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Set Rep Schemes, SI Joint Dysfunction, and Becoming a Specialist

On this episode of the #AskMikeReinold show we talk about what set rep schemes we use in rehabilitation, SI joint dysfunction, and should you be a specialist or generalist? To view more episodes, subscribe, and ask your questions, go to https://mikereinold.com/askmikereinold.

 

#AskMikeReinold Episode 82: Set Rep Schemes, SI Joint Dysfunction, and Becoming a Specialist

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5 replies
  1. Elizabeth Cosgrove
    Elizabeth Cosgrove says:

    Respectfully Sirs, I disagree with the notion that the SI joint is so stable it cannot really move that much in the pelvis because of how it is wedged into it. From the perspective of a yoga teacher and therapist, I see this all the time and treat people for this very specific condtion frequently.

    I take no pleasure in saying it is very common amongst hyper mobile women who practice yoga, but not to the exclusion of men. Especially in men, it does seem to go with bulging or herniated discs, as per Gilberto’s comment.

    I espeicially liked your ‘hypermobile athlete’ poscast. Hypermobile people are attracted to yoga, stiff people, not so much. As a teacher I work with stabilizing the sacrum/ pelvic rotation in my students in traditional twists, while focusing the beginning of the rotation in the mid thoracic spine and cervical spine. Of course the lumbar spine and lower thoracic spine twist as well, but with only 5% safe rotaton possible in the lumbar, it has proved a great preventative for SI joint dysfunction, and is safer for the hypermobile yogi.

    In the end just because you don’t see this much in the athletes you work with, doesn’t mean it does not exist. I can assure you, if you check in with the yoga community, you will find it rife with this special condition. Thanks for your considerations and response.

  2. Gilberto Rivera
    Gilberto Rivera says:

    SI dysfunction is so underestimated… it is truly the core of mostly every low back pain diagnosis. You will never either treat just the SI joint… most of the time it is concomitant. You will find an innominate rotation that subsequently results in trigger points, piriformis syndromes, “sciatica”, ITband syndrome, and even knee pain and plantar fasciitis due to leg length discrepancies. These need to be screened for more often and unfortunately this doesnt happen bc were simply not taught in school how it is all connected. This fortunately is something Ive learned and have had immense success with more than a decade of working with my patients. Thanks for the great podcast guys!

    • GR
      GR says:

      by the way… it should be obvious that more often than not, you will find HNP and SI together, or an extension biased dx and SI problem together, or a combination of these two and trigger points and / or some sort of enthesopathy. The tx then is very specific and tailored to what you find, like a surgeon. Try screening more often for innominate rotations and it will blow your mind.

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