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

[@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.

[@chicagollama]

Do you think a really soft bed can hurt this too? I slept on the hardwood floor last night and actually woke up able to move

[@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.

[@IloveAutumn-b5p]

MikeJw-je4xk thanks for the tip!

[@pol1022]

it worked for me as well, almost disapeared, been 4 years with this pain thank you!

[@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

[@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

[@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!😊

[@jadar9356]

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.

[@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.

[@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?

[@mariamarino138]

I’ve had so many cortisone injections in my lifetime, that I now have osteoporosis 😢 can’t have anymore!

[@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?

[@ginoasci]

Did you get injections? Did it help?

[@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!

[@GoranTurda]

For me 9 years as well today, finally learned the name of the pain!

[@Scott-yw1lh]

I'm just kind of thinking. Maybe 9 years ago you guys should have gotten on and researched and learned some things about what was going on with you you didn't have to spend nine years wondering what was wrong with you and you could have found out when you could have found out 9 years ago. My injury was a year ago because they screwed around for the first 6 months I will have this condition the rest of my life now so the whole thing of discomfort is a bunch of crap it's painful and it's going to be painful for the rest of my life because the joint did not heal back in its rightful place and they can't cut everything up so it can heal correctly. Now I have to correct my life and everything else around it it pays to do research and not trust just what a doctor says. Because there are 10 people at the same problem you have in all 10 people feel it differently that's why a doctor cannot tell you definitively that your problem is exactly what he says it is.

[@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??

[@ginoasci]

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

[@tadams7447]

@@sumanadey17 Steroid, I guess. What else?

[@tadams7447]

@@ginoasci Years ago I used to do injections, but my doc retired. So trying to find someone. Yeah, it's excruciating at times, and I can barely walk at all. Then if it clears up, like something moves back into place.? SI joint injections helped me a lot when I had a do who did them.

[@anonymousanonymous-tw3wm]

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

[@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

[@DanneyTanner]

This is the best video I found in the last 3 years describing SI joint problems and pain. I started having SI joint pain when I was 54. I'm 57 now. And it is really painful most days. I haven't been able to work. My normal job. The doctors I have been going to about a dozen of them and they are not good at figuring out what the problem is. I had to use KZbin to figure the problem out. After four injections in my lower back with zero results now in a couple days I'm going to try an injection in my SI joint . Hopefully it works or helps. Riding in a car down a freeway is one of the most painful things I have experience with this SI problem. It is something that I just can't do anymore. Looking to buy myself a nice smooth riding car and stick on the blacktop roads close to home

[@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.

[@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!!!!

[@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!

[@Velez8669]

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.

[@Kvilladon]

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.

[@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!

[@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.

[@Eclectic_RN]

Superb presentation, I send my injured workers with sacroiliac issues to watch this, thank you.

[@louisathatcher3047]

Great video. I recently got a diagnosis after 5 years of many doctors, specialists, physios that made it so much worse with their exercises and various needles and a costly experience. I have finally now started treatment after giving up for a year I tried a new doctor from overseas and he just knew right away. So lucky and grateful for new doctor I had lost all hope before that. I’ve just had a second lot of injections after the first, a diagnostic one on the worst side. Still a process moving forward but at least there is hope now. I was 29 when it started picking up my baby out of her cot twisting and could barely walk the next day. I’m 35 now it’s still hard

[@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...

[@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

[@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.

[@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

[@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.

[@son_of_northern_sky]

This is the best information as to what I am dealing with I have ever found. I have had xrays of my back 10 years ago because at first I thought it was a sciatic nerve issue. I just had xrays and an mri done of my hip because I have started to feel this really bad in my groin, and I also have a pop and a snap. I also have pain in my lower back below L5 and not centerline. It hurts to bend over and bend up, I could hardly get out of bed the other day, it hurts to sit down, stand up, or lay down. However I finally have insurance and was able to isolate the pain instead of the entire region just being in pain, and this is exactly where it's coming from. I start physical therapy tomorrow and I am going to tell them this is the treatment I need and want moving forward. It's been very depressing to deal with this because every-time I have attempted to get it sorted I was always told I was fine but knowing in reality I was in excruciating pain. I will let you all know what happens, and let you all know how physical therapy and further treatments go. Keep you head up, you're not alone. Thank you Dr. for this video. You saved my life.

