sacroiliac Joint pain why it Hurts - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes information about the sacroiliac joint (SI joint) and why does it hurt?.
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The Si joint is frequently overlooked as an important cause of low back pain in about 22% of the cases. It is present in about 40% of all ow back pain patients that had spinal fusion.
What is the SI joint? This is the spine. This is the sacrum which is the lower part of the spine. The pelvis is connected to the spine through the SI joints. Why is this connection important? Because the SI joint transfers the force and the load from the spine to the legs. The Si joint has very little movement; you don’t want a lot of movement. The Si joint is limited to less than four degrees pf rotation and bout 1.6 mm of translation, so the SI joint has very little movement. The cause of the pain in the SI joint cannot be due to this little movement. Some people think it is neuroplasticity when the nervous system is very sensitive to any movement and the ligaments around the SI joint is full of nerve fibers. Neuroplasticity is rewiring of the nervous system in response to injury to function differently than before. It is a maladaptive reorganization of the nervous system to a painful site which can be resolved with treatment. In general, the cause of the pain is usually difficult to determine. SI joint is protected by strong ligaments that prevent shear forces, and it is surrounded by strong muscles for stabilization during movement. The causes of SI joint problems are several. Pain from different sources overlap. The SI joint, the lumbar spine, and the hip share the same pain. The pain may be associated with one of these areas or all of these areas. In fact, more than one source of pain may exist. So the diagnosis of SI joint dysfunction can be challenging and the patient will go through a battery of steps including injection with greater than 75% in reduction of pain. The cause of the pain is usually idiopathic and multiple risk factors may exit. Usually, the idiopathic SI joint dysfunction will not show up on the x-ray, MRI, or CT. In fact, up to 25% of asymptomatic patients over 50 years old will have abnormal SI joints on x-rays.Risk factors / causes of SI joint pain? The important risk factor is previous lumbar fusion, especially when there is more than three levels involved, similar to adjacent segment disease. So if the spine is fused, then maybe the SI joint will move more and become painful. Pregnancy can cause SI joint pain. Previous trauma to the pelvis can cause SI joint pain. 80% of patients have a history of a specific trauma, usually a twisting injury. And Si joint pain can occur from getting bone graft from the pelvis and violating the SI joint. Always obtain a detailed history of trauma, infection, inflammatory disease such as Ankylosing Spondylitis, Reiter’s Syndrome, Psoriasis, check for spinal fusion, Scoliosis and leg length discrepancy. When you examine the patient, the pain is usually not in the midline, the pain is usually to the side. The pain will be below L5 level. How do you now that? Look at that pelvis. This is the level of the iliac crest and this line corresponds to the L4 level. The pain will be below the L5 level. Only 4% of patients had pain above L5. Usually, the SI joint pain is just inferior to the posterior superior iliac spine (PSIS). Treatment of the SI joint is usually non-operative treatment including anti-inflammatory medication, physical therapy and pelvic belt. Try to do at least four weeks of non-operative treatment before doing the injection. If you suspect the SI joint to be the cause or the main pain generator, then you need to identify the area of pain exactly, and that will be done by a diagnostic injection to confirm the diagnosis. The injection might give 60% success rate in pain relief at six months. If you have more than 75% reduction of the SI joint following a single injection, that means that the source of pain is the SI joint. You have to do it under fluoroscopy or ultrasound. If you do it blind, only 22% of the needles will be in the SI joint. Injection can be diagnostic and therapeutic, but do not give more than three injections in six months or four injections within one year. The radiofrequency ablation targets the lateral branches of the sacral nerve roots, but it is unable to denervate the anterior neural structures of the Si joint. Fusion is minimally invasive. You have got to have confirmation that the pain comes from the SI joint, the SI joint is the primary pain generator, and you have to have poor response from non-operative treatment. The procedure can be done minimally invasive and as an outpatient. Result has better outcome compared to conservative treatment. Arthrodesis is good option for a patient with confirmed sacroiliac joint dysfunction and poo response to non-operative treatment. SI dysfunction is a disabling problem.

[@julierehoric3856]

Im a nurse and Massage therapist and I fell- excruciating pain- this was very helpful to understand what is going on.

[@raffyysla4034]

Is there any theraphy for this kind of problem maam?

[@julierehoric3856]

@@raffyysla4034 Yes, rest, ice, gentle stretching and mostly chiropractic adjustments and massage.

