news mate!. You have to keep working the area, I get lazy and it tightens up. If you haven't already got one then get a foam roller... the pain is heaven. I work on my butt, front and back of thighs,itb, inner thigh is a bit hard but I can manage and also top of calves just below the knee. Just do it in front of telly at night etc... although the wifey might give you some strange looks... " why are you humping that blue roll while moaning " .
So feeling a little more confident about having a racing season this year after all. Thank goodness.
- General Australian Cycling Topics
- Info / announcements
- Buying a bike / parts
- General Cycling Discussion
- The Bike Shed
- Cycling Health
- Cycling Safety and Advocacy
- Women's Cycling
- Bike & Gear Reviews
- Cycling Trade
- Stolen Bikes
- Bicycle FAQs
- The Market Place
- Member to Member Bike and Gear Sales
- Want to Buy, Group Buy, Swap
- My Bikes or Gear Elsewhere
- Serious Biking
- Audax / Randonneuring
- Retro biking
- Commuting
- MTB
- Recumbents
- Fixed Gear/ Single Speed
- Track
- Electric Bicycles
- Cyclocross and Gravel Grinding
- Dragsters / Lowriders / Cruisers
- Children's Bikes
- Cargo Bikes and Utility Cycling
- Road Racing
- Road Biking
- Training
- Time Trial
- Triathlon
- International and National Tours and Events
- Cycle Touring
- Touring Australia
- Touring Overseas
- Touring Bikes and Equipment
- Australia
- Western Australia
- New South Wales
- Queensland
- South Australia
- Victoria
- ACT
- Tasmania
- Northern Territory
- Country & Regional
Who is online
Users browsing this forum: No registered users
- All times are UTC+10:00
- Top
- Delete cookies
About the Australian Cycling Forums
The Australian Cycling Forums is a welcoming community where you can ask questions and talk about the type of bikes and cycling topics you like.
Bicycles Network Australia
Forum Information
Connect with BNA
This website uses affiliate links to retail platforms including ebay, amazon, proviz and ribble.