[@son_of_northern_sky]

I went to physical therapy yesterday and they performed the tests that are indicated in this video. I have a right SI upslip/dysfunction. I will be starting the process of healing now, and will let you know how it goes.

[@orekiken8142]

I feel you, since all the doctors said that they don’t see a problem with my back, but it hurts a lot. Im really sure that it’s SI joint pain and I’ve done PT for 3 months, but I see no improvement. I hope you can fix your problem, and if you do see improvement, can you tell me what you exactly did? Thanks in advance.

[@son_of_northern_sky]

@@orekiken8142 I did PT yesterday. I got a dry needling, and a massage and stretches. When she went in with the dry needle there was 2 spots she hit on my piriformis muscle that took the knife out of my back. It felt good for a little but the pain is back today. Look up IFUSE SI joint. I've already called my closest Dr. to get a fusion if all else fails. Go to your doctors and straight up tell them it's your SI joint. I had to do that with mine.

[@orekiken8142]

@@son_of_northern_sky I’m going to a doctor in 2 weeks and im just going to tell them that it’s my SI joint. I’ve heard of a fusion surgery, but i don’t think i’m going to do it because im only 17 (I’m a soccer player), so I’m scared for my future and I think you should maybe try more exercises when doing your PT, because you need months to see improvement ( before even considering surgery ).It also looks like they also take good care of you when you’re doing PT. With me, they just give me some exercises and go off somewhere else. Maybe I should look for another place.

[@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).

[@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.

[@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

[@jadar9356]

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

[@sheilahowson8255]

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

[@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.

[@annikagroebner7534]

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

[@nabilebraheim]

You're very welcome!

[@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

[@davidross6954]

Going on 5 weeks now. Very bad pain. Getting better slowly. Injection scheduled Friday. Praying for relief. 🙏

[@Lissalovee]

Let us know how you feel after the injection hoping your pain goes away 🙏🏼

[@spaceghost8995]

My injection did not help at all.

[@davidross6954]

Pain went away from the injection. 🙏

[@stuckeyjanice]

@@spaceghost8995 Mine did not help at all as well. They said wait a week, then tow. Zero relief. I had knee replacement surgery and the stiff side leg caused the si pain. It moves form side to side and even in the middle at times. It is unbearable, and no one around me can comprehend. People say it should go away. 7 weeks later it has not.

[@spaceghost8995]

@@stuckeyjanice I don't think the pain ever goes away with SI. It will have it's peaks and valleys but it's always there. Mine has been a problem for 30 years. However about a year ago I really aggravated my SI doing leg presses at a gym. Since then it's REALLY been much worse. I don't want to get a fusion unless it's unbearable .

[@TheDavveponken]

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

[@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.

[@nightowl6260]

Clear and concise--this was very helpful.

[@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!).......

[@kristadickson1087]

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

[@Zathauntie]

What a thorough and informative demonstration. I thank you!

[@philcarr7015]

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

[@chicagollama]

Wow!!! 2 days later and after doing these exercises AND laying on the hardwood floor each night I’m almost 85% better!!! Thank you!!!

[@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

[@rose-mariewijeratne2544]

This is so informative and for the first time I understand why I have been in such pain . It started in pregnancy (3 and a half years ago) I was diagnosed with common pelvic girdle pain and I was told by my gp that this can last for 1-2 years post-partum however the pain only became chronic and didn't improve , it just kept returning depending on how active/inactive I was . Sometimes If i only carroed my toddler for 5 minutes it would trigger off excruciating pain in my SI joint. Holidays abroad also would lead to the same doomed pain along with many other life activities. I am currently seeing Chiropractor 3 times a week for treatment and I'm starting to feel like myself again. I'm hoping the Chiropractic treatment will be all I need to heal instead of taking the injection.

[@Journeyman-Fixit]

I have a burning pain with mine, I have had it since 1997, it is very persistent. Good luck, I hope they can get you pain free.

[@alan4sure]

I had prolotherapy injections to the sacroiliac ligaments as well as manipulation to realign SI joint.

[@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

[@Sunshinebchh]

😮 I’m 30, been dealing with this pain since I was about 8years old. MRIs of my back and X-rays of my hips showed absolutely nothing wrong. This is Exactly what is wrong. The doctors always “give up” and say it’s hip arthritis despite not seeing arthritis at all.