[@TheZoelorelei]

Inm a massage therapist to. Working on floor mat 12 years, and now table to. I just find out this might be the cause of my pain. Not sure abiut ankylose spondalitis thst im treated for. Seems i have hyper mobility of the s i joint. It pop every day since long. I found good videos about strenghtening of the muscles around, to stabilize it.

[@themassagedoula]

I have pain over the sacrum. It acts like a severe muscle spasm keeping me stuck in limbo sometimes. Stuck between getting up and getting down. I see these videos as a massage therapist myself, I end up so confused. It is bilateral or over the sacrum. Anyone else suffer this? What body mechanics are in play while working as a massage therapist? My si joint dx was negative I guess since it did not resolve pain. Even though I told them it was on both sides they only did one side so it adds to confusion. Chiropractic adjustments kill. Like cripple me for days.

[@MikeJw-je4xk]

My SI joint pain is self diagnosed from reading and videos such as this. My pain started as tightness which evolved into pain which can be on either side, usually the left side. Mostly felt after getting out of bed. The pain has never been extreme, mainly a nuisance. The pain subsides with normal movement after a while. The pains started years ago. I began doing several hip exercises to strengthen associated muscles and joints. I discovered over time that the best relief comes from doing a particular stretch before getting out of bed. Lie flat back, raise the knees, rotate knees like a windshield wiper as far left as possible, maintaining upper back and shoulders flat on bed. Maintain for one minute. Now rotate the alternate direction for the other SI joint. This stretch has made a massive improvement. I no longer have pain getting out of bed or after walking. I now do this stretch every morning as maintenance. I can also painlessly get out of bed without doing the stretches. I am 69 years old.

[@sumanadey17]

Wahhh great...how long u have this pain my dear unknown friend?

[@kamaalg]

Best self analyses.. I am also 69 years old and suffering in the same manner as of yours.. Your illustration is so TRUE, that I shall follow the same strategy as of Yours.. I hope, I will be benefitted soon.. Great Thanks..

[@johnhodgeman3980]

I dont know that is safe and can work for everybody with SI joint. This isn't like a disc issue. For SI joint, I think you need a program tailored for you because my SI joint pain and its variables could be different from another person, whereas what works for disc issues on me probably will work for another person. One thing I'm understanding is SI joint dysfunction is like a sprain to any other part of the body. Like your ankle or knee or something. And what do you do for ankle or knee sprain? You brace it. You hold it in place. Stretching ligaments or tendons will only make it worse or never heal it. So when I think about this exercise, I think to myself the whole back needs to stay in alignment. If I'm leaving my upper back fixed and twisting my lower body and one side is stretching more than the other, not only is twisting not helpful for SI joint but not keeping the whole back flat against the bed could cause more pain and inflammation. I am not self diagnosed. I am actually diagnosed with SI joint ligamentopathy and I have several points of tendinopathy. This isnt a textbook case of SI joint dysfunction. It's a very complex and misunderstood issue.

[@NewZealandallblacks627]

MikeJw-je4xk thanks for the tip!

[@N.Sardone]

I’m nearly speechless here. This is me. For so many years my small town family doctor basically told me it was in my head so I stopped asking for help. It kept getting worse. Several years later while I was pregnant with my daughter (now she’s 18) there were days that I wouldn’t be able to walk up the stairs to our 3rd floor apartment and I would have to sit and scooch up on my butt cuz I just couldn’t lift my legs to get up there. Years and years of torture. I started using opioids prescribed at first but then….. well, not. 😒 I was just trying to get thru the day. The only jobs around were at the ski resort and cleaning condos. Things were not good. More than once I nearly ended my life. Finally after waving the white flag 🏳️ and moving to a different state I actually got the chance to see a pain management specialist and he actually had to convince me that it wasn’t “all in my head” that there was a name for what was happening. I just wish that the injections didn’t hurt so bad. It was horrible. The pain of those was equal to childbirth and pancreatitis. I never thought to look for videos about SI joint pain/dysfunction. Sorry for unloading all that stuff on here!! But, thanks for sharing this info with others!!

[@archanasworldofsongs]

Hi Nicole, I am in the same boat as yours still struggling to get the right treatment. Do you mind sharing what injections you took and if they provided relief? Thanks so much!

