@doctorhaleymain: “Your hips are out.” We hear this ALL the time when someone has low back, pelvic, or SIJ-region pain. But instead of assuming the pelvis is simply “out of alignment,” we need to ask a better question: Is the SI joint actually the pain generator? SIJ pain can overlap with symptoms coming from the lumbar spine, hip, and surrounding soft tissues—which is exactly why your examination and clinical reasoning matter. Rather than chasing alignment, use a cluster of findings to help determine whether the SIJ is actually contributing to your patient’s symptoms. 📩 Want my SIJ Pain Generator Quick Guide to help you identify these patients faster? Comment “SIJ” and I’ll send it to you. And if you’re a PT who wants to get better at identifying pain generators, building a treatment plan, and knowing what to do next with your patients, that’s exactly what we work on inside my Foundations to Clinical Success Mentorship. Comment “MENTORSHIP” and I’ll send you the details. #physicaltherapy #physicaltherapist #SIJpain #sacroiliacjoint #lowbackpain

Dr. Main
Dr. Main
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Region: US
Monday 07 September 2026 00:42:52 GMT
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maxime_93
maxime_93 :
So 12 minutes for 1 cluster 💀
2026-09-07 07:20:02
25
rjmz83
rjmz83 :
Schools do a terrible job of providing students with tools and clinical reasoning. I have never once palpated for PSIS to find any useful data once I graduated. Also, regardless of what the research shows, in practice, the thrust test has consistently been the only clinically relevant test in that cluster to the point that I typically skip the others.
2026-09-07 14:04:12
30
greeneyestx
Nikki 💚🦦 :
3 minutes??
2026-09-11 01:30:05
0
wuhspt1
wuhspt1 :
you gotta prove to me that symptoms and objective tests are NOT coming from lumbar spine first..
2026-09-07 23:02:30
6
whippet_mama
Whippetmama :
SIJ
2026-09-07 23:58:59
0
markmayhem_
markmayhem_ :
Waste of time. Just check for function during palpation. These tests are good but wastes your time unless it’s part of the treatment. Palpating psis and watch for movement bilaterally during forward flexion and extension.
2026-09-07 20:17:00
2
chocolatencaramelo
chocolatencaramelo :
Mentorship
2026-09-07 08:16:35
0
drjsweet
JDog :
lol. Just manual therapy that you perform after you do the evaluarion.
2026-09-08 23:19:26
1
kylew37
Kyle :
so uh, after 12 minutes of doing this, what do you conclude?
2026-09-07 15:48:41
1
nebulatron22
Nebulatron :
my pt does a pulling one leg up to you and the other pushing into the ground. it always pops and then I'm sore for awhile, but it always goes back out due to my eds
2026-09-08 17:25:30
0
gotoolzreviews
go-toolzreviews ™ :
Disappointed
2026-09-09 01:03:52
0
kristianb.j
Kristian Jakobsen :
SIJ
2026-09-08 21:24:31
0
maxime_93
maxime_93 :
True SI dysfunction is rather rare, check the hip and lower back first to rule those out
2026-09-07 12:48:13
4
able914
Able :
Motion palpate the joint save those 11 minutes
2026-09-07 09:10:13
3
smartez
Emmanuel Chukwuebuka Eze :
What about Gaslean and FABER'S test? These tests are also provocative tests for SIJ dysfunction.
2026-09-07 05:41:24
5
mrtriangle360
Mr Triangle :
🤣🤣
2026-09-07 12:51:59
0
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