Release ISG blockage
How can one solve an ISG blockage?
The actual resolution of the blockage takes place through an experienced one Physiotherapists or one chiropractor instead of.
The specialist loosens that up with targeted movements Sacroiliac joint from his blockage.
There is no one way to remove a sacroiliac joint blockage. Each practitioner has his own technique. So there is no silver bullet, but the effectiveness is the same in all methods.
However, if the therapy is successful, the patient feels a direct improvement in symptoms and is usually immediately symptom-free.
In addition to this professional therapy, there are various ways to solve a blockage in the sacroiliac joint at home or to mobilize the SI joint independently.
It is important that the individual exercises should always be practiced in advance with a physiotherapist and do not replace actual physical therapy.
However, for physiotherapy to be effective, individual exercises should be continued at home.
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My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
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The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.
The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
I focus on a wide variety of diseases of the spine.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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An exercise serves that Loosening the Hip joint. Here the patient stands on a small elevation, for example a book. The arms of two chairs can be used to support the arms on the right and left. Now it becomes one leg placed on the book and loaded while the other leg swings back and forth carefully and slowly.
Another exercise serves that Relaxation of the lower back. Here, the patient lies flat on their back and places their lower legs on a chair so that their thighs and back form a right angle. The exercise can lead to even more relaxation through even, calm abdominal breathing. When the exercise is combined by gently raising and lowering the pelvis, the Back muscles and Abdominal muscles trained and can do that pool stabilize better.
To possible Eliminate stiffness in the morning Cautious cycling with your legs in the air before getting up can help loosen your hips.
Figure ISG - blockage
ISG - blockade - conduction symptoms
- Sacrum-iliac joint
(Sacroiliac joint,
abbreviated ISG)
Articulatio sacroiliaca - Front Sacrum-iliac ligament
Lig. Sacroiliacum anterius - Iliac bone - Os ilium
- Sacrum - Sacrum
- Lumbar and sacrum kink -
Promontory - Fifth lumbar vertebra -
Vertebra lumbalis V - First lumbar vertebra -
Vertebra lumbalis I - Thoracolumbar junction
- Twelfth thoracic vertebra -
Vertebra thoracica XII - Hip joint - Articulatio coxae
Pain radiation areas:
A - lumbar spine (lumbar spine)
B - buttock region - Gluteal region
C - Groin - Inguinal region
D - front and back leg
E - knee
You can find an overview of all Dr-Gumpert images at: medical illustrations
SIJ blockage pain
The pain in an SI joint blockage arises from the fact that the joint surfaces of the two joints involved tilt and the free mobility in the joint is blocked. Muscles and nerves tense reactively and become irritated, which can lead to unpleasant pain. Often this pain can be felt specifically through the sacroiliac joints and assigned to them. Radiation of pain in the lower back, buttocks or back thighs down to the hollow of the knee can also occur.
What might also interest you: Sacrum pain
Pain that is triggered or exacerbated by certain movements or postures is typical of an SI joint blockade: If the upper body is bent or turned against the hip, the pain can appear like attacks. The pain can also be provoked after long sitting positions and especially when sitting cross-legged.
The pain can sometimes lead to certain relieving postures being taken. For example, a bad posture in the upper body (slight inclination of the trunk to one side) can creep in.
Read more on the subject here: SIJ blockade symptoms
Solution of the IGS blockage through osteopathy
The Osteopathy defines itself as a medicine whose therapeutic approaches are based on the fact that the physical complaints can be compensated by the body itself. According to osteopathy, complaints are the result of a dysregulation of the physical components. Osteopathy makes use of several Mobilization exercises, which are used, among other things, in the treatment of an ISG blockage.
In principle, all exercises that can be performed manually by an osteopath are used in osteopathy. The aim of the exercises is to correct dysregulations, for example in the form of tension, through massages, loosening or stretching and thus to loosen the blockage of the SI joint.
When the ISG is blocked by osteopathy, the mobilization, so making the joint movable again, in the foreground. If this turns out to be unsuccessful, a so-called manipulationto put a way back. However, the cause itself is not treated, but only a short-term relief of symptoms. If possible, osteopathy focuses more on the mobilizing exercises.
Exercises
There is now a relatively large spectrum of different exercises for solving an ISG blockage. Dorn's methods play a not insignificant part.
Exercises according to Dorn
Nowadays, exercises according to Dorn are used to solve an ISG blockage. The founder of the Dorn Method, Mr. Dieter Dorn (1938-2011), developed exercises that were intended to alleviate a wide range of symptoms. In addition to solving an ISG blockage, for which the method is not specific, but only applies, therefore exist further indications. These include above all complaintsthat emanate from the spine and also affect the surrounding joints and muscles.