[@AussieBattler46]

And it anyone else really stiff in the si joints along with inflammatory type pain with less mobility. Looking forward to pain management appointment soon

[@N.Sardone]

@@archanasworldofsongs I will absolutely look back at my records to see what exactly they were called. It’s been a few years! Give me a day or two! I just shifted my entire apartment around to get rid of old stale carpet

[@danielmilliken8903]

@@archanasworldofsongs I got shots put in and they only worked for me for about 3 weeks. If you have sever sever pain most of the day then I would say get them done.

[@danielmilliken8903]

@@AussieBattler46 I have and it goes down nerves in back of legs and knees. Feel like a very hard cramp in my buttocks. Waist and lower lower back swollen. So I went for lumbar fusion and SI joint fusion. Also had labreal tear surgery

[@allenjanes5976]

I'm wiser now than I was 12 minutes ago. Thank you so much. This information will help me greatly during my doctor's appointment tomorrow.

[@marygant1980]

Thank you for this because I have told the doctors about the pain in my goin area and they ignore me or tell me it's arthritic. This is was caused by pregnancy, and I have been in pain for 9 years! I finally discovered the name to my problem yesterday so I can tell these hard-headed doctors what to look for! Doctors do not listen to patients!

[@iowasunshine5600]

Functional intergrative medical doctors will. Go to a holistic chiropractor. They know more about the spine than a mainstream doctor could or would ever tell you!

[@hotfootsue]

I am female/64 and lost 8 months of my life in bed, leg bent and propped up on tall box to keep buttock off mattress. Walking bending reaching put me in hysterical pain, I was on a walker to/from bathroom. Needed help up/down from toilet, the pull thingy on tv commercial was very effective and worth its' weight in gold. Amazon and Instacart kept the house going. First injection Sept 2022, it's now Mar 2023 and I am still 90% pain free. Don't hesitate to work with a pain specialist, cortisone is a miracle. The fact that I can walk again is a miracle. TY Dr for your succinct explaination, I learned much. Ty Ty Ty!

[@TheMeshal33]

Thank you for this! I go on 4/4! I’m praying it helps me !

[@hotfootsue]

@@TheMeshal33 You're most welcome, relief can be immediate, and by that I mean by the time you get home to rest, pain can be nearly gone. Wishing you wellness, hoping your treatment is a success story. I didn't think it possible, but I have my life back thx to injections. They are not painful, I felt some mild pressure as the fluid moved around.

[@hotfootsue]

@@TheMeshal334/22/23 How are you feeling? Any relief?

[@tadams7447]

I think this is the best medical video I've ever seen. I've seen plenty over the years. It's all very clear, and easy to understand. For me, I wish even one of my docs had this level of expertise. I was told surgery was the only option for myself. No clarifying tests, PT, or an injection plan.

[@sumanadey17]

What injection they give generally??

[@ginoasci2876]

How bad is your pain and what did you do ? I can barely move.

[@noeladcock]

Absolutely the BEST comprehensive explanation of a condition I have suffered from for @5 years now with no relief. How I wish physicians would watch this instead of giving the usual vague no diagnosis routine but let’s try some PT and the therapists do not know what to do. THANK YOU SO MUCH! At least now I know exactly what the problem is. The challenge will be to try to find someone to walk me through the process of trying to eliminate the pain which is chronic and at time disabling. THANK YOU!

[@mitchvanderbrook9950]

Me too,same ,4 yrs,it's hell to get help with ,and the long wait lists are not helping, Do hope you'll get the help ,god bless.

[@MikeJw-je4xk]

No guarantee what so ever but this helped me hugely: My SI joint pain is self diagnosed from reading and videos such as this. My pain started as tightness which evolved into pain which can be on either side, usually the left side. Mostly felt after getting out of bed. The pain has never been extreme, mainly a nuisance. The pain subsides with normal movement after a while. The pains started years ago. I began doing several hip exercises to strengthen associated muscles and joints. I discovered over time that the best relief comes from doing a particular stretch before getting out of bed. Lie flat back, raise the knees, rotate knees like a windshield wiper as far left as possible, maintaining upper back and shoulders flat on bed. Maintain for one minute. Now rotate the alternate direction for the other SI joint. This stretch has made a massive improvement. I no longer have pain getting out of bed or after walking. I now do this stretch every morning as maintenance. I can also painlessly get out of bed without doing the stretches. I am 69 years old.

[@cossie9]

Thank you too...FINALLY getting to the diagnosis of my pain for the last 6 years

[@jackieohara1984]

I've had this pain for 15 yrs now. Tried everything from physio yo SJ injections, meds etc. Now on waiting list for sacroiliac joint fusion which had been cancelled twice in last year! Surgeon promised it won't be long. But I admit I'm terrified, as he said it may not work, or could make it worse!