[@Rayhan...s]

uriec acid

[@RobertMcLean-jw5eb]

Ligaplex

[@lonnienunez6141]

Check reactive arthritis

[@bruceyoung8980]

Nothing worse had 5 doctors belittle me over lifted for years was in a bad relationship i only had my wage to look after my daughter so after many years of being very fit the damage was done 2prolasped disces and medium to serve wear .told by doctors they refused to treat me this is amazing .had 6 differant neddles but still sounds good .the worst in fliction ive wanted to cut my legs of the is wot war veterans have aswell from ieds

[@hersheywalker6447]

@@bruceyoung8980 attorney consultations are free, a lot of doctors haven’t read a medical book since school and are clueless, good luck with your recovery

[@VintageVegans]

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

[@VintageVegans]

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

[@VintageVegans]

@@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.

[@x3Myst3ry]

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!

[@b-jscott]

An excellent summary and explanation. I suffered with pain for more than three years after a spinal fusion. Only recently have figured out that it is my SI Joint!! Thank you for this in- depth explanation!! It was my physiotherapist who eventually found what was causing my pain.

[@frphxkaboom3008]

To have big pain after a fusion is a nightmare. for it to go on for 3 years post op is terrifying. I had some relief with L 4 radio frequency ablation . I've had several surgeries and interventional anesthesiologist procedures. I think I'm full of arthritis. thank god no relentless shooting pain. many of these symptoms are familiar.

[@flux9433]

​@@frphxkaboom3008 am new to this only 25 years and happened out of nowhere not expected one week nothing helped me medicine massage nothing it hurts alot and i can't even stay up straight at all am like half a man now

[@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.

[@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.

[@MicRobStr]

Same here, bud. Firefighter for 22 years. Had a microdiscectomy last year and pain has gotten worse. I think it has been SI the whole time. Medically retired 6 months ago.

[@chriswhamilton]

Suffering lower back pain and hip pain for 2 years now, had MRIs, seen 6 doctors and not one has suggested this as the issue despite me describing all of these exact symptoms. You really wonder do these doctors have any idea what they are talking about. At least I have something to go back on and maybe a path to pain relief....finally!

[@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!!!

[@debrawucik826]

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

[@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. 🙏🏼

[@HRG8450]

I have this crappie pain. Im also 10 out of surgery of 3,4,5 and S1 fusion. This video is spot on thx

[@gregparrott]

Very educational! Thanks for posting.

[@dwainwheeler4843]

Bingo! I've finally found the source of all my back issues. Thank you!

[@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.

[@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.

[@rafaelrivera2860]

Dr.nayib wow he's an encyclopedia thanks 👍

[@Tellingspot]

Thank you very much for the thorough explanation. It is most helpful.

[@MelWright-zj4ch]

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

[@GxctyLphdras-kv5cz]

Thanks from the bottom of my heart💙

[@SusanNelsonCreations]

Excellent video thank you . I am 54, I have Ehlers Danlos Syndrome and Behcets Autoimmune . I have had right sided SI pain for many years. I have had multiple Steroid injections under fluoroscopy. I have had two radio ablation with some relief. I have been on Gabapentin and Tramacent for years. Now my lower back is in a lot of pain. I am scheduled to have the lower lumbar radio oblation later this month. I also have massage two times a month and have undergone lots of physio . In Canada they do not do fusion. I inquired about stem cell injections but was told this isn’t done here either. So what is left to do??? I don’t sleep well, walking and stairs all irritate. Bending of any kind makes it worse. Quality of life is horrible. Due to other factors with EDS I have POTS which makes any exercising very difficult due to blood pressure changes and light headed. Any help would be appreciated !

[@suerop]

Ask about non-invasive Soft Wave treatments.

[@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.

[@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.

[@badkitty1285]

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

[@khalilkhalifa1853]

I feel that what came in this video applies to me doctor ..hopefully I will recover .. thank you .May God cure all patients

[@RichRich1955]

Great information doctor

[@thrillcker68]

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

[@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 ..???😟

[@FlowByAda]

THE BESSST VIDEO FOR SI JOINT EVERERRR❤❤❤❤

[@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 .

