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  • Doctors know what they think they know. SI joint dysfunction is almost always because of a structural issue caused by leg or foot dysfunction that then translates into fascial and/or muscle pulling the pelvic girdle into a permanently tilted and/or rotated position. SI Joint dysfunction itself is a myth. Feldenkrais, somatics, rolfing, yoga and other techniques will solve SI Joint dysfunction. Doctors aren't taught any of this in school.

  • @123BDG123 thanks

  • Is swimming good with SI Joint Dysfunction?

  • @TheDonEdmond yes

  • If I have sacroiliac joint dysfunction, necessary I have spondylics?

  • @stetelle possible

  • You should check spelling before posting a video- massage not message. Also you didn't mention ice

  • @afieder Was not mentioned here

  • I did not read all the comments.I have been looking after my dad who has a diagnosis of genetic spastic para-parasis.I have been having trouble walking and the symptoms described here.Do you know anything about this unusual condition?I did not hear it mentioned on here.Thanks for your time.

  • Really great video. Technical enough but easily understood. Thank you.

  • @Litarider thank you

  • for joint dysfunction and should add that fusion may not work for everyone, specially if they develop pseudoarthrosis instead of a true fusion. Thanks for putting this information out there though.

  • @ravenshad thank you for sharing

  • I had SI fusion, attempted twice, on left SI joint. First was done without screws, second with a plate and screws. Both surgeries failed leaving me with a compound fracture of the SI joint. After a fall last year a new fracture line appeared on x-rays, and even a year later it is still there. Yet my calcium levels, bone scans etc. are all normal. They don't know why the fusion didn't heal right or why the fractures don't heal either. You need to add spondylolisthesis as possible reason (Cont.)

  • As far as natural pain relief (continuing from the bottom post) I use heat, ice, massage and believe it or not lamaze methods (I had 5 kids). I also try to move and stretch as lying still when you have Ankylosing Spondylitis is a really bad idea!

  • So I guess you are in the process of making the AS video, is that what you meant? I was wondering what are your thoughts on surgically implanted pain pumps. From what I understand you need less medication and you have less need to increase. Ive been on pain meds (oxycontin) time release and rescue or quick release for nearly 4 years now. I try to keep the dose low but my time release is 80 2X a day, plus Remicade, NSAID and muscle relaxant.

  • Sorry about the slight hostility but Im tired of this misinformation be spread. I was told by doctors that since I was negative and because I was a woman I could not possibly have AS. I suffered for years without treatment. I have serious nerve and bone damage. I can not walk without a cane, I have to use a reclining wheel chair when I go out and I suffer in daily pain and more. This all due to doctors who were misinformed and a disk replacement surgery that caused more nerve damage.

  • @aspiemom42 thank you for the info

  • @aspiemom42 try Digito Energy is Amazing.

  • @digitoenergetic what is that? I am trying to switch to vegan from vegetarian but my pain keeps my appetite pretty low. I have what is called "Green Food Powder" that I started putting in my smoothies. I recently had an infection and had to take antibiotics and since I can eat soy I am eating yogurt and drinking the smoothies to replace my healthy bacteria.

  • Sorry I meant to say I can not eat soy.

  • Just so people know you do not have to have to be positive HLA-B27 to have Ankylosing Spondylitis. This is just a typical marker for a auto immune disease. I am negative for this marker and I still have AS. I have fused SI joints and fusion in parts of my spine and uveitis in my left eye. Many people are misdiagnosed because doctors labor under the delusion that not only MUST you be positive for HLA-B27 (about 10 to 15% of people are negative) but that you have to be a man. Get educated!

  • @aspiemom42 I AGREE WITH YOU

    AND that what i am trying to do here, to help the people to understand

    my angle may be different than yours but we work for the same goal

    thank you for sharing your experience

    please share with us any more info

  • @nabilebraheim maybe if in the video if it said if you have fusion of any joints, especially the SI Joints (fusion in the SI's is the cornerstone for Ankylosing Spondylitis) that you may have the disease. Many people are denied the right type of treatment because there are so many uneducated doctors. Im happy to have a very good Rheumy and an Ortho surgeon who may have to put rods in my lower spine to right the wrong that the was done with the disk surgery. My back is bowing in.

  • @aspiemom42 Ankylosing Spondylitis is a big topic ,needs a video by itself

    it is in my list

    one video animated takes about a week of hard work

  • @nabilebraheim Im sure it does, I make videos and Im sure the animation would be very difficult and time consuming. Thank you for your videos. Sorry about the bad start there is just so much misinformation about my disease and when you suffer and can not take care of your family it makes you angry. I try to stay positive and I know the nerve damage is permanent but I will be better than I am now. As my Rheumy says, Im a difficult case but we just have to keep trying!