[@chrispy_gaming8487]

OMG this is incredible! My life has been completely ruined this past year. I literally haven't been able to sit down for 2 months now. The burning in those joints and my hip/ leg joints is so intense its unbearable. I had a Lumbar MRI recently that found 3 bulged discs and arthritis. I had the lumbar Steroidal Epidural injection and it didn't help at all. They injected at l4-l5 and l5-S1. Ive been really losing hope lately and wondering what this is and how I'm gonna continue living like this. Im only 39 yrs old too so all of this is strange for my age i think. But this video clarified so much for me.I literally mean every single thing you talked about is EXACTLY what i have going on. I cant thank you enough and if i finally get relief because of the information in this video, I will be praising you sir to anyone and everyone! Thank you so much

[@kayemattinson5408]

Hi I am 78 now and have just got to understand so much more from this video . I had a trauma to my spine 33 yrs ago which has left me with chronic pain since. I know they didn't have the knowledge that they do now so it has been only presently that I have a clear picture of things. Getting off opioids would be marvelous so I'm wondering after obviously having had unsuccessful injections that they may have been put into the wrong places. Now that lately a new MRI has pinpointed the pinched nerve at the Si joint and that an injection may help the buttock pain, I will still be left with the other pain problems. . Your video gives me the impression that all of the symptoms are coming from the S I joint. That picture of the red spot and the red streeks and the leg knee and foot have given a good picture of my situation and case explained. I can have the bone released to free the nerve but no guarantees. Doing exercises and pool Walking.😊

[@rashidalmoravid8965]

Have you found a good treatment? Please let me know what

[@lonnienunez6141]

Covvidd are the jabski caused inflammation trust me

[@DynamicBailey]

Did this actually help you?

[@ginoasci2876]

Did you get injections? Did it help?

[@venessaabrams8687]

Dr. Ebraheim. You are so intelligent and I learn so much from your videos! I am suffering with this pain right now am currently in a few therapies for the debilitating pain. It sucks the life and energy from me. God help!

[@emilyb5557]

Also important underlying cause - hypermobility syndromes including ehlers Danlos syndrome, Marfan's. Look for marfanoid body type, check Beighton score (don't just ask if patient is hypermobile as many don't realise their joint range is abnormal) . Check for pelvic floor issues eg prolapse, rectocele, evacuation difficulties, incl in people who haven't had a pregnancy (could contribute to pain & good clue to hypermobility esp if no pregnancy to explain!). Fatigue maybe related to PoTs. Hydrotherapy maybe be more effective than standard physio if joints are especially unstable due to ligament laxity.

[@WhistlesToAnimals]

Can't thank you enough. You help so many people. And you are a great advisor to doctors. This is so perfectly logical and informative from start (diagnostics) to finish (all types of treatments).

[@ninababy8]

I’ve watched so many videos. I have a triple fusion and this SI pain is horrid. This is the best video!! So well done! I have a good understanding of my options. Thank you so much!!!!

[@natlove2099]

I had SI joint pain for over a year. I had a knee injury like 9 years ago and my knee was never the same and was weaker. I never got proper treatment for it. But i did notice over the years my right leg was a lot weaker than my left. I started developing what i thought was back pain. I had an MRI and it showed an inflamed SI joint. My physical therapist at the time treated me for back pain and didn't do the SI joint. Fast forward to me wearing a knee brace and now my pain has decreased tremendously! 3 orthopedic doctors looked at me with confusion as to why i had SOO much pain with sitting and low back pain. It was my si joint all along!! I cried and was miserable this whole time. Thank god i decided to try that knee brace. Now i'll go back to a PT and have them focus on building strength in my core, SI, and right leg.

[@C123abc]

I thought an MRI could not show the inflamed SI joint.

[@natlove2099]

Not sure where you got that from. It sure can @@C123abc

[@anonymousanonymous-tw3wm]

I slipped and fell. Its been hurting for 5years. This video popped up! Im so grateful!

[@williamcunha9136]

My wife suffered is SI Dysfunction for almost 10 Years. Her SI would dislocate on average 12x a day. Myself and my sons have to learn from a PT how to get her SI joint back in place. In late 2012 it was recommended by the Texas Back Institute we see Dr. David Polly at the University of Minnesota Hospital. In 2013 She had the I-Fuse implant system installed. It was a 30 minute procedure and the SI pain was gone. Left & Right side had to done in two separate times. We cannot thank TBI, Dr. Polly & I-Fuse system enough.