[@raychi701]

Thank you, I learnt more from that than the endless trips to the doctors. My MRI was done March 2022, it shows I fractured both sticky out bones on L5, few other things on report I or Google don't understand and the doctors not medically qualified to discuss. I'm still waiting for appointment with spinal surgeon. I am in pain most days, it is horrendous at the moment I can't walk far, 10 minutes and in a lot of pain, sitting is difficult too, set up bed in living room for when I can't do stairs. Pain cuts through stone painkillers like tramadol or naproxen. Emotional anxiety now taking over as I can't do certain tasks I always used to, my grass is long and my windows are dirty. 😢

[@raychi701]

Strong painkillers*

[@reynaldojr.dedace3228]

Hi i read your comment, and i ithink were in a same condition . Thats what i feel in my lower back i was diagnosed potts disease and i had also fractured from my L.5 down to S.1, since 2020 im still on pain but last year im started taking anti tb meds until now

[@raychi701]

@Reynaldo Jr. Dedace Hope you find at least some easing up of your condition, my doctor said a fracture is unlikely to cause pain so I'd like to know what is causing that and why I've had some internal bleeding. While waiting for the appointment with the spinal surgoen I'm praying for better days to come and I feel like God helps me to cope when I put my faith in him and pray to him, I will say a prayer for you too. Stay stro🙏

[@jo1872]

I enjoyed this video and graphics. Please talk more about Ankylosing Spondylitis diagnosis with bloodwork, ANA, HLA B27 and xray, plus bone scan for SI joint fusion. This dysfunction is under diagnosed, especially in women. Thank you.

[@rulebraking]

Most instructive video on the subject. What are your noninvasive treatments?

[@gravestonemyth]

Yes, this was helpful. I had a successful L5-S1 fusion 26 years ago. I exercise daily and have remained fit and flexible, despite left hip pain and, more recently, posterior pain that you seem to have described perfectly. Obviously, I have more than one problem.

[@ابواحمدالخفاجي-ث9ب]

How do I relieve pain from the left side and hip

[@DRV_Woodworks]

I recently had a diagnosis from my physical therapist after a recent injury that my issue is much the same as described in this video. I hope it's something that can heal up soon. I'm 5 days in with hardly any relief.

[@DRV_Woodworks]

Update on my pain. I was able to get back to normalcy with in 1 1/2 weeks. My amazing physical therapists helped tremendously. Also not staying still too long and moving around helped loosen me up. Lots of cold packs on and off worked well too.

[@SilverSparkles22]

3 years in with no relief

[@ابواحمدالخفاجي-ث9ب]

​@@DRV_Woodworks Hello, have you had buttock pain from the deep buttocks when sitting causes pain, walking less, lying down less, and how is the treatment

[@mastermaddy]

Very deep and disciplined knowledge

[@jaygirlization]

My chiropractor is the one who is helping me. My SI joint is twisted and he untwists it twice a week. It does not hurt when he does this. The SI joint is now mobile..it had been stuck for years from trauma ( horse accidents) the painful part is the ligaments and muscles as they adapt to the New Untwisted position. The muscles are weak as they try to do the job. So when the muscles start going weak in the afternoon...I lay down and take the pressure off them for half hour. Get up...muscles rested good to go another several hours. Chiropractor assures me that once these muscles get stronger in a few months I will be back to normal. My SI joint is being held now in the untwisted position by the new ligaments and muscles. Hope this all makes sense. BTW I had been trying to find a doctor to help me for 6 years. Not all chiropractors are the same. Message me for more info.

[@RichRich1955]

I had si joint dysfunction and a chiropractor gave me a Serola SI Belt which I used for 2mo or so and it fixed the problem. I remember saying to the chiropractor I had pain in my ribs and bam he immediately knew the SI j problem. So for $40 a belt which would give immediate relief but needs to be used for a while to correct the problem seems like a plus-plus. Even if it doesn't work then no great loss. Also I was at 280# when the issue arose so the added weight caused the problem no doubt. I remember ascending a steep hill when it happened. The joint was probably comprised from falling hard on my buttocks years prior.

[@crystalllllll]

I've just looked into this and thinking about getting one. How often did you need to wear it?

[@suerop]

Crystal, waking hours. Whenever you're up and about moving. I have one. It worked immediately. But after about a year the pain started to return. My job involved walking, standing, bending and lifting all day. I think that job caused severe inflammation. I'm seeing chiropractor now, it's helping. Not at that job anymore. I'm going to look for my SI belt.

