I published a paper on the “Root Cause of SI Joint Dysfunction” that has (statistically) made medical history in readership.
In my chronic low back pain clinic, this is the #1 cause I see especially in patients who have already “tried everything.”
PT. Chiro. Injections. Nothing worked.
One of the biggest issues I see in SI rehab:
👉 Patients are told to “push through pain”
That’s a mistake.
I tell my patients:
- Pain during rehab = you’re making it worse
- Muscle soreness = fine
- But joint pain? That’s regression
And when patients flare up, they quit.
A very common problem:
Pain when adding load during adduction work
Here’s how I troubleshoot it:
Instead of:→ Jumping to full volume at the new weight (3x30)
Do this:→ 1 set at the new weight→ Remaining 2 sets at lower or no weight→ Slow the tempo down
This keeps progression without triggering the joint for me
I see this work consistently.
Curious—
Have you run into this with your SI patients? What have you found works (or doesn’t)?
If you want deeper clinical breakdowns like this:
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