[@mariaarroyo5223]

you know sometimes people have asked me why I look mad is not really being mad and no one is just the pain that you

[@MiraMate]

Thank you Dr! Mia‘

[@mariaarroyo5223]

so living like that is not so easy where you got to deal with the daily life

[@ramoddjob]

Driving a car wreaks havoc on this joint. I actually gave my license up this got so bad. It clears up within a year of being out of the drivers seat. Totally worth it. I can engage my core. I can feel my psoas and sacral plexes again.

[@vigneshwar0]

I too arrived at this problem after driving for long hours. Now thinking of stopping it and this got a confirmation from you on this. Thank you sharing!😊

[@jader9356]

So true. I played sports my whole childhood but it wasn’t until I got my drivers license that I started having burning foot pain when running during sports. And when my car was getting worked on for a week , it magically went away as well. People usually lean to one side when driving as well as use hip unnaturally when pressing gas pedal and taking it off pedal.

[@linabellina]

Thank you so much for making this video It explains exactly how I e been feeling for the past 4 years excruciating pain. I lost my quality of life.

[@andahtheo4237]

I can't enjoy life again for the past four years...

[@flex1nut]

Wow, this was just perfect to understand si joint pain. I saw three spine surgeons and one was a top surgeon in the USA. Not one said pain was from si joint and I needed four level fusion. After, appointments I suspected pain was si joint and not from spine. I'm so angry and frustrated. I know it's the si joints! Now I'm going back to the pain management doctor.

[@sheilahowson8255]

Beautiful explanation. Thanks a million! God bless you. ❤

[@KvilLaboy]

Probably the most helpful and the most validating video I have seen. I have gone to my doctor's and have felt defeated every time and not being able to sleep has made me feel a bit crazy too. I think sometimes doctors forget to communicate properly. "EMG looks Normal, Unsure why you are having so much pain and discomfort. We can do injections to see if that will help" I was here thinking why the hell am I going to do a freaking injection if you don't know what the issue is?! Maybe now I can direct my questions better. If it's for a diagnostic purpose for sacroiliac joint this makes sense. I had fusion of S1-L4. Surgery was good, most of my pain went away but a new pain crept up months after surgery. A year later I still have trouble sleeping in any position especially laying on my back and I still can't feel my left glute.

[@Catrell]

I'm 34 and I've been injured since my late twenties. When you're young and in shape nobody will listen to your complaints about back pain, and it has taken me years of complaining and going to different doctors and ultimately being forced into workers' compensation and finally the doctor mentioned my sacroiliac joint. Looking this up there is no doubt in my mind that that's what it is and I'm kind of irate because it seems like with a few pointed questions and a thorough examination this could have been easily diagnosed. Makes me think doctors are clocking into their 9 to 5:00 just like everybody else. Police and doctors should be held to the utmost standards if they're going to be compensated or given so much leeway and power.

[@nicoler4298]

Currently in my late 20’s and I’ve had a very similar experience. I’ve gone to multiple doctors who easily write me off or don’t take my pain seriously and it’s so frustrating

[@SilverSparkles22]

And when you're old the docs attitude is you're getting old it's expected

[@gfriedman99]

How did you injure it? I may be able to help you

[@ryno1808]

Same mate 5 years off it know. started when i was 30 was in amazing shape aswell.. on and off compo because off it. Even had lumber decompression surgery which helped about 10 percent off my pain as they thought it was my facet joints giving me the pain i demanded a mri 3 months after surgery as leg pain was getting worse f me the burning is unbearable...i was finally diagnosed today with cronic sacroliist through mri

[@annikagroebner7534]

Thank you for showing and explaining the anatomy so well. Excellent video!

[@nabilebraheim]

You're very welcome!

[@philcarr7015]

This video has been extremely helpful, Doctor. I plan to show it to my doctor at my next visit. Thank you!

[@Lyn4817]

Having had a successful Radio frequency Ablation it's incredible the pain relief you get. Like everything the treatment doesn't last forever. I am in need of another session.

[@silvrfox2uBooboo]

Thank you SO much for posting this video! It's very easy to understand, and it gives patients added information if they are just starting out in their journey to helping themselves deal with the pain management system and in finding what works for each individual. (Bowing low to you, Dr. Ebaheim!).......

