Health Organization for Pudendal Education

Here is a good animation of the SIJ. I had no idea what it was until this weekend and this video seemed to explain the basics
http://www.spineuniverse.com/anatomy/sa ... -animation

Hi Griff,
I have no SIJD problems.Please don't even thinking of getting Pudendal nerve blocks from Dr. Quesada.He basically destroyed my life and gave me sitting pain by means of his PN blocks.Find a different source for PN blocks if required.
Best Regards,
Ali

Griff, as you know I am going out of town and will not be able to get on this forum much in the next few days, but I just want to urge CAUTION in accepting this SIJ paradigm which is an oversimplification. It has led to many unnecessary, often damaging S-I joint fusions, because the video seems to suggest that all excessive pelvic motion is in the SIJ, that All symptoms arising from pelvic joint dysfunction are in fact arising from excessive SIJ motion, and that if you could only hold the SIJ in place, your symptoms would stop. This is a rarity and in most cases a fallacy.
As the video ACCURATELY stated, normative motion in the SIJ is only approximately 2 mm. Yet if you watch any person with normal pelvic motion and no complaints, when they walk, bend, or turn, their pelvis is capable of moving WAY more than 2mm. This is because the majority of pelvic motion does NOT happen in the SIJ. The pelvis as a unit has its own set of biomechanical rules as it rotates in various planes in relation to the hips and trunk. Hence, a small minority of pelvic joint dysfunction occurs in the SIJ, however it is often blamed for anything and everything.
Test this...if you think you have "SIJ dysfunction", put on one of those sacroiliac belts nice and tight and walk around like that for a day. Are you cured? If not, screwing it in place won't cure it either - the pelvis is stuck in a non-normative pattern SEPARATE from the SIJ itself, which is a minor player in pelvic motion. OR, an ilium is in upslip or downslip in relation to the SIJ, and needs to be restored to its normative position - not an issue of excessive SIJ motion. There are many principles of pelvic motion and many things that can go wrong with pelvic motion, and a simple case of excessive SIJ motion as a primary pattern is very, very rare.

Hermajesty ,
I agree with you.
Best Regards,
Ali

Ali,

I do not plan on having any more pudendal blocks from Quesada or anyone else. The ones I had numbed me for about 4 to 5 hours and then pain returned.

HM,

Thank you so much for all your help. I saw a PT today and she said my pelvis was out of alignment. My right ilium is tipped forward and my tailbone deviates to the right. She did some minor manipulations and MR and I feel a bit less pressure when I sit. Where can I read more about pelvic joint dysfunction?

Hi Griff,
I am back from a very successful conference and lying in bed catching up on computer stuff as my feet and just about all the rest of me is NOT happy that I spent 8 hours a day for the past week standing up in high heels

I know Jerry Hesch's work the best on this issue since I work with him; here is are some of his writings on the subject of pelvic dysfunctions(you will notice that even though he is guilty using the buzzword "sacroiliac" in many of his titles, the content of the articles rarely ever has to do with SIJ hypermobility) this is stuff written for the professional community and can get very technical, but even skimming it you will se there are many NON-SI patterns of pelvic joint dysfunction described:
http://heschmanualtherapy.com/SacroiliacJoint.aspx

This stuff is much more accessible to a layperson: Jerry's Hesch's youtube channel. Not everything is pelvic but lots of it is. The video I highlighted (all others are listed off to the right) is the 1st of 2 (watch the 2nd as well) of a patient with a LOWER pelvic dysfunction, which has nothing to do with sacroiliac whatsoever:
http://www.youtube.com/user/JERRYHESCH# ... zy_soJgwjo

The pattern your therapist found (anterior ilium and side bent coccyx) is definitely not a function of SI hypermobility. If the anterior ilium persists (that is, it is put back into algnment but comes out again), you might depending on the education level of your Therapist in this area, be told you are "hypermobile" however a "hypermobile" anterior ilium is almost always due to an underlying core pattern of HYPOmobility elsewhere in the pelvis. the side bent coccyx strongly suggests that the core pattern in you might be the "lower windswept pelvis" shown in the patient in the above linked video. That will lead to a side bent coccyx which is uncorrectable ( at least it will not stay corrected), because the side bending of the coccyx is merely because it is being pulled along by the rest of the pattern. A simple side bent coccyx WITHOUT any other lower pelvic pathology is easily corrected and will stay corrected: This video shows the technique and you can ask your Therapist to do this: http://www.youtube.com/user/JERRYHESCH# ... YIZU_jltgg
However I doubt strongly you have a simple side bent coccyx because the "lower windswept pelvis" is a pattern that has potential to create pudendal symptoms whereas anterior ilium and side bent coccyx alone are unlikely to cause the kinds of problems you are having

Welcome back, Hermajesty! You've been greatly missed!!!!
I found your response to Griff rivoting - but can you please explain it for the layman (ME!!!!!!)? It really sounds like you're onto something here ...
Warmest regards,
Karyn

I missed you too Karyn...thanks for being my "shoulder to cry on" the night I got totally grossed out
What part do you need explained, if I explained the whole thing I would be here all day!
Did you watch the video about "side bent coccyx with lower pelvic fixation" (2nd link)...that is what is referred to as a "lower windswept pelvis" - I thought he used the term in the video but he did not. The entire bottom of the pelvis (both ischia) point kind of diagonally in 1 direction, so of course the coccyx gets pulled along with. You can easily correct a simple side-bent coccyx (last video), but with the "lower windswept" pattern it won't correct permanently because it is being pulled along by the rest of the pattern.
While I had several patterns of pelvic dysfunction it was the correction of the "lower windswept" portion that gave me dramatic immediate relief. I have seen them corrected on many occasions in people with a variety of symptoms, and the result is always dramatic...it seems to be one of those dysfunctions that messes you up royally in one way or another. Whereas, somebody with only an anterior ilium (what Griff's PT referred to as an ilium tipped forward), isn't likely to be disabled. The anterior ilium is usually actually a "symptom" of a more severe core pattern. I had one...PT kept putting it back in, it kept falling right out again, so I was told it was "hypermobile" and I needed to do pelvic exercises so that the muscles could hold it in. I am not hypermobile. When my pelvis was fixed properly it never went out again in spite of the fact that I quit my pelvic exercises. A hypermobility (overly mobile joint), is usually a symptom of another joint (core pattern ) being stuck someplace else. There are truly hypermobile people, but they are rare. What I am saying about Griff is, likely if the anterior ilium and bent coccyx are corrected, they will go back out and she might be told she is "hypermobile", but there is probably a core pattern to blame...I would put money on the "lower windswept" pattern if you are good for 5 bucks on it

Aaaaaaah .... that helped a lot! Thank you!
To correct Griff's lower windswept pelvic dysfunction, would she need to seek someone who specializes in this particular area? I mean, is this common knowledge and/or experience for your average PF/PT person? I'm thinking no. BTW - I'm putting my money on your expertise here!
I'm so glad you're back, Hermajesty!!!!!

Hi HM, glad you are back. When I read all of your explanations there are times I wonder if I might have avoided surgery if I had known about the Hesch method at the time. I was one of those people who was told I was hypermobile with SI ligament strain. Can the Hesch method help someone who has lax ligaments that won't hold an alignment?