- All right, Bob.
Today we're talking about the sacroiliac joint,
which here-
- Or SI.
- SI. Very good.
And the nice thing about this treatment is
no exercises to get this to go back in place,
relieve the pain.
It's been field tested and it works.
9.3 seconds and we'll-
- Worked on you.
- Yep, it worked on me more than once
I'm very pleased to show, welcome.
- Right.
- Be quiet, Bob. We gotta get through this.
♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet. ♪
- All right, so if you've got SI or sacroiliac pain,
some typical symptoms are,
it becomes painful when you're standing still for a while,
when you're walking-
- Stairs.
- Up and down stairs.
And typically when you sit down in a chair,
especially right away, the pain drops off rather quickly
and you become comfortable.
- Again, you're talking from personal experience, Brad.
- Right. My right SI Joint has been problematic
over the last 10 years or so.
I've tuned in how to make it feel better consistently
and it's not a problem anymore.
So let's look at the SI joint.
- Okay.
- Here we have the spine.
Looking at the back right here.
- Right.
The pelvis, the sacrum, which is that big bone right
below your belt in the center which is here.
- Shaped like a triangle.
- Yep, like a triangle
and then your pelvis bone or your ilium.
Sacrum, ilium. - Both sides.
- That's why the sacroiliac joint.
Yep. On both sides, just like Bob said.
And there's not much movement in this joint
as a matter of fact-
- Wall ligaments.
- Yep. It should be stationary.
- Right.
- With the exception of with females when they-
- Child birth.
- The birthing process. - Right.
You have hormones and that'll open up-
- Called relaxin.
- Yep. So, but we're not talking about that now.
We're just talking about typical daily life
for someone with SI joint pain.
It means your joint could be hypermobile
or it might be kind of slopping around like this
or it might be rotated or nutated in one direction.
- That fell off.
Our pubic symphysis fell off.
- (indistinct)
- Don't worry about that. We'll put it back in here.
So it could be rotated in a lot of one way or the other.
- It keeps falling off.
- Bob, you're disrupting
the educational process here. - I know.
Don't worry about that screw, we'll fix it.
Okay, I'm gonna show you how you fix those two options.
No exercises.
- Right.
- Jesus, is this amazing, I'll fix this thing.
Okay, before you do anything, what you wanna do
is find out if you have laxity in your SI joints.
And a simple way to do that,
and I just had someone a month ago do this.
Couldn't walk, couldn't stand, pain and he tried a SI belt.
Okay? - Right.
- You don't have to buy one, you can use a regular belt.
And what we're gonna do is just to show
the belt goes around the pelvis right here
where my hands are and it squeezes
and it helps support the joints.
Can be very helpful. If it works, it works right away.
Bob has a belt right outta the closet.
- Here's my pelvis.
- Here's his pelvis right here.
You go below that. - I cinch it way up.
- Yep. Bob's got it nice and tight.
And then you try walking
or you try whatever irritated before,
and if the belt works,
it'll work rapidly right now.
- Try stairs.
- Yep. Up and down stairs. - Try getting up from a chair.
- Yep. Do those activities before the belt, put the belt on.
Do the same activities that irritated it
and if the pain drops from say seven over 10
down to a one or two over 10,
you're gonna wanna continue using that belt
for a number of days with activity.
You don't wear it to bed.
When you sit down you can loosen it up.
You only need it tight when it's being irritated.
All right. Very good.
Now we're gonna go to the next thing.
We'll get some popping going on.
Now this next technique is if your pelvis is rotated
and locked in one way or the other.
As you can see what I'm trying to illustrate
or demonstrate here.
Now what I use, and this works very well for me,
is I use a massage gun.
I know not everybody has one
but if you don't have one, I'm sorry.
- It's time to get one.
- Well I know it works for me
and I'm just giving this information.
They're out there quite a bit.
Now if you have a massage gun,
you have to have one that reciprocates back and forth.
Okay? Travels like this.
Usually this one is eight millimeters
which is about what you need.
This is 16. This is a real aggressive gun.
- Amazing.
- You can use this if you're a big-framed,
muscular, larger person.
Otherwise one like this.
Either way you must have the airhead which is soft
'cause we're gonna be going over some bony areas
and it will be very painful
if you don't have the soft squishy head.
Okay, so what I do first, my right SI is painful
and when it is, when it's flared up,
I will massage the muscles around the area in the hip here
and I'll actually go here but not so aggressively.
It feels good. I can just feel the muscles relaxing.
And then I use the massage gun
down on this part of the pelvis.
And for me-
- Like the sit bone.
- Yep, the ischial tuberosity which is down here
on the ischium, the sit bone.
And when I put pressure on it here-
- It kind of turns it.
- Yep, exactly right.
We get a little rotation,
it really feels good while I'm doing it
and after I get up and walk around.
So I know I'm doing the right thing
because I have good positive results.
- Right. Good, good.
- I can work up here and try to go the other direction.
I don't have any pain but it doesn't feel-
- Does help.
- Near as good as down here.
I'm gonna show you how I do that in just a second.
All right, if you don't have your own massage gun,
you wanna get one.
And if you wanna get one of our Bob and Brad Massage Guns,
we know they work.
They're price- - High quality.
- Yep, they're priced very well
and they do all come with soft airheads
or cushion heads.
These two models just came out.
They have, this one has two, one airhead, one cushion head.
- Right.
- This one has four.
One airhead and four soft ones,
which gives you some good options.
So I'm gonna show you how this works.
Wanna hold onto that one, Bob? - Sure.
- Now this is a good size to use.
I've got it going. It has five speeds.
I'm gonna start out on the low speed
so it's not too aggressive.
And what I do is I lie down on the floor,
I take, here's my right involved side, I go like this.
So I'm flexing my hip and I expose that
and I start working.
And for me, I know level one's a little low.
I'm gonna go up to three 'cause that's what I normally go,
and I'll just work those muscles and it feels good.
Get a pillow for your head.
You're gonna lay here for a few minutes
so I get comfortable and I work-
- Or lie.
- Lie. Thanks, Bob.
Those English majors
really get after us sometimes. - Karen.
- Karen. Yep.
So I'm going right over the SI.
It's comfortable with the airhead
and I'll do that for a minute or so.
I get over the muscles here
and then I work down to that bony spot right there
on the bottom of your butt.
And then I put pressure on there and it feels good.
Even when I don't have symptoms it feels good.
Now if I go up to the other end of the pelvis,
like I mentioned,
it feels okay up here but not like down here.
So I spend most of my time here.
- I would recommend try both.
- Yes, exactly. - It works for you.
- Good point, Bob.
Now if you do have the big power gun,
this is our D6, D as in dog,
the nice thing about this one is,
oops, let me turn it on once.
- It's a devil.
- It really has a lot of travel.
Twice as much as this one. 16 millimeters.
So you gotta be careful with it
if you have one of these bigger ones.
I'm gonna turn it up a little bit
and so you just don't push as hard.
Nice thing about this one is you can vary the angle
which is nice on your wrist.
That angle is not good for me.
I like it down here and I can work that better.
Yep. There we go.
There's the spot.
- It's a great gun.
- Oh yeah.
Now if your SI joint's gonna pop,
you're probably not gonna hear it
'cause a massage gun's beating away on it.
But if you know you're doing the right thing
when it feels good, everything relaxes more,
and not only while you're doing it
but after you're done. - Afterwards, right.
- You stand up, you got weight bearing.
Do the activities that you did prior and if it feels better
you know you did the right thing.
I feel, it's just, it's a wonderful thing, Bob.
- Yeah. Fun to watch your butt.
- (laughs) Yeah. Thanks, Bob.
I really feel good about that now.
Anyway- - He's stressed.
- Seriously, it can be a wonderful SI.
Between the belt and this, no exercise,
and life is much better as a result.
- Cheers. - Oh, yeah.
We should turn those babies on and let's try it.
Let's see who wins.
Come on, man.
Tear you apart. There you go.
Yeah, so, you know, if you're immature like us
you can play games.
Forget it.
- Often. - Yeah.
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