[@pattimorton5189]

Thank you! I came searching how to live with sacroiliac disease..... broken bum disease is what I call it. Sitting is the worst and laying down is harsh due my entire skeleton is a mess. Drugs for bone pain, all kinds! But the nerve pain meds are the worst and didn’t find much relief and terrible side effects. I still work, I walk even though the leg muscles never seem to get a break and I can fight the pull of the elastic band feeling. Walking helps the most but I do need two knee replacements which I will never have before I die. Or shoulder surgeries and definitely no back surgery! I was a busy kid, and my body is broken and I just tell people I lived! I’m considered young, but in a old brittle body.

[@LOURDHU1981]

So sad.... May God help you to overcome the pain

[@jader9356]

Yep. Shoulder problems can start happening with si joint issues. sitting a while and getting out of bed is when mine feels the stiffest.

[@SharifulAlam-lr4yp]

I had spinal fusion surgery and from this year May 1st till now I am having crazy pain. I was in a point I felt like dying would be easier. The doctor wants to try injection. Keep me in your prayer.

[@danatursynbayeva5548]

How do you feel now? Hopefully you are doing well

[@Zathauntie]

What a thorough and informative demonstration. I thank you!

[@honeybeehelper-1]

This video is exceptional! Clear, concise and so informative. I have learned more in 12 minutes here than in speaking with any of my providers. Thank you!

[@DanPumba]

Truth!

[@Journeyman-Fixit]

Thank you for your great wisdom Doctor, I believe you have identified the source of pain that I have had for 18 years now.

[@gfriedman99]

prolotherapy

[@nightowl6260]

Clear and concise--this was very helpful.

[@pamperez4638]

Anybody tired of doctors getting away with calling the people who pay their salary.....liars....or my personal favorite.....crazy? This is unacceptable from the medical community and simply means they don't have an answer. We deserve better

[@davidg5629]

Great, clear description of this painful issue. Specialists have been shooting me in the wrong areas. But my regular doctor shot my SI joint free handed and hit the spot. I was able to take a long plane ride after that injection and spent about 2 weeks pain free. I'm going back to him. Thanks.

[@2ZeldaLovers]

Thank you for your informative videos. I've had SI joint pain in the past, with a feeling like the joint was out of alignment. I got relief from self-release maneuvers I found online as well as PT treatment. Thanks again from your number one occupational therapy fan!

[@justiceurasa2346]

Please share with me were you got PT treatment I've SI joint pain now very serious my friend thanks

[@kellysdances715]

What exercise did u do please x

[@zgr2777]

@@justiceurasa2346what is PT ?

[@stuckeyjanice]

@@zgr2777 physical therapy

[@TheDavveponken]

Honestly, getting more movement in the joint has helped me.

[@mfranck1]

It is an extremely painful condition. 😢

[@matthewmatthew1709]

Very painful I agree. My second month and it’s hurting a lot 😢

[@shayonacollins3533]

Got xrays done and they told me I have berlotti syndrome they said that is not the cause of my pain. They said it is SI joint pain. I am only 31 and can barely walk. It hurts so bad. Can't sit or stand long

[@Unclebubba1]

Ive been going through it for 4 years. It's been hell! I'm getting injections in 2 weeks. I'm hoping for the best

[@mfranck1]

@@Unclebubba1 we are on the same schedule. I’m getting bilateral injections in a couple weeks myself.

[@mfranck1]

@@shayonacollins3533 I totally understand. I started having SI pain in my 20s. If you can find a good physical therapist, they may be able to help you learn how to adjust it to relieve some of the pain.

[@DanSme1]

I’ve suffered three years with SI joint pain. With my most recent injection, the lidocaine gave me 99% pain relief and full mobility for 6 HOURS, then it began the downhill slide despite the corticosteroid. Yes, it takes one week for steroids to take effect. My quest now is to find the best fusion approach for me.

[@gregparrott]

Very educational! Thanks for posting.

[@lan-julie4111]

Thank you Dr. Ebraheim!

[@emanuelarroyo6777]

Thank you, I am a firefighter suffering from exactly this for quite sometime. This info will help me seek the correct help I need.

[@badkitty1285]

Excellent & so well presented. This describes my problem exactly.

[@pipoviola]

Such an amazing explanation, thank you very much.

[@chandranis2228]

Thank you. Very informative.

[@GxctyLphdras-kv5cz]

Thanks from the bottom of my heart💙

[@RobinAuldOfficial]

Very informative and easy to understand..thank you!

