- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most famous physical therapists
on the internet.
- In our opinion of course, Brad.
Today we're going to talk about how to stop SI pain.
- SI pain. - Yes, what is SI?
- SI pain, that's a good question.
SI is sacroiliac, and it's something I remember my mother
talking about a lot when I was younger.
Never knew what she was talking about,
and I don't think she did either, actually.
- Right, a lot of people, it's just kind of a low back pain
is what it refers to, if you want to look anatomically
just real quick, we're going to do this,
this is the sacrum, this triangle-shaped bone,
and this is the iliac crest here.
So, sacrum, iliac, sacroiliac, it's this joint right here.
- And we got the pointer today, Bob, right there,
and it's not a joint like an elbow joint
where it really moves a lot,
and there's some controversy whether it moves or not.
Whether or not, we know it's a source of pain,
in certain cases.
Where do you fall, feel that sacroiliac pain, Brad?
- Ahh, pattern is here, it's on the right side here,
wraps around, and may go down to the knee,
but typically not below the knee,
so that's here down to here. - I've seen it sometimes,
where you feel it back here,
right where the sacrum is,
and also sometimes it goes through.
And they don't feel it on, they just feel it on this side
and this side, or like you said, in the groin and down,
those are typically in.
You have a little trouble with this yourself, right, Brad?
- Oh, yeah, yep, as a matter of fact,
if you look at one of my videos on spondylolisthesis,
I have that, but there's, I think I have a little bit
of both that and some SI problems,
so we want to differentiate whether it's a low back,
SI problem, or it might be a combination of both.
- Right, so this is one test they can tell,
because one of the ways to stop SI pain is to try
an SI belt, and do you have it on right now, Brad?
- You better believe it. - All right, well,
why don't you show it, Brad? - I'll show you the belt.
Now, right, there it is.
- It's not just a tan belt he's got on.
- Yeah, this is an SI belt, and this is made by SI-LOC,
L-O-C.
- Nancy'll put it on the screen.
- Yup, OPTP, sells a lot of line, and I like them.
I've been using them, they've made different manufacturers,
different ones, and I like these.
- The letters O, P, T, P. - Yep, OPTP.
That's the name of the, you know, google that,
and you have a lot of nice products out there.
For good prices, too.
Now this, where are we going to put it, Bob?
Why don't you show them?
- Okay, well, if, I'll show you on here, basically.
If you're standing and you can feel the top
of your pelvis right here. - Those bones right there.
- Yeah, if you stick into your side and push down,
that's the first bone you're going to feel.
- Right there. - Well, we're trying
to squeeze these bones together.
Yeah, put it on here, Brad.
- So we don't want it around here,
because it's going to fall into that,
that belly part, that waistline.
We want it down here, and then
it's going to actually squeeze.
- Squeeze, and hold that SI joint together.
- Right, stabilize it. - Provide some stabilization.
- You better believe it. - So how do we tell
whether or not this is something you want to even try, Brad?
- Well, typically, SI pain
is associated with weight bearing.
So with walking, standing. - Stairs.
- Stairs, you bet.
- I think that's how it comes on, even,
to be honest with you.
- Now, one thing that, I know you do this more than I do
with patients at the clinic is the test.
- Yeah, do the test, this is why you need a partner,
and what you're going to do is, get your spouse
or your friend or something like that,
and what I'm doing is I'm pushing on his pelvis.
So let's say Brad gets pain every time
he gets up and starts walking.
He starts feeling that SI pain.
- The first step, I put weight through that right leg
and I'm feeling it back there.
- A lot of times pregnant women get this.
You're okay, Brad, you're not?
- I'm not pregnant.
- All right, no announcements.
All right, so anyway, they do have belts
for pregnant women, they're different.
They're made different, but, what you do is you push
really hard. - Women are different?
- Oh, sorry, no, you push really hard like this,
and then you have the person walk.
Nancy's going to probably lose us here,
Nancy, you with us?
Bye, Nancy.
Okay, come back, and you really just stay with the person
and see, and you go, hey, you know what?
It no longer hurts, and it's that fast, Brad.
If it's going to help it's going to help right away.
- Yeah, and how hard do you need?
- I'm pushing as hard as I can, because that belt
really cinches up tight, why don't you show them, Brad?
SI-LOC, there's a lot of them out there.
- Yeah, but, you get it on, you want to find that crest
right there, that bone.
- So if you poke in right there.
- Yeah, you want to get below that, all right.
- You got a little of that Wisconsin cheese there.
- Yeah, that time of year I'm usually porking out
right around now, because it's ...
- That's the holidays. - Yep, the seasonal events,
it's not what you eat between Thanks, between Thanks ...
Christmas, between Christmas and Thanksgiving,
it's what you eat ... I said that wrong.
Eh, you'll put this on, I'll get it right.
- I think it's squeezing his head there or something.
Okay, so anyway, it's a Velcro thing
that just tightens up.
- And we put that in there.
All right, so you get it, and I like this,
is you get one side locked in first, and then
this is the side you're going to really cinch.
So right now I can feel a nice cinch right there,
and then you simply lock it on
and there goes the SI pain. - There you go.
- I typically wear it underneath clothing,
you know, you can do that if you don't want it to be seen.
Now, in my case, the way I'm going to test this
is I know when I walk a mile, at three fourths of a mile,
this is very consistent over the last few months,
I start to feel that kind of pain,
and I'm going to see that if this changes it,
and if it does I'm going to keep wearing it for a while.
- I don't know if you can, can't you just take
a regular belt and try cinching it?
- You can, but this does cinch your waist.
- Really cinches hard.
- Yeah, I haven't really tried a belt,
but it's just not the same.
Because this is available to me.
But yeah, for some of you, could try that.
- All right, we'll wrap things up here, Brad.
- And you didn't notice anything, did you?
- Oh, you're not wearing a tie.
- I'm sorry. - It's casual Thursday here.
Which brings me to the next topic.
Just remember, we're not just pretty, we're pretty ...
- Pretty ugly?
- That's what you always say, Brad,
but we're pretty old. - We're pretty old, yeah.
- If you're pretty old, too,
you're going to want to subscribe,
because we're going to provide you videos
on how to stay healthy and young and vibrant and pain-free.
- From 40 on up to 97, or older.
(upbeat music)