Symptoms like Pain or Joint discomfort for example in the form of blockages, sciatica (inflammation) and osteoarthritis etc. can make the use of the Dorn exercises necessary, but also complaints in other parts of the body, both in terms of pain and Sensitivity Disorders. The Dorn method is also helpful for Leg length differences or Herniated discs.
Interestingly, the Dorn exercises can not only be used for acute therapy, but can also be used as daily exercises for mobilization and prophylaxis can be used by people with certain complaints.
In the case of an ISG blockage, one of the exercises explained below is very effective and has proven itself to eliminate the displacement caused by the ISG blockage: The person affected lays down thick book between two chairs and places the chairs so that the backrests point towards each other in the middle and the seat surface outwards. Now the patient stands on the book and uses the two backrests as supports. Depending on which side the ISG blockade is on, it will Leg of the corresponding side now next to the book, which serves as an elevation, swaying slowly back and forth. It is important that when swinging the leg back on the affected side with the help of the fist, a slight counterpressure is exerted forward over the ISG. To do this, use your thumb on your back in the area of the lumbar spine to find the protruding bones on both sides, which can be felt as small indentations in many of the people. You should swing back and forth about seven times in total. Attention must be paid to breathing throughout the exercise. Optimal way will when swinging back the affected side of the leg exhaled become. The inhalation he follows when swinging forward.
This exercise should when used for the first time under supervision be performed. Later on, those affected can easily practice this Dorn Method alone at home. One advantage of the Dorn method is that the patient actively participates in the exercise, so severe pain or uncomfortable positions can be communicated immediately. So an exercise can always individually adapted without changing the effect of course.
Contraindications for releasing an SI joint blockage according to Dorn are for example acute injuries in the SI joint area (fractures, inflammations, etc.) or certain diseases such as osteoporosis. Then a detailed evaluation should take place with a doctor / therapist to check whether the beneficial effect is greater than any possible harm.
In conclusion, it should be said that the Dorn exercises are effective, but the treatment of an SI joint blockage is in addition to other therapeutic approacheslike acupuncture or massages yet more promising is.
Exercises with the tennis ball
The tennis ball can be used for a purpose other than its intended use as a therapy for an ISG blockade. The SI joint blockade can be released with the help of a tennis ball if the SI joint area is on the back painful pressure points available. The tennis ball serves as an art Massage ballthat can relieve tension and thus relieve the symptoms of an SI joint blockade.
To do this, she has to Lay the affected person on their back and the Tennis ball between the mat and the back in the area of the iliac crest Position in such a way that the painful points can be felt. Then the tennis ball should pass slow rolling back and forth massage the corresponding painful tension and loosen the ISG again.
Exercises with the Blackroll
Blackrolls are so-called Massage rollersthat are suitable for personal use at home or in the gym and as part of the Self massage can be used on tense muscles and muscle fascia.
In the case of an ISG blockage, a massage with the Blackroll can certainly help to resolve the blockage. It is used while lying down. The Blackroll is placed between the (lower) back and the floor, so that slow, powerful rolling movements are then performed over the Blackroll. Hardened and shortened back muscles are loosened and supplied with more blood, painful blockages may even be released.
More exercises
It is difficult to give a precise definition of which exercises are to be assigned to the "thorn exercises" and which are described separately. Frequently becomes in combination with the Dorn exercises a so-called Therapy according to Breuss carried out.
This is a massagewhich, according to the founder, can release tension and blockages. Primarily, the massage is aimed at one Regeneration of the intervertebral discs after a herniated disc from.
In the context of an SI joint blockade, the massage is usually applied before the mandrel method is performed. In an alternative exercise, you have to lay flat on your back and provide a chair. The legs are placed on the chairso that a right angle is created between the back and thighs by lying up. The aim of this exercise is to Relax muscles, as muscular tension can trigger the symptoms of SI joint blockade. As part of this exercise, the additional up and down movement of the hips can increase the effect.
Those affected can easily do another exercise in the morning in bed use to alleviate both acute symptoms and from a prophylactic aspect during the day. What is meant is the well-known "Cycling in the air“In the supine position.
Since the sacrum is involved in an ISG blockade, there is an exercise that "Sacrum integration“Calls and leads to the loosening of the joint connections and the surrounding muscles. Here is the Patient in prone position. A towel roll or soft balls should be stored under his iliac crest. The position should be taken for a few minutes so that the pressure in the ISG is relieved and the blockage is released.
In general, it's important for recurring complaints an ISG blockage In addition to the exercises, regular physiotherapy with stretching exercises and special back exercises to claim something. You should also always clarify the cause, as the exercises are based on a certain mechanism of action and are most effective when the cause can be treated with it. The exercises can actually always be carried out in addition to targeted muscle building, as strengthened muscles and ligaments can reduce the likelihood of an SI joint blockage occurring and acute blockages can also be better resolved.