[@tonyhernandez2786]

This video confirms my therapist opinion of the pain coming from my back. I had a 3 level fusion in November. The pain down my leg was gone but there was a nagging dull pain in my right side hip area. I am getting acupuncture for the pain. I felt 80% better after the first treatment. The pain was coming from the SI joint. Thank you for sharing this information. 🙏🏼

[@mastermaddy]

Very deep and disciplined knowledge

[@1171]

Thank you for all you have said I have to endure and nothing will ever work did it so I am beginning to feel like I can’t tolerate this. If anyone else has the issues that I have I pray that you find an answer. Godbless

[@RichRich1955]

Great information doctor

[@pageandink]

Thank you. I can tell you are well educated on this topic. You really helped me to understand what’s going on in my body.

[@JijiJiji-tu6iu]

Et le traitement ..???😟

[@wekker090]

One of the best vids. Thank you.

[@kathrynschumann5254]

I was already a retired professional ballet dancer and had born two large babies so obviously my back was an issue when in 2012 i had a major back sprain due to a weighted twist while bending over. I assumed it was a soft tissue injury since it was more toward the left side. I couldnt walk unsupported for at least a week but i never went to an Orthopedic. It is only recently that info such as this video has been available and it has opened my eyes. Thank you for this. I have an appt with a physician in December.Ive done chiro, accupuntior, massage,pt... and it hasnt resolved at all. So after 11 years I will hopefully get some relief.

[@aramjamil5285]

جزاك الله خيرًا!!!

[@vigneshwar0]

Thank you for this very informative video, I now have a great understanding on this.😊

[@BigEightiesNewWave]

Gold standard video, excellent.

[@kristadickson1087]

Had my right SI joint fused last October and it was one of the best things I did!

[@Naomiby1]

wHAT AN INCREDIBLY HELPFUL VIDEO! tHANK YOU SO MUCH.

[@Rich-tl6bb]

Thanks for putting out this informative video😊

[@AM-eh7yl]

Thanks for the information.

[@rafaelrivera2860]

Dr.nayib wow he's an encyclopedia thanks 👍

[@rudygeorgiamulesandcountry1594]

Thankyou doctor, it was extremly helpful !

[@jeaninerumble6503]

Thank you so much for this valuable explanation!

[@madanmohan6010]

Excellent presentation watched so far 🎉

[@noy12371]

Good video

[@rkh7904]

That was very informative, thank you.

[@treshamassey804]

I have had SI joint pain so severe I could not lift my leg up one step. Thankfully a great dr has given me steroid injections that has helped immensely. Plus, physical therapy. I hope all of you get the help you need.

[@velocitygirl8551]

Ask to be tested for the HLA b27… if this sacrolitis is linked to reactive arthritis, or Ankylosing Spondylitis… you can also lose your eye sight due to Uveitis. Drs do not talk to one another, I had to learn this and solve my husband’s problems. Good luck ❤

[@chriswhamilton]

I tried asking by doctor about AS and he had no clue what I was talking about.

[@bubbadoolittle2812]

Excellent! Very good information!

[@Innate75]

Strengthen the glutes!! Especially G. Max. Also the lumbar spine. All those muscles insert there and are very important dinamic stabilizers.

[@amandasmith9297]

Not all pts will have resolutions with this method. Ppl such as myself has autoimmune disease affecting my spine and SI joints plus I have hip popping syndrome. It was an issue even as a teenager. I have osteoarthritis, disc disease , narrowing of the foraman and SI joint inflammation with radiopayhy down my legs . I complained of pain when I was 15 years old, a yr after having a sever case of mono. It’s not known what activates HLA-B 27 .. it could be from the mono virus or a bacterial infection. Not all ppl who are HLA-B27 pos will have active disease. I also have sacralizstion ( S1 and L 5 fusion) another indicator of AS or bamboo spine .

[@RosaPerez-jz9kb]

Ojalá se pudieran activar los subtítulos en español. Infinitas gracias 🙏🏻

[@fatoomgierdien110]

Thanks ❤️

[@smaguire8339]

Dynamic?

[@maryrudelich9000]

I’m working on it with my daily “stretchy” exercises, including lifting my butt off the floor from the laying flat position.

[@roseburkhalter1436]

Absolutely the best explanation of the problem I have suffered with for 10 years because I have three fused discs in my lumbar and they took bone out of my iliac. Information is key!! I even have internal pain stimulator, but it doesn’t take care of that part of your back so I’m gonna try injections again and UHC won’t pay for burns.

