Friday, September 18, 2020

What is the SI Joint and How Does it Work?

Do you experience lower back pain?

Have you ever stepped awkwardly and then experienced pain in your legs? 

Your sacroiliac (SI) joint could be the cause of your pain.

The sacroiliac joint or SI joint is the connection point between the sacrum and the ilium.  The sacrum is the triangular bone at the base of the lumbar spine and the iliums are attached to each side of the sacrum.  The iliums and sacrum together make up the pelvic complex.  

Here’s how it works:

The sacrum moves through what is called nutation and counter nutation.   Nutation is when the sacral base (the top that connects to the 5th lumbar) tilts forward.  Counter nutation is when it tips backward.  

Not only can the entire bone tilt forward and backward but when we walk or run, one side will nutate and the other will counter nutate.  

For example: when you take a step forward with your right leg, the right side of the SI joint will nutate (dip down and forward) while the left side will counter nutate (rise up and backwards).  This movement happens tens of thousands of times per day, not only with walking, but breathing as well.  

How do I know if I have an SI joint dysfunction?

The only way to be certain if you have an SI joint dysfunction is with a detailed examination and consultation.  

The pain may be worse when sitting with the legs crossed, bending forward, and even extending backwards.  Sometimes the pain may be felt as stiffness, achiness, burning or numbness and it may travel down the leg. 

Visit our website to learn more!

Call Pivotal Chiropractic for SI Joint Pain Relief

There are several noninvasive treatment options if you’re living with SI join pain. The goal is to return the SI joint to the normal range of motion.

For more serious or chronic cases, you should see a chiropractor for further treatment. 


Tuesday, September 8, 2020

How Does SI Joint Pain Happen?


Trauma to an SI joint can result from a number of different causes.  Sometimes these are serious injuries from events like a car accident or fall onto the buttocks, but sometimes small or repetitive forces weaken the ligaments around the SI joint.  

A few major causes of SI joint pain and injury include:

  • Missing a step or landing on one foot 
  • Repetitive rotational movements like golfing, bowling, batting, throwing, etc., and axial loading of the spine (Axial loading is when the spine is loaded with weight and the compressive forces transfer down through the spine into the sacrum and SI joints causing the joints to nutate.  This is common with weight lifters and body builders)

How do I know if I have an SI joint dysfunction?

The only way to be certain if you have an SI joint dysfunction is with a detailed examination and consultation.  

However, some of the common secondary conditions that result from an SI joint dysfunction are pain in the low back, buttock, hip and/or groin.  

The pain may be worse when sitting with the legs crossed, bending forward, and even extending backwards.  Sometimes the pain may be felt as stiffness, achiness, burning or numbness and it may travel down the leg. 

Monday, August 17, 2020

Do You have Normal Structure?

This position is very important, since it keeps the head centered over the body. When the head and neck are in this position, the thoracic spine is in the proper position to support the neck above it. The problem arises when the head and neck translate or displace forward. When this happens, a person has a syndrome called ANTERIOR HEAD SYNDROME. 

Think of it this way: if you held a 10lb weight against your chest with both hands you could probably hold it there for five or ten minutes. But, if you held the same 10lb weight out in front of you with your arms extended, it would be much more difficult. You would probably start to tire in your arms and shoulders. The weight didn’t change, but the distance of the weight away from the center of your body did.

Read more about this condition on our website!

Come to Pivotal Chiropractic in Ann Arbor for a Chiropractor Who Puts You First!

If you’re looking for back pain relief, it’s time to see the chiropractor!

If you have upper back pain, schedule a complimentary consultation, where a conversation is never a commitment, and contact us at 734-221-0362.

Saturday, August 1, 2020

Is Your Back Pain Actually a Neck-Related Problem?

With most of us working from home, it’s common for many newer folks who come to my practice to mention they are experiencing upper back pain.

The upper back is the area from the base of the neck (top of the shoulders) down between the shoulder blades. It’s a sensitive area, and when it flares up, a person may experience anything from a dull ache to sharp, stabbing, burning pain that’s made worse with breathing. Pain in this area of the spine can be so intense that some people have trouble working and even normal activities of daily living.

What if I told you that upper back pain may not actually be an upper back problem? Here’s what I mean: the upper back may be the pain generator, but it most likely isn’t the CAUSE of the pain. It has to do with the biomechanics of the spine and how the upper back supports the neck and head above it.

Friday, July 17, 2020

How can a Chiropractor Help with Numbness and Tingling?

Getting numbness and tingling checked out if it’s persistent could be the key to discovering a larger underlying problem.

Some conditions that place pressure on your nerves could be:

  • Carpal tunnel syndrome
  • Scar tissue
  • Enlarged blood vessels
  • Infection
  • Tumors

In addition, some diseases produce numbness and tingling as a symptom, like diabetes, neuropathy, multiple sclerosis, hardening of the arteries, and underactive thyroid.

You should seek medical attention if you have medical history of any of these conditions.

Read more on our website!


How can a Chiropractor Help with Numbness and Tingling?


Even though there are many names for these conditions, the primary source of numbness and tingling and the conditions that go with them begin in the neck or low back by way of segmental displacement.

Common solutions may not always work for the treatment of numbness and tingling due to a structural cause. If your numbness and tingling doesn’t respond to treatment by your primary care physician, an investigation by a specific structural correction chiropractor may be needed.

Wednesday, July 1, 2020

Have You Experienced Tingling in Your Arms and Hands?

Have you experienced tingling in your arms and hands?

What about numbness in your feet?

Many people think that a numb or tingling sensation in their extremities is part of the aging process, but this type of secondary condition can be an indicator of a deeper problem.

If you’ve been ignoring unusual prickling sensations in your body similar to when your arm or leg falls asleep, you could be potentially making a problem worse without knowing it.

Read more about tingling and numbness in hands and feet on our website!

How can a Chiropractor Help with Numbness and Tingling?


Even though there are many names for these conditions, the primary source of numbness and tingling and the conditions that go with them begin in the neck or low back by way of segmental displacement.

Common solutions may not always work for the treatment of