[@ابواحمدالخفاجي-ث9ب]

​@@suerop What does the s1 belt mean, and where is it located? I would be grateful to you

[@RavenDots115]

That’s interesting about the rib pain you mentioned. I’m having difficulty walking and have pain in my legs and hip sometimes if I step to hard it burns horribly. But one of my other symptoms included joint weakness in my arms and my torso around my rib area fees stiff and painful if I lay down flat for too long. They keep saying it might be nerve compression but all imaging came back normal. Is that what you mean by rib pain? I still have no diagnosis.

[@themassagedoula]

​@user-sq8jg8lf1z I hate it when people don't respond to such an important question. Serola si joint belt. Do a Google search. You were just below your hips. Best wishes.

[@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.

[@malikamber09]

Please make a detail video on cervical radiculopathy

[@mariaarroyo5223]

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

[@SeemaSarkar-rz2ws]

Thank you sir for the information about Sacrolities

[@vigneshwar0]

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

[@Naomiby1]

wHAT AN INCREDIBLY HELPFUL VIDEO! tHANK YOU SO MUCH.

[@jacalynpeterson2964]

Wow, I understand alot more and this is exactly where my pain is, have been sleeping in armchair for 18months as can't lie flat or on my side with nerve pain and hips sore

[@ShiftingDrifter]

Crucially important video! Over ten years I consulted family doctors and specialist regarding my back pain, and ALL of them immediately diagnosed me with sciatica. Finally, I had a surgical fusion of L2-S1. Within three (3) years, the pain had worsened while introducing a new pain issue of neuropathy. Now, I'm in even more severe chronic pain due to the fusions. It confounds me doctors aren't trained to first rule out the SI joint.

[@lan-julie4111]

Thank you Dr. Ebraheim!

[@BigEightiesNewWave]

Gold standard video, excellent.

[@pipoviola]

Such an amazing explanation, thank you very much.

[@JeannieLaureano]

I have a spinal injury, and it related to twisting and lifting 4 years ago (04/2020 pandemic) lifting a 40lb bag of potting soil at work, I have not had a life pain free since then. I had a kyphoplasty 8 months later on T 12 which is the close to the center of my back and also have disc bulges in L4-5 and L5-S1(more prominent) and where we believed was the source of my pain the past two years it has come from the right side and then the left predominately consistently/ the steroid injections last me 75 percent pain free for about 10 weeks. I have had the nerve radiofrequency ablation twice with 6 injections at a time and epidurals twice before that, I have learned to keep data/ I mostly feel disabled. I can't walk long, sit or lay down to long, stairs and hills are a problem for me and since this has been going on so long physical therapy is not an option Physical endurance is not happening for anything physical in my life today. For me if I am not in direct pain from pangs in this very area highlighted on this video my back is stiff, the rest of my muscles surrounding my back are tired and sore. I am not a complainer and prayer, meditation and disconnect is a go to for me. I am scheduled for 2 sacroiliac joint (steroid) injections this week and I will share this information with my pain management surgeon. Thank you, I really appreciate this information.

[@Note-dy6yd]

Thank you Dr. Nabil. every second of your video is invaluable. My question is about the role of calcium when it comes to its faulty metabolism due to being abundant in our diet. If calcification plays a role, then is it reasonable to clean the system from extra calcium before some major treatments? In particular you mentioned the sacroiliac joint is limited only to less than four degrees of rotation and about 1.6 mm of translation which are very small numbers. In this joint maybe the pain is a historical price human pays for standing on feet after the hand - walking time. Years ago I suffered with crucial pain for a month after a harsh exercise . The cause of the pain was a calcium detachment in my thigh the size of a small peanut that was visible on the x- ray. If I do another x-ray it might still be there but the severe pain disappeared after a month. Thank you again!

[@lynguy8824]

Thank you sir it was very helpful

[@tonyf7997]

I thought I had hip pain for 12 months, attended a specialist who sent me for X-rays and MRI. Treated me for pain with injection (cortisone) and acupuncture. After getting no relief, waking with pain and limping as well as wallet getting lighter with each visit, I decided to visit my wife’s chiropractor. After a 10 minute examination he explained what it was and then tugged in my leg resulting in a big thud and then a side manipulation. That was 18 months ago and I have little to no pain now. $45 out of pocket and one visit … vs $3000 out of pocket with the medical doctor 😘

[@Rich-tl6bb]

Thanks for putting out this informative video😊