[@valentinahernandez7291]

Thank you so much for this very informative video. I don't see why this pain affects me, as I don't have any of those issues you mentioned. I suffer bouts of it a few times a year, and it takes about 2 weeks to go away each time. I'm currently on Day 10, and I'm still in a lot of pain, hard to sit, go from sitting or lying down to standing straight (hunched over is usually all I can do for the first few days), hard to find a comfortable sleeping position, and walking also hurts. My pain is in the lower back, as well as all around the front - groin, pelvis, hip bone, and outside of upper thigh - often both sides, sometimes just one. It's like a wide belt of pain that I'm wearing. It's extremely disabling, but thankfully, I work from home. I'm surviving on Aspercreme with Lidocaine and a pelvic belt. I feel like Advil does nothing, though I do take it sometimes just in case. Just walking to get the mail is extremely difficult. Btw, my pain is also self-diagnosed based on all the research I have done. The one time I saw a doctor was just for hip pain by itself, and he found nothing.

[@jax-sx9pk]

Very helpful! Thank you for sharing your knowledge!

[@Panic_at_the_grocery]

Very helpful information. Thank you!

[@thrillcker68]

I had an injury to it that nobody correctly diagnosed me with and that is maddening!

[@user-wl2pw7ee8b]

I had a bad fall off of a horse on my left butt/lower back area. I’ve been in constant pain since.. this is my exact issue. Thank you! Very informative. Currently doing physical therapy!

[@MelWright-zj4ch]

EXCELLENT presentation on this subject. THis vdieo has just saved a college basketball play form use quakes to treat his issues.

[@FlowByAda]

THE BESSST VIDEO FOR SI JOINT EVERERRR❤❤❤❤

[@tinamuller3189]

So helpful! Thank You!

[@BellaOsa]

Oh thank you for this information. It explains a lot. I couldn’t figure out why my hips hurt when carrying things less then 5 lbs. I did some of you examples and sure enough, that’s where my discomfort is. Thank you again.

[@debbiespann3793]

I’ve been telling my doctor I can’t carry ANYTHING my left side without major pain . Sleeping on the affected side is terrible and also stairs but again only on the left side . I was diagnosed with a L5-S1 pinched nerve but this feels different it’s as if a screwdriver is wedged deep between my leg and my hip .The steroidal shot didn’t help at all . Pain in constant 15 weeks now .

[@Mansmatters]

Very nicely explained

[@michele2716]

Thank you so much! My Kaiser docs didn't do anything but have me point at pain, and then they offered me a shot. They said nothing would help but the shot & no other thing could diagnose me, like MRI. I switched to HMSA & am trying to take care of it on my own with a soft tissue specialist (who's also a chiropractor), and many of my most painful symptoms have resolved. I am also trying to do PT on my own. Kaiser PT was awful, though I did not do for SI joint. After watching this, I'm not sure if the issue is my SI joint. I have more exploration to do. But I have many indicators that it is SI - like the general location, pain when sleeping/standing, etc. This was so helpful compared to my docs. Thank you!!!

[@malikamber2007]

Please make a detail video on cervical radiculopathy

[@debrawucik826]

Makes a lot of sense and this may be my problem. Will pursue….

[@leonorhernandez7079]

This was very helpful

[@lynguy8824]

Thank you sir it was very helpful

[@joshy8107]

Loved this video. very informative

[@gweno9901]

Thank you. Very helpful!

[@juliawhetten]

thank you for this very comprehensive explanation. I have had pain for years with little or no relief after physical and massage therapy. I have an appt with a spine/hip specialist next week. I hope I get some real answers.

[@waelfadlallah8939]

Thank you so much sir

[@janalongbotham3004]

Very Helpful. Thank you

[@cannabanana4509]

Very informative!!

[@nicholasb8799]

Great video, good breakdown, made me understand more about my twisting injury!

[@maryswanson9269]

Thank you so much for this thorough and enlightening explanation that explains, to a "T", the type of pain I've had. I fell while hiking 3 years ago, and landed on a volcanic rock bed directly on my 'tailbone'--trouble ever since. My physician's assistant was spot on when she discussed possible etiologies. Maybe she has seen this video.

[@antonyetheridge1050]

brilliant video,thank you

[@solmma]

Thank you!

[@storytellerkirupa7822]

Thank you so much sir it was very useful and informative. 🙏🏿