Solution of the IGS blockade through physiotherapy
If an SI joint blockage occurs, it makes sense to see a physiotherapist in any case, especially if it is the first SI joint blockage. He is not only able to initiate therapy through specific exercises and massages, but he can also use his experience and examination to assess whether it is actually just a blockage or whether there are possibly more serious disorders that have been reported by a doctor (orthopedic surgeon ) need to be clarified.
If this is not the case, the physiotherapist can through Sacroiliac joint and back massages, Heat applications, stretching and stabilization exercises attempt to correct the muscle shortening, muscle hardening, leg length differences and tension and thus also to loosen the tilting of the sacroiliac joint.
Release ISG blockade with kinesio tape
Kinesiotaping is a widespread supportive therapy method in the field of physiotherapists, with which the healing, treatment and rehabilitation of diseases of the musculoskeletal system is to be pursued. The Kinesio tape is glued to the skin using certain techniques so that muscles, joints and tissues are relieved and relaxed. This is the only way to significantly reduce pain.
The special tapes can also be used for SIJ blockages, whereby they are often affixed to the respective joint in a diamond shape.
Solve ISG blockages with acupuncture
acupuncture, as a branch of traditional Chinese medicine, is a procedure in which the stimulation of certain points on the body (by sticking the finest needles into the skin) is intended to influence various body regulations.
One area of application of acupuncture is e.g. the treatment of diseases of the musculoskeletal system and thus also of painful ISG blockages.
The aim of acupuncture is to relieve muscle tension and shortening, so that the blockage is released or the SI joint becomes more accessible for relaxation / loosening exercises.
Also read: Acupuncture for back pain
Solve the ISG blockade yourself
The ISG blockage does not necessarily always have to be treated by a physiotherapist, osteopath, chiropractor or other therapist. Often it can be fixed alone. Through targeted Stretching exercises or physical therapy exercises at home, Heat applications, self-applied Massages (with a blackroll or a tennis ball, for example) and attempts to loosen it, it may well be that the blockage can be resolved itself and spontaneous healing occurs.
It is important that those affected should be shown correctly how the exercises to be carried out themselves should be carried out and how exactly other additional measures must be carried out correctly in order to avoid errors in self-execution.
Therefore, seeking out is one experienced therapists with the first ISG block so it still makes sense. If one or more other blockages occur in the course of life, the therapeutic measures can then possibly be carried out independently.
Resolve IGS blockages during pregnancy
Pregnancy is an enormous change for the entire body. Especially the lower spine, more precisely the Lumbar spine, is due to weight gain claimedas this area has to bear most of the load. As a result, the enormous burden can cause a muscular tension and Bad posture result in a blockage of the ISG. In addition, there is one in pregnancy changed hormonal balance. In this context, the so-called relaxin hormone is released in order to facilitate the birth process Loosen ligaments in the pelvic area. However, this works with one Loss of stability in the pelvic and SI joint area hand in hand. The body reacts with tension and incorrect posture so that the locally nearby SI joint is often blocked.
For these reasons, therapy for resolving an ISG blockage during pregnancy is very important. Since the medication intake is very limited, are above all manual therapy approaches leading. Therefore, exercises are after the Dorn methodology possible during pregnancy to solve an ISG blockade. The assumption that pregnancy is a contraindication for many exercises is wrong. In the majority of cases, Dorn's exercises can be helpful and quick to resolve an SI joint blockage during pregnancy Symptom relief to lead. However, it is important that the therapists always do this Consent of the pregnant woman as a certain residual risk of possible complications from the mechanics remains during the exercises.
Alternative therapeutic approaches, which in pregnancy, however not necessarily applicable should, are those acupuncture or the Shock wave therapy. However, there is enough mechanical and non-invasive exercise to resolve blockages during pregnancy. All exercises can be carried out just as safely by pregnant women as by other sufferers of an ISG blockade. Only that Intensity and duration of therapy should where appropriate reduced and kept as gently as possible. The exercises are not only helpful during pregnancy, but can also before good for Prophylaxis and stabilization of the muscles be applied. Besides the exercises there is also one Heat treatment a therapy option for solving the SIJ blockade. The warmth can loosen the tense muscles and thus alleviate the symptoms in a pleasant way.
Duration of an ISG block
How long an SIJ blockage can last is individually very different and depends, among other things, on how target-oriented and profitable the therapies used are.
As a rule, a new or first-time ISG blockage can be treated well with independently performed exercises, physiotherapy and / or chiropractic. A spontaneous resolution of the blockage is also always possible.
In some cases, an SIJ blockage can also become chronic and thus persist for several weeks, months or even years; therapy can then be more difficult.
