Fragile Low Back with SI Joint Pain

This is one of several posts about a stiff, fragile low back. A stiff low back is usually a combination of a binding intervertebral joint with more than one muscle involved. If you have a stiff low back, you should compare these posts.

Client Description

These people complain of sharp pain in the low back that feels like it will  “go out,” as well as pain in the sacroiliac joint. This pattern is a combination of trigger points in two different muscles that become activate together. Sometimes, the stiff low back bothers them more, and the SI joint is achy.  At times, the low back problem is sharp and debilitating. In other cases, the low back is stiff, and the SI joint is more bothersome. This person will tend to squat or reach to the side to pick up something off of a coffee table or chair instead of bending forward at the waist.

It usually bothers people more intensely in the morning and can make going to the bathroom at night a real problem. In severe cases, these people have trouble getting out of bed in the morning and may crawl to the bathroom. It often bothers them after they have been seated or for a while such as long car trips or a conference.

This condition commonly occurs just after performing a task that involves teetering forward at the waist including, but not limited to; cutting grass, washing dishes, raking leaves, vacuuming or scrubbing a floor. It can also come from bending forward and reaching out awkwardly as when someone stacks dishes in the back of a low cabinet, especially when they twist while reaching out.


Get relief
with Self Care.

This post has strategies for getting relief on your own. Explore how to change your activities, stretch and other strategies that relieve the pain associated with this trigger point.

This trigger point is in the center of the low back, just above the crest of the hip. Focus your icing and twists in that area. Often, its a little stiffer in the muscle along that side of the spine. It often releases with a little click.

Better Bodywork
Through Shared Expertise
.

This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.



This site is undergoing changes. Starting in early 2020, we began changing the format of the posts to include more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We’d love your feedback. We are adding posts and converting the old posts as quickly as time permits.


Weekly Featured Post

Pain relief that is
quicker and more effective
than traditional stretching.

This post covers the basics of Ice-and-Stretch, a tool that is used extensively in these posts combined with Active Isolated Stretching and Yoga poses.

Tony Preston has a practice in Atlanta, Georgia where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.

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*This site is undergoing major changes. We are reformatting and expanding the posts to make it easier to read, more accessible, and
to include more patterns with better self-care. In the meanwhile, there will be inconsistency in formatting, content, and readability until we get the old posts updated. Please excuse our mess.