Common Provocative Tests for SI Joint Pain Diagnosis

One of the ways that we as doctors can diagnose SI joint pain is to perform some maneuvers in the clinic called provocative test that place stress on the joint to replicate SI joint pain. In this video, Dr. Ty demonstrates some provocative test maneuvers to diagnose the SI joint dysfunction that results in SI joint pain. For more information on diagnosing refractory SI pain, visit: zyga.com/providers-doctors/sim...

[@MP-in4or]

I had two spinal fusion surgeries. The second was because the first failed and the hardware became lose. I was just starting my health career when this happened so I was fresh to the idea of back surgery. Looking back now which was 7 years ago my pain management doctor and my surgeon NEVER even mentioned that my SI joints could be bad. Despite me telling them that a lot of my pain was not in the center of my spine but rather down my leg, in my butt, and off to the side of the lower back. Of course I did not know anything nor heard about SI joint surgery. I just knew about the joint from anatomy. Seven years later, 30+ injections, years of PT, 2 spine surgeries, "I" final spoke up and said Im going to get my SI looked at. In my area only 4 surgeons do SI surgery. And I live in a hospitals city of big time hospitals. So I went to one doctor and he suggesting doing an SI injection to see if that was my pain. I did it three weeks ago. They did a MAC so I was asleep. Don't remember anything. It was wonderful. The next day my pain went down by 50%. No joke. I knew that it was my SI joint. Today I saw the surgeon and he said I could wait it out with another injection that only puts a band aid on it. I said nope....I want surgery. In 7 years with several surgeries on my body, I said I WANT this surgery. I am scheduled in three weeks to have my left fused followed by my right when I am healed. My point behind all of this. If your having low back pain make sure you get your pain management to consider SI joints and your surgeon to consider it. Do not let them talk you into fusing your lumbar without considering this and having testing done like me. Looking back I really did not need a lumbar fusion. I have been through hell every since. ALWAYS get a second opinion if you have decent insurance. Medicine is a practice. Every doc has a different opinion. What works for one person may not work for you. Everybody is different. And push your doctor to review your MRI or CT scan. With all do respect to radiologist, they don't see inside the body. They are trained to look at imaging, period. I work with docs in the OR. I can tell you many times when a doc said, "that was not on the MRI." Radiologist miss things all the time. Not because they are not looking. They just don't apply what they know to what the body looks like cut open. The radiologist completely missed my unfused spinal fusion and lose hardware. As soon as my surgeon saw the MRI he knew it did not fuse and the screws were lose. Get your doctor to look at the MRI, not read the dictation from the radiologist. Some docs go right off the radiologist report and don't look at the MRI.

[@isabella3025]

Your case is my case good luck thank for open up my eyes

[@salesadmieze9049]

I can't imagine what you went through. I'm just glad you got it figured out period doctors need to listen to their patients more

[@carnivoregal7237]

I think your still very foolish & haven’t learned your lesson. U can heal this yourself with stretches & strength training that area. No surgery needed. Your not watching the right utube channels.

[@barnhousedesignspa9251]

@@carnivoregal7237 try telling someone who’s been through what she’s been through that they’re foolish again. I’ve had 3 failed spinal fusions, and now I’m getting my SI joint fused. I was born with an extra lumbar vertebrae. I started exercising and physical therapy when I was 15 years old. I’m 41 now and shouldn’t have to be doing this for a fourth time. My point is, am I foolish for being born with an extra vertebrae? Am I foolish for trying to have a life that a normal 41 year old has? Stop being so judgmental and tossing accusations at people. You have no idea what people have been through in their life.

[@zwitserion]

Can I use your video to teach residents?

[@samippudke]

I released there no connection between splip disc too . Some dr saying here u need surgery. 😭 I figured out myself that. It's not L5 S1 thing. It's might be QL muscle or joint dysfunction.

[@malihasayyad6670]

My doctor apply thsee tests they are amazing

[@daniellemccarter5706]

Where are you located Dr

[@shayansenthelal1786]

This was great

[@elirodriguezgamero9241]

hi everyone ,if anyone else is searching for joint aches and pains try Bablim Relief Booster ( search on google ) ? Ive heard some incredible things about it and my m8 got cool results with it.

[@dogmutty2]

Great video except for the annoying loud music...wtf

[@boundariessetinstone5893]

This is bad what you’re doing if there is a tear.

[@daniellemccarter5706]

Drs don't listen they've left me like this for years

[@Germatti13489]

I know this is old but I agree. they just want the returning patient to support them but not to fix them. I have found that if I lay on my abdomen and raise my legs up or on lay on my pilates chair and raise my legs up that it helps my SI joint but the pain is only lessened, never fully goes away.

[@eddierulezz105]

Same now its really fucking me up

[@physio-anjali]

Dr is a Tamil person

[@vamshi4gvt308]

Duffer dr

[@boundariessetinstone5893]

Sounds American to me

[@thejunior9303]

Cheers for this, I've been looking for "shooting pain from hip to front of knee" for a while now, and I think this has helped. Ever heard of - Fenulian Prefatory Future - (search on google ) ? It is an awesome one off guide for discovering how to expose the trick to beat down your sciatica back pain problems minus the hard work. Ive heard some unbelievable things about it and my friend got great success with it.

[@vamshi4gvt308]

Sir i have used your techniques and pain from nowhere started from left si joint Where i dont have in the past...

[@planetayurvedaseo9624]

Thanks for Sharing a nice video. My Mother also got rid of her joint pain problem after using this joint support capsule from Planet Ayurveda.

[@tonithompson9086]

If you want your SI joint to properly heal then stay off of the internet and leave it alone. REST IT! and avoid all KZbin fix it videos.

[@eddierulezz105]

Yea ima listen to you over a doctor lmfaoo

[@deirdreocarroll1975]

@@eddierulezz105 EXACTLY

[@kikizzzzle]

Well I did that for 4 years and now I'm severely disabled and need surgery, sooo ima listen to the Dr's

[@niamhnidhalaigh5861]

Why would you want to provoke si joint pain..not much fun for the client afterwards!!

[@jeremybardgett3850]

because as a therapist or any type of physician YOU MUST CAUSE PAIN. the pain is an indicator to US in order to send you to get an MRI or X-ray.

[@deirdreocarroll1975]

@@jeremybardgett3850 👌👌👌