Wrong Diagnosis - So Often... Posted: 05-15-06 07:43am
Sijd - the reason for low back pain,
scoliosis, lordosis, lumbar/thorax
hypermobility, headaches, leg length
inequality, knee problems, achilles
problems and so many others... Very
common problem and yet so poorly
understod! :(
.
After years of search I finally found one
professional who knew how to cure my back
pain: to correct my sijd. Before him I
met tens of others who did it wrong or
didn't know anything at all! I spent
thousands of dollars for doctores,
physical therapists, pictures, exams,
test, ...
My problem was anteriorly rotated left
iliac bone (=sijd - sacroiliac joint
dysfunction), but all the others were
totally lost, or diagnosed it to my right
side where the pain was... That is
wrong!!
After I got rid of my back pains (and many
other problems too connected to sijd) I
started to search information about sij
dysfunction and to interview patients who
have the same problems I did.
research report
measurement of sacroiliac joint
dysfunction: a multicenter intertester
reliability study
janet k freburger and daniel l riddle
“for example, a patient with symptoms in
the region of the right sij, with a right
asis lower than the left asis and a right
psis higher than the left psis, would have
an anteriorly rotated innomimate on the
right. Conversely, a patient with
symptoms in the region of the left sij,
with a right asis lower than the left asis
and a right psis higher than the left
psis, would be described as having a
posteriorly rotated innominate on the
left.“
that last sentence is wrong! If right
psis is higher it is dislocated ie. In
dysfunction regardless where the pain is!
But it must not be measured when patient
is standing. I have seen patients who
have right psis higher when standing and
left psis higher when lying. Because
iliac rotation effects to the functional
length of a leg, psis's must be palpated
while lying.
Here is other similar:
physical therapy . Volume 82 . Number 8
. August 2002
evaluation of the presence of sacroiliac
joint region dysfunction
using a combination of tests:
a multicenter intertester
http
://www.Udel.Edu/pt/manal/spinecourse/sijla
b/riddled.Pdf
reliability study
daniel l riddle, janet k freburger, north
american orthopaedic rehabilitation
research network*
according to table 3:
1. Standing flexion test: my left sij
lifted, so it was hypermobile!
This test alone should give enough
evidence that it was left si
dysfunction!
2. Prone knee flexion test: I had the
pain on right side and right leg was
longer, so this test gives the wrong
diagnosis to me: posteriorly rotated right
iliac. Wrong!
3. Supine long sitting test: again I had
the pain on right side and right leg was
longer, so this test gives the wrong
diagnosis to me: posteriorly rotated right
iliac. Wrong!
4. Sitting psis test: this is the worst!
I had pain on right side and left psis was
higher. According to this test I had
posteriorly rotated right iliac. Totally
wrong result!
And this is why I had wrong diagnosises
and bad treatments for many years. It
took 10 years to find a professional who
knew how to do it wright! All the other
pts and chiros did it wrong like in that
paper.
The pain is usually on the other side than
the reason. That is where the mistake is
made! Left sij dysfunction -> pain on
the right side!
This is why the manual treatment is not
helping most of the patients... They do
it to the wrong side. They try to
dislocate the healthy sij!
|
expatient
Experienced User , Rather EHEALTHy
Joined: 24 Nov 2005 Posts: 127 Location: Finland
More... Posted: 05-16-06 01:18am
My opinion is that there is no such thing
as posteriorly rotated iliac. It is
(always) a misdiagnose because the pain is
very often on the other side than the
cause.
If sij is hypermobile it is so because it
is dislocated. If psis is higher on the
other side it is so because iliac has
rotated (dislocated) anteriorly on that
side, no matter where the pain is! But it
must be checked while patient is lying,
not standing!
That is why they say right sij is usually
the problem. That is not true! The pain
is usually on the right side! But the
reason for pain is on the other side.
When left sij comes out - the left leg
gets shorter - and all the body wight is
carried on right side. Thats why it hurts
there!
I believe it is so. I have seen and
interviewed about 100 patients who have
got help same way I did. First some of
them got diagnose to wrong side from
chiropractors. So those chiros tried to
dislocate their healthy si!!
|
expatient
Experienced User , Rather EHEALTHy
Joined: 24 Nov 2005 Posts: 127 Location: Finland
Posted: 05-24-06 01:17am
I collected few stories from few patients.
And many are just like mine... And
there are much more those on public
forums: sijd patients like I was. I
don't know how many, but thousands!
And only like 1% of all sijd patients are
on web talking about it, so there are
hundred times more of them in real life.
And because only 1% of patients have got
the right diagnosis, there are again
hundred times more of them. That makes
millions of people world wide...
I suffered from sijd for over 2 years.
My si joint was out of whack from
straining the surrounding ligaments doing
squats with heavy weights. How do you
repair ligaments? Prolotherapy, no more,
no less.
People - I was misdiagnosed many times,
this thread rings so true to me... I'm
telling you to do your research on
prolotherapy.. Pt does not heal
ligaments, ligaments do not heal
themselves, they are like plastic garbage
bags an osteo once told me, once stretched
- thats it.. Prolo forces them to begin
the healing process and tighten back up.
Good luck - and save yourself the wasted
frustration, learn from those who speak
from experience. I'm living a healthy,
normal active life again thanks to
prolotherapy.
Dont listen to chiropractors!! They do
not understand!! These are ligament
problems - not alignment issues!!
Ligaments are what compose healthy
alignment..Treat the ligaments...Not the
bones!!!
