Sacroiliac joint pain with left side pelvic anterior tilt

Hi everyone, I was wondering if anyone could tell me if they found osetopathy more beneficial for sacroiliac joint problems than a physio? And if so, how long has recovery taken?

I have had left side lower back pain that has been diagnosed as a left anterior tilt of the pelvis due to sacroiliac joint dysfunction. I recently got addicted to running everyday and now am so so frustrated that i cant run anymore.

I am sitting exams at the moment too and it was such a good stress relief. I have stopped running for now and have been doing core strengthening exercises with the physio for 3 weeks but its not really made a difference. I have seen an osteopath once and he said he will be able to help, but I am a student and dont have much money to be spending! I was just wondering how many people have been helped by an osteopath and how long recovery has taken them? It really is getting me down as I used to be so fit and now feel very unhealthy.

Im worried that this is going to turn into a chronic problem, i have had pain for 6 weeks, it has got better and then worse again and im not sure what im doing to improve it. Really cant pin point it at all. Has anyone tried prolotherapy?

Thanks so much for any help or advice you can give!


  • With the SI joint problems I have had/have the best thing, for me, is core work and I would think that Pilates or Yoga would be needed to underpin any other work that you are likely to have be that physio or Osteo or Chiro
  • Thanks for a speedy reply! Yeah i have been doing pilates evryday, as instructed by the physio. It just seems to be such a slow recovery and nothing seems to help. I am making sure i am doing the core exercises correctly and stretching too. How long is recovery usually? I know obviously this is different for everyone. Just feel like its going to plague me forever! Have you had a lot of problems in the past?
  • I have noticed too, that im running heavily on my left leg...probably due to the dysfunction but anyone know if this will change once I am recovered... will sorting the dysfunction help this? Thanks so much again for help.
  • Any imbalance is going to alter your gait, stick a stone in your shoe and see what effect even something minor can have

    It is not a quick process to recovery and you will need patience
  • Swifty - I replied to your additional post to the sacroilliac joint disfunction thread.  Feel free to PM me - I know what you're going through!  Disfunction the the SI joint is usually a symptom of a biomechanical issue - not the other way round - unless you have wear and tear issues to the joint.  Generally it "disfunctions" because of muscle imbalance.  Get straight biomechaniclly and the disfunction should cease.  As Meldy says there is no quick-fix to this - it takes time, patience and bloody hard work!
  • As others have said no quick fix, but once tilt is sorted out, do stretches and core work.
    I have had a similar problem on and off for the best part of 6 years. New osteo is a runner and understands better, also gave me stretches to do that old osteo didnot, so problem returned as muscle imbalance just means the tilt comes back.

    My current stretches are for piriformis,hip flexors and quads, as well as glutes. I need to make sure of good posture at all times.

  • Don't believe the hype when it comes to SIJ problems. They got only got 4mm of movement and less than 12 degrees of angular motion....if anyone can detect that I'd eat more than my hat.

    Tigerlily is correct - it's because of something else. It doesn't need to be stretched it needs to be controlled and stabilised

  • Thank you everyone for taking the time to reply. I really really appreciate it.

    I know I have to be patient but am finding it hard!!

    Steady CJ, how long did you have the problem for? How often were you doing the core work? And what stretches are you doing?
  • Cragchick,

    Thank you very much for sharing your experience. Really helps to know I'm not alone and something can be done to sort it out! I have ordered a swiss gym ball to help with core stability and strengthening and am going to start going to pilates classes. Thanks a lot for your advice and help!

  • Crag chick +++++1 on the single leg standing squat.  I'd forgotten about how that simple movement can show up such fundamental weakness.  My physio used to get me to do it stood on a step with your opposite hip tilted upwards as you dip.  Killer for me at the time!  It used to make me sweat.... image
  • Cragchick knows her stuff

    BUT this is where a huge amount of confusion and frustration sets in.

    The SKS is NOT an indicator of strength, it's an indicator of control. You can be as strong as an ox in your gluts (eg clams) but it will have very little relevance to how much control you have (eg SKS).

    The control allows us to move with control, not strength. Without control there is no stability. Getting stronger never cured nada, control before strength always saves the day.

  • Heavy - please elaborate.  What do you mean by control?  I could do the movement but after about 5 reps this awful muscle shake came on which my physio (one of the top men in his field in the country) attributed to a lack of strength in the hip flexors.  Don't get me wrong I had other problems as well but I don't really understand what you mean by control.
  • Hi Tigerlily

    Strength is about getting all (100%) of your muscle fibres firing - how or when they are recruited is by the by. You'll do anything to get them all to fire. EG Bench pressing on your back - take in a forced deep breath, hold it and push. You'll use the over flow principle to light up all the muscle fibres, regardless of the other body parts or positions.

    Control is NOT using 100% of your MVC (max vol contraction). When the idea of "core stability" was first developed, people would be taught to (incorrectly) use only 30%MVC. What control does is hold, maintain and keep that joint or joints in the right place at the right time with the right speed.

    If you pick up a heavy sledge hammer you need strength, to crack an egg with the sledge hammer needs control of that strength, without that you'll smash the egg.

    The issue with control and stability is that if you try too hard, then you go through being stable and end up being rigid. Most people with ongoing injuries lack stability because they have tried too hard (strength) and ended up with rigidity - they have too much strenght is the wrong part of range, which doesn't provide stability but (excessive) joint compression.

    SKS tells you about control and timing of posterior fibres of glut med NOT strength, and certainly not hip flexors. If you had a leg shaker on x5 SKS I bet you could run down 30 or 40 stairs (same action) and not see the wobble. Why? Because you're not looking at control thats about speed and strength.


  • Hi Swifty

    I have had exactly the same problem for the last 12 months and have only just got it diagnosed correctly .

    All of the feedback re stretches / core strength / yoga - pilates etc are good advice. I do yoga nearly every day now stretching the piroformis , hips , hamstrings , back etc. I also do lots of strengthening exercises on the advice of a physio.

    One other thing - I went to a different retailer for my shoes and was advised I had the wrong type of shoe ! If you have not done this it may be worth considering going to  a specialist running shop for a session on the treadmill.

    Good luck - and do not give up - mine is getting better at last.

  • + 1 for benefits of pilates. I've got same issue with SI joiint and pelvic tilt, and pilates has helped a lot. Only been doing it a couple of months, but i'm having a lot less back pain image.
  • Nope. Single Knee Squat.

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