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Sacroiliac Joint Dysfunction St. Luke’s offers a physical therapist with specialized training to evaluate this complex disorder and create a customized program to improve the dysfunction associated with this disorder. Patient Common risk factors that indicate a sacroiliac joint dysfunction include: • History of a direct fall onto the buttocks • History of an MVA or trauma to one side of the pelvis • Lumbosacral pain in pregnancy or after childbirth • Unilateral pain radiating to the hip, groin, buttocks and lateral leg to the knee • Dull ache or sharp, stabbing or knife-like pain near the PSIS • Locking or clicking sensation in the region of the sacroiliac joint • Muscles in a tight or shortened position such as hip flexors, hamstrings or piriformis • Leg length inequalities The sacroiliac joint is a joint in the pelvis that lies between the sacrum and the ilium. Between the two Treatment Approach surfaces lies articular cartilage. If pelvic • Muscle energy technique (MET) applied using muscles to change the pelvic positioning • Soft tissue massage • Muscle stretching • Specific home exercise program to address the components of the dysfunction • Correction of true leg length discrepancy via use of heel lift (if one exists) motion is asymmetric, dysfunction can occur. Sacroiliac joint dysfunction is one of the more common causes of mechanical low back pain. Treatment Goals Therapy can reduce patient’s subjective pain complaints, restore pelvic positioning to normal limits, and provide an independent treatment approach that patients can utilize to help manage their own care. Most patients notice improvement in their symptoms within 6-8 hands-on treatments, and most can expect 80 percent resolution within 12-18 visits. Treatment Resources Our therapists are highly trained and hold additional specialized certifications to help your patients recover from sacroiliac joint dysfunction and other injuries or illnesses. To refer your patient, contact: (509) 473-6869 fax (509) 473-6097 www.st-lukes.org