SIJ fusion would be a last resort for me and 3 years on from my back issue its settled down a little and I have learnt to live with it...
V wise. I have always been sceptical about alleged SI joint dysfunction and operative work done to 'cure' it. The sacroiliac joint is fused anyway as part of the very stable bowl of the pelvis.
From what I've read, the SI joints aren't fused, they are connected to the pelvis by very strong ligaments. They can move but not by very much. The ligaments become more relaxed during childbirth which can cause pain as the joints move too much, or they can become injured.
I have some SI joint disfunction on the right side which is controlled by strengthening and stretching the muscles around it, and a support belt when doing physical work. I don't usuallty have pain, though it frequently inflames and I get nerve side effects which make you feel pretty lousy. I also have muscle atrophy on the right side of the back. I assume it is because my body has learnt to compensate with the left side to shy away from the weak side, which then of course produces it's own problems of muscle imbalance.
You are right about professionals though, and I regret spending as much as I have in order to get relief. In my view, chiropractors are a 'quick fix' to get you mobile again, but if your muscles are tight and weak, the joints will just get stuck again, then the cycle continues. I have an osteopath who I see occasionally, and that seems to work for me.
I can't imagine that a massage fuction on a car seat would be much good, because it would not be able to adapt depending on where the tightness is.
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