  • @nabilebraheim not a lot of room this is from the post below. I had a disk replacement as the doctors insisted that my ruptured disk at L5 was all my problems. With AS your bones are very fragile and the disk replacement is bowing my entire spine in. On an X-ray it looks as if Im bending backward at it gets worse as time goes by. I go to a specialized spine clinic in March to see what is the best thing to do.

  • @aspiemom42 you may need to complete the SI joint fusion

  • @nabilebraheim It is complete now, sorry, it was a few years ago that it was partially fused. I do need my L4 disk fused now though because of the bowing or extreme lordosis. Has totally destroyed it and the disk replacement is directly under it. Im glad you are helping people there are so many docs that just dont seem to care and dont seem realize how much damage they can do. I have great docs right now very thankful for them. Ill go check out your AS video!

  • @nabilebraheim steroid injections never worked for me. They tried them in my ruptured L5 and L4 and then when they found the fusion the attempted to get some into my right side as it was only partially fused but it still did nothing. The surgery for the disk replacement was a study and it was set up rather quickly with only a look at my recent MRI that did not show my SI Joints. I did say that I was dx with AS at age 27 (now 44) but all other doctors dismissed it.

  • @aspiemom42 steroid can be diagnostic

  • brilliant video! very informative! xxx

  • @sarahwithstars thanks

  • Extremely informative, thank you so much for posting this. I've gone for chiropractic treatments, massage, etc., on and off for the last 17 years.  Very recently my pain has increased and I have found no relief. I am also an LMT, and the more I work, the more pain I experience. I know now that is has to be a combination of therapies to obtain relief.

  • I'm brazilian and don't speak english very well, sorry about that.

    I have 20 years old and the last 3 months are being horrible. Horrible back pain, already did RA and RX, but there're no hernial disc, no protusions, nothing. I can't sit, my low back start burn and no medicaments make effects. Maybe I have SI disfunction.

  • @stetelle possible

  • @stetelle many times when they scan you they do not look at your SI joints which is why my disease was ignored for so long....even with the condition in my eye. You could perhaps ask for X Ray or scan or your SI joints.

  • Thx for the info-I've had this issue for over a year. I'm slowly improving, yes SLOWLY.

  • I suffer at times from referred sacroiliac pain in my buttock and groin. I was whipped from side to side in an auto accident that appears to have stretched the ligaments in the area and destabilized the S.I. joints. I have had some relief from chiropracty, yoga exercises for the back, and strengthening exercises such as sit-ups, weight training, etc. Thanks for the great explanatory video.

  • I suffer at times from referred sacroiliac pain in my buttock and groin. I was whipped from side to side in an auto accident that appears to have stretched the ligaments in the area and destabilized the S.I. joints. I have had some relief from chiropracty, yoga exercises for the back, and strengthening exercises such as sit-ups, weight training, etc. Thanks for the great explanatory video.

  • thank you doctor nabil

    amazing

  • @drmam17 THANKS

  • Hi I have had sacroillitis for a number of years. The steroidal injection worked for 1 r- have had 4 of these with no joy. i have also had radiofrequency lesioning which is known in england, uk as denovation, twice. Still no change and constant pain in my hip, groin, back and referred pain down my right leg down to ankle. I am on the waiting list for Spinal chord stimulation, what are your thoughts on this treatment for patients with sacro-illitis?

  • @alpharomeo69

    if the radiofrequency worked even for a day ,then you may get benefit from fusion

  • @nabilebraheim - no i only got 2hrs relief from radiofreq. You didnt answer my question about spinal chord stimulation. Are you unsure?

  • @alpharomeo69 NOT SURE ABOUT THE RESULT

  • great video. I have referred symptoms from Si joint pain that are not included which would be a useful additon, - shoulder drop, scoliosis, neck pain.

  • @1violetcream AGREE WITH YOU

    the video is long as it is

    the avege video on you tube is 90 second

    thank you for your positive comment

    check other videos

    and let me know

  • you spelled massage wrong at 4:56

  • @Lionelfromtheden you are correct

  • Where is this doctor located at? I want to see him. I've been in pain for more than 15 years.

  • @cobaltito TOLEDO OH

    4193834878

  • I just started treatment with Dr. Ebraheim. He's a GODsend! I was getting ready to undergo a fusion surgery. Turns out I have SI joint dysfuntion, bursitis and peraformis syndrome along with a herniated disc. If I went thru the fusion surgery I would still have the SI and peraformis pain. The fusion probably would help my pain much. I am so happy I Dr E. I travel an hour to see him and urge everyone to see him if you have been treated for back pain with no results.

