Pain through SI joint when standing on that foot

Your Pain Pattern,
What Aggravates It,

The Underlying Anatomy
How to Get Relief,
and more…


How People Describe This Pain Pattern

People complain that it hurts through the hip when they stand on that foot. Some people describe it as feeling like the SI joint is unhinged. Others will complain that it makes it difficult to get out of the car or stand up from a chair. They tend to turn and stand on both legs instead of stepping out of the car with one leg while holding the door for support.

These people have trouble standing on one foot for long and have pain in activities that support one leg. They may go up or down stairs by only using the other leg.

A sudden shift onto one foot, as when taking a missed step off a curb can produce wincing pain.

This almost always comes with low back pain that is sharp and makes the person feel fragile. This sensation comes from another set of trigger points in the multifidi in the low back that are part of the same problem. Look at this post for help with that.



How You Activate and Intensify This Pain Pattern

This is aggravated by sudden movements where the hip has to be stabilized from side to side. These include sports activities like jumping, skiing, or skateboarding.

Once this is activated, activities with steady side-to-side movements, like cycling, aggravate this. Also, walks on the slant of the beach or in the shifting sand of the dunes can really aggravate this trigger point.

One client came to me with this pain about 10 days after going back to a routine of leisurely cycling on a regular basis.

Research shows that certain foot structures are more prone to this problem. Specifically, the Morton Foot structure, where the base of the second toe is longer than the base of the first toe. I also find that working on feet helps this hip problem.


The Musculoskeletal Anatomy Behind Your Pain

Effective relief starts with an understanding of the anatomy.
About the coloring of the illustrations…

This muscle is a fan shaped muscle, with three sections. The front section often pulls at a 90 degree andgle from the psoterior section. You can learn more in this post about gluteus medius.



Getting Relief on Your Own

Clinically Proven
Self-Care Recommendations.

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.


Treatment Notes for Therapists

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.