- All right, Bob, because of overwhelming support
and popularity for our last SI sacroiliac joint...
- Right. - ...which is right down here,
I wanted to get out another video
that has some really specific...
- Different options. - ...options,
and there's one we missed on the first one.
- Sure. - And we got a little history
that shows...
I just can't wait to tell the story.
- Worthwhile - 9.3 seconds.
We'll show you a two or three outstanding...
Get up, Sam, Behave!
- Pay attention. - We'll be right there.
♪ Bob and Brad, ♪
♪ the two most famous ♪
♪ physical therapists ♪
♪ on the internet. ♪
- All right, we're just gonna show a quick anatomy review
of the SI joint with Sam, our man.
And actually, what we're gonna do is look at the joint.
It's the sacroiliac. - Right.
- So, the sacro- is the sacrum,
- iliac is the is the ilium,
which is this part of the pelvis.
- And there's two of them.
- Yep. One on each side.
So, there's two SI joints.
Now look, and there,
and this joint does not move like an elbow joint...
- Right. - ...or your shoulder.
It actually has minimal movement.
There's controversy on if it moves at all.
- Lot of ligaments.
- But, if there is movement,
there's just a little bit of movement here.
And sometimes, they become hyper mobile.
- Right.
- Women who are pregnant, experience that.
- Right.
- For part of the birthing process so things can open up
and I can have...
- It's the hormone relaxin'.
- But it works,
and I just had a case with a friend of mine,
a male. - Right.
- 67 year old, extreme pain from SI joint problem.
And he fixed it after watching one of our videos.
- Was it one side?
- Just one side.
I'm gonna show you that in just a second.
Okay, SI joint here.
Now what you can do,
and actually my friend called,
30 miles away, I couldn't get to see him.
And I said, "watch some of our SI videos."
And he called me back the next day and he said,
"you fixed me.
I was walking around for the last three weeks with a cane
'cause it hurt so bad."
- And he saw chiropractor, right?
- He saw a chiropractor, no difference.
- And a doctor? - Saw a doctor.
They were looking for kidney issues.
The doctor says it's an SI joint.
And one of our videos talks about,
we have a couple of 'em that talk about an SI belt.
You don't have to go buy one.
- Right. - And this is what he did.
He took one of his belts outta the closet.
And what you do with NSI belt, I'll show you on me.
- [Bob] It's very simple.
- [Brad] You put it around,
and it's important that you put it around
at the right level.
It has to squeeze around...
- [Bob] The pelvis.
- [Brad] ...the pelvis on both sides.
If you're up too high, then you're just squeezing your...
- [Bob] Right. - [Brad] ...internal organs.
No good.
So, we're gonna show you exactly how to do this
and how it works so well.
Okay, so I've got my belt around my waist.
I can feel my pelvis bones right there.
I'm below that edge.
That's called the crest, iliac crest.
Put the belt on.
It's nice to have a belt that adjusts slow,
or with small increments, instead of, like, one inch.
These are like a quarter inch.
- Right. - That works better
And I'm just pulling it tight, tight, tight,
and you get it fairly tight.
And this is exactly what Rick did.
- But it should feel good. - Yes.
As soon as he got that pressure on there,
he could stand up and put weight on it with no pain.
He had a problem getting up from a chair without pain.
With the belt and the pressure on no pain had happened.
Just like that.
He called me up.
He was all excited, and...
- Once the calm is sound,
you could probably get rid of the belt.
- Right, you're not gonna sleep with the belt at all.
- Right. - I take it off,
and you may take it off maybe for an hour at a time,
and then increase it. - Sure.
- Or maybe even start out with 10 or 15 minutes.
- Right.
- But one way or another,
you're gonna keep it on until it settles down, and then...
- If it helps.
- Yep, yeah. If it helps.
- Right, right. - And you'll know right away.
If it does not help, we're gonna go on to the second option,
which can be a really good, quick fix as well.
All right, the second option is very simple.
Just take a chair with armrests like this.
And as you could put your foot on it
and bear some weight onto it.