  • @doghead57 THANKS

  • @doghead57 THANKS

  • @doghead57 Hi, where is doctor's Ebraheim office at? Im from Chicago, thanks.

  • am pregnant in my 5th month and i have this pain since i was in my 4th and come and goes what can i do?

  • @543190 ask your doc for help

  • @543190 your insurance would cover that

  • Sorry just saw your email address!

  • @oclv110sl no problm

  • I would like to know more about your service. I'm in the UK.  Can I contact you via email? Thanks

  • @oclv110sl ys

  • Si Joint pain has got to be the worst pain i felt in my life!

  • @jerseyn ys

  • @SMCStudio try a chiropractor

  • Diagnostic injection is not the only way to SIJ dysfunction

  • I am having pain in my left low back as well as a numbness on the outside of my left shin. the ortho diagnosed it as SIJ dysfunction. the stretches help, but the pain returns. any idea? Its very uncomfortable. Its been about 4 weeks now.

  • @SMCStudio ask the doctor to check you again

    may need diagnostic injection

  • I had Pudendal Nerve Entrapment surgery in 07 caused by a trauma accident that fractured my sacrum and coccyx. The surgery included incisions being made to the sacro-spinal & sacro-tuberous ligaments to free the pudendal nerve. The surgery relieved a lot of pain, but now my SI joint is unstable. When my butt/pelvis area aches, it feel like my upper body wants to slide down the back of my legs. Any suggestions to keep my SI joint stable? Thanks for the educational video and any help! - Jen

  • @JensAGatorFan

    i do this kind of surgery

  • Great video! Keep on making them. :)

  • @TCMAUMEE thanks

  • massage is not spelled "message"

  • @tigerboy2011 thank you we discovered it but we can not change it now

    do you have any suggestion

  • @nabilebraheim yes. learn how to spell?

  • Thanks Dr for a very informative video, Im travelling from Australia to North America to get my left SIJ fused later this year finally after over 10 years of misdiagnoses and multiple failed back surgeries, unbelievable considering a simple Diagnostic Injection in the SI Joint was all it took to a Diagnoses in the end.

  • @nitetrader1 great

  • Thank you for such a quick response! WOW! I'm really hoping your site will help my daughter. MOST Sincerely, C. Zimm

  • @carolynzimm thanks

  • Dear Dr. Ebraheim, Thank you for answering my query. I'm still wondering if SIJD has to be in BOTH joints or can it be in just one or even alternate? Thanks again for the wonderful videos! They are very informative.

  • @carolynzimm it can be in both,orone

    sometimes it alternate

    check leg lenth discrepancy

  • Must both joints be inflammed ( as seen on MRI) for a SIJD diagnosis. Wondering for my daughter (30, mother of 2, weak ligaments in many of her joints). I have Crohn's Disease and AS and my brother has RA. I also suffered from what I believe was SIJD when I was in my 20's but was diagnosed as being a hypochondriac because of poor diagostic ability. Those joints are now fused. Can SIJD run in families? Is it autoimmune? Is that why the testing for the HLA-B27 gene? Thank you for your video!

  • @carolynzimm it is hard to know if it runs in the families

    it is a sero negative that can be in Rieters chrones poriasis and ankylosing spondylitis

    hlab27 will be very positive

  • I have been troubled by the problem for a year without knowing the cause. It is very informative and helpful. Thanks, Doc!

  • @jpengnyc thanks

  • This information should be translated to other languages!!

    Spanish - Disfunción de la Articulación Sacro Ilíaca (DASI)

    my girlfriend has been suffering growing pains without diagnosis since 4 years!!

    Dutch - Bekkeninstabiliteit - that, by the way in Wikipedia is said to be kind of "invented"

    (hopefully this helps people find it easier)

  • @RRB63 thanks

  • Im truly happy that all you are now aware of realted to si dysfunction, although I did attempt to share this information from the first time I came to Toledo U. The best lesson learned here I would hope that would be is the need to listen and look at past medical documentation a patient tries to share, as SIJD patients are well versed in what they experience and usually are sreaming out for help, they have dilligently tried to find.......everywhere

  • Thanks very helpful, My si joint won't stabilise now i know what treatment is available.

  • @MrsRoppa THANKS

  • thanks Doc!

  • @goldenheadhimself YOU WELCOME

  • Very helpful info and now when I go c my Dr, I know exactly how 2 explain my pain.

  • @dorisann1113 thanks

  • There are a couple of typos in the treatment section: message for massage and I think acurate for accurate. This takes nothing away from the quality of information! I can't wait to share this.

  • @bhappy526 thanks

  • This is the BEST and MOST INFORMATIVE video I've ever seen regarding SI Joint Dysfunction! Great job!

  • @bhappy526 thanks

    will upload piriformis syndrome next week

  • @nabilebraheim You're welcome. Can't wait to see the one on piriformis syndrome. I've suffered from SI dysfunction or piriformis issues for years! I so appreciate the information and the ability to SEE exactly what is going on.

  • @bhappy526 i will let you know

  • @nabilebraheim

    thanks doc, I have a problem with my piriformis and I believe the other problem is with the SI joint. What leads me to believe this is that I was playing basketball alone, landed after a layup and fell straight to the ground and got back up with an injury.

  • @SaM52461 YOU COULD BE CORRECT

    SEE A DOC

  • @SaM52461 you could be correct

  • I thank you very very very much Dr.Ibraheim for your outstanding effort into making this. I'm a Physical Therapy student so this is very helpful to me, especially the pictures that you used were incredibly clear. Thank you again.

    I subscribe:)

  • @636dana thanks

    i uploaded 2 videos today

  • while giving birth to my son a month ago i suffered from pubic symphysis diastasis. I didnt not experience much pain in my pubic area until recently but i did experience a lot of lower back pain much like described here. i couldnt walk for 2 weeks and when i tighten my butt muscles i hear cracking and feel it deep inside my lower back. could this be my SI bones popping? what can i do about it? i need some advice. thanks..

  • @RottenBrains71

    back pain from pregnancy and delivery is not unusual

    you will be ok with time

    consult your doctor if the pain persists

  • That was great. Very helpful. And you spelled, "massage" incorrectly.

  • @cappurple thanks

  • Great video.

  • @BackInsight thanks

  • Hello,

    I'm a male 45 yrs old and injured myself at work early 11/2009. My primary doc has sent me for 2 low back MRI's and 1 Pelvic MRI. The pelvic MRI showed something not right with my left SI joint so he performed the injection proceedure, it did nothing, then he performed trigger point injections,again no difference in pain, an Epideral again to no availe.........finally he performed another sacroiliac injection last monday the 10th of Jan....... No pain til Sunday night and now the same

  • @wannabecannaman diagnose the problem first then treat it

  • Hello,

    I'm a male 45 yrs old and injured myself at work early 11/2009. My primary doc has sent me for 2 low back MRI's and 1 Pelvic MRI. The pelvic MRI showed something not right with my left SI joint so he performed the injection proceedure, it did nothing, then he performed trigger point injections,again no difference in pain, an Epideral again to no availe.........finally he performed another sacroiliac injection last monday the 10th of Jan....... No pain til Sunday night and now the same

  • @wannabecannaman you need another precise injection in the si joint

    consult pain managment

  • this is great. a very complete explanation. I have ankylosing spondylitis and I was not sure if this was the cause of my pain or not. I have been off nsaids because of low iron and the pain has been pretty bad. I'm going to see if I can get an si injection to hold me over until my iron is back up. thanks for the helpful info...

  • @driscojf thank you for the comment

    it seems that you understand the video

  • Best video on the problem so far. Thank you

  • @Slupel THANKS

    I will uploads more videos in the next few weeks

  • I don't feel that injection is the only method of diagnosis of SI joint dysfunction. I've seen and successfully treated this condition very frequently and have never had to order such a test.

  • @PureChiropractic I am the same like you ,i can and treat the S I JOINT WITHOUT THIS TEST,but most os the docs think it is a back sprain and miss the diagnosis .most of the docs do not know how to diagnose the SI joint

    injection is needed in some cases to diagnose and treat ,this is not my discovery this is a well established concept

    I use ultrasound injection it takes less than 5 minutes to do the injection

  • @PureChiropractic some patients has a lot of pain and have every study in the book and the diagnosis is missed because an injection was not done .these poor patients go from a doc to a doc without hope or clear diagnosis .injection is a good thing in a patient with pain and no clear diagnosis

    we can not treat everything with one method or one approach

    thanks for the comment

    looking forward to more input and questions on different topics

    please check my channel

  • I had been searching tthis type of video... alas... I've found it... thanks a lot.. it will be really helpful for my patients.. thanx

  • @drlalrinchhana thanks

  • This is an excellent video, great for patients to understand their disease process!

  • @ajwassef great

    thank you

    keep giving me feedback

  • This is a great video...very detailed and informative..I wish I would have had these for my anatomy exams!

  • @brittneyosborn THANKS

  • wonderful !I need to watch it time and time again till I can recite it. The video is even useful for the test,.Thank you for your wonderful video.

  • @chinafox1 thanks

  • @janni585 THANKS FOR YOUR COMMENT

  • good video!it is necessary for me to review them often.

  • @chinafox1 THANKS

    YOU NEED TO SEE THE VIDEO 3TO 4 TIMES TO IMPROVEUNDERSTANDING OF THE FACTS

  • Excellent video! Great work.

  • @whatsup149 great

  • nice job i love this video

  • @98roxon THANKS

  • Thanks

  • outstanding !

  • @chinafox1 GREAT

  • I had the following question sent to me:

    "Yesterday in the ED, a 54y/o male presented with lower pack pain radiating down is anterior and posterior thigh, pain scaled (5/10) at rest, and (9/10) with movement. There was no sensory deficit, pedal pulses= 2+ (+) SLR and (-) CSLR causing me to include sciatica. My top DDx was lumbar spondylosis.

    I was hoping you could offer some feedback on a DDx on a pt with a Hx like this. "

  • @nabilebraheim I'd like to respond to this question.

    SI joint pain will overlap with other causes of back pain. Typically in SI joint pain, the patient will have vague, non-specific pain but more to the side. The patient will point with the finger to the site of pain. Faber test or Patrick test is usually positive. The patient will have tenderness over the SI joint. Injection is the best way to diagnose SI joint dysfunction.

  • @nabilebraheim continued...

    If you inject the joint and the patient gets better, then the patient most likely has an SI joint problem. That does not mean the patient is clear of other conditions that involve the hip and spine. Association of spine, hip and SI joint pain are very common. It is very common for MRI to show a disc bulge or hernation which may be normal as the patient gets older and confusion becomes worse.

  • @nabilebraheim A positive straight straight leg raising is a very strong indication that the nerve is irritated. A contralateral straight leg raising is also very specific. Most of the pain of the low back gets better with time. About 85=95 percent improve with conservative treatment within 6 weeks. If the patient doesn't get better, dig deeper.

  • @pawell92 thanks

  • video the video is very informative and helpful for all of us, I strongly support this video. Thank you for the information

  • @febiandoe Thank you for your comments. Please check out my other videos.

  • @febiandoe Thank you; I appreciate your feedback!

  • @febiandoe  THANKS FOR THE COMMENT

  • The advice about sacroiliac collective affliction has abreast in this video through an accessible and allegorical way, so its become accessible to accept this pain.

  • @everbps Thanks for your comments. The sacroiliac joint is misunderstood and often misdiagnosed so I felt this video was very important.

  • This video is highly informative about the joint problems faced by working people in the developed countries, its a nice initiative and keep it up.

    Thank you for such descriptive video.

  • @swan4all Thanks for your comments. If you like this video, you should check out my other videos. I am working to bring more of this educational material to YouTube.

  • This is a very common pain, so this video is very helpful for all. Thanks for share. Keep it up!

  • @ThePassdot Yes, sacroiliac joint pain is incredibly common as it is a major source for low back pain.

  • Great! this is a common problem that we get to face these days. Thanks for sharing a nice point of view along with good solution.

  • @damarlaprashanth You're welcome! Please check out my other videos if you have the chance!

  • too imformative vdeo....very well explained and ya ofcourse in an easier manner...thanx 4 sharing such a good imformation

  • Every peoples have diseases by birth... We can't overcome it but should know about every diseases. Thanks for your video for helping people

  • @janjakej Sacroiliac joint dysfunction is an extremely common problem and is a major source of low back pain. It is misunderstood and often misdiagnosed.

  • This video helps alot, now i know more about joint pain and dysfuction.

  • informative clip. this will help me in many ways. thanks for uploading this.

  • The information about sacroiliac joint pain has briefed in this video through an easy and illustrative way, so its become easy to understand this pain.

  • @kashifpk1000 Thanks for your comments. I find the animations to be incredibly helpful in illustrating the condition.

  • this is a good medical animation.very elaborate and informative.

  • Thank you for posting this video. It really helps a lot to me. For this reason, i take the time to watch and read about the following information about this condition before i decide what approach to take for helping me with treatment and prevention of Sacroiliac Joint Pain and Dysfunction. :-)

  • @shungakers18 You should consult with your doctor before you identify a course of treatment or if you suspect sacroiliac joint dysfunction

  • really so useful clip. now i knew some information about sacroiliac joint dysfunction animation . thanks for sharing.

  • @dark02233 THANKS FOR YOUR COMMENT

  • thanks for share it. Useful video for every one...please upload more...