Say, my right, and this is one
I personally use. - Right.
- My right SI joint is unstable,
and I have problems with it, you know,
on a regular basis, four or five times a year at least.
When it acts up, this is one of my options.
I'll put my foot up here,
and this is the painful one, the right side.
And I'm gonna lean into it gently.
And you're only gonna do this this far if it feels good.
When you get to this part and you feel, oh, that's good.
You're moving that joint.
- Same thing, no pain.
- Yep, no pain, you're moving it in the right direction.
- You got the arm rest to support him.
- And I'll go into it as far as it feels good.
If I get so far that it starts to hurt, that's too far.
Just work it gently.
- So Brad, you could do this staircase, right?
- Yep, on a staircase, you can do it with a stool,
I've done it outside on the rock boulders.
- Sure.
- You know, for the, you know the stuff all...
- Retaining wall? - Yeah, retaining wall!
Thank you, Bob.
And then, you can do that every hour or as needed.
Now, if you do this and it's not doing the trick,
or it's helping, but not enough,
I've got another trick that works really well for me also.
All right.
A few years ago, we start working with massage guns.
and they're massage guns,
they have an air head that's soft.
And I found out that if I use this on my SI joint,
in that hip area, it is incredible.
- Heaven. - It is very, very nice.
So, why don't you step away,
you get the air head on there, get it,
move it to whatever intensity you want.
Obviously, we use our, this is a C2 massage gun.
It has, you have to have reciprocating travel.
6 to 10 millimeters works well.
And this is how I do it.
My right SI is always the one that gives me the problems.
And I'll take that, and I'll work over it.
Not necessarily on the SI joint.
Sometimes I will, depends on if it feels good.
- It look like you're pretty close to it, Brad.
- Yeah, I'm a little bit above it, into the muscle,
but those muscles are gonna tighten up
as a result of that pain,
so it can be a good idea to work the muscles around it,
get those to relax.
And sometimes I will actually go on my ischial tuberosity.
This looks a little weird, and I'll push on that ischial.
- That's the sit bone.
- On the sit bone, and it feels really good actually.
Right now, it feels good.
And you just work that however,
and you'll know because it feels really good.
- You really have to have the air head for this.
- Yeah, you really do.
If you use one of the other heads,
it's too aggressive. - Right.
- Because we're working over a joint,
our bones that don't have a lot of muscle to cushion it.
So, this is, always gives me relief.
Even when my SI hasn't hurted, it feels great.
- You have a lot of tricks, Brad.
- Well, you know, I'm in the business.
- There we go.
- Keep those joints feeling happy.
We do have a couple other options.
Couple other tricks I've used,
and I've had patients do this many times.
You know, if you don't have a massage gun,
and the other ones aren't working, try this.
Again, the right hip is painful, or the right SI,
bring the right knee up to your chest, pull up.
And if you pull up far and it feels really good,
you could work it that way.
Sometimes, that's not, that doesn't work well.
You could pull it up about this far,
maybe 50% into the range.
Hold it with this hand,
and I'm gonna do an isometric.
It's called a muscle energy technique,
pushing my knee that direction.
My hands are holding it still.
It's an isometric push, hold it for five to six seconds.
And while you're pushing,
you should feel a good solid relief in that area.
If it hurts it, you're going the wrong direction.
Then, you have to do the opposite direction,
which means you go to the edge of the bed,
shoulders on and let that leg drop down.
And that rotates the pelvis the other direction.
You can bring this leg up to support it
and just leave it hang there.
And again, if it feels good, it's the way to do it.
If it doesn't, probably the other way.
In my case, this does not feel good.
This feels good.
- [Bob] Feels good.
- So, this is what I always do,
and I treat my patients the same way with good success.
- [Bob] Sure.
- So the notorious SI joint pain, work with these.
You're probably gonna find one of these, or more than one
that's gonna offer some very quick relief,
Be careful and enjoy your rest of your day.
And Bob, you have the floor.
- Thanks for joining us.
- Yeah. Thanks for joining us.
Yeah.
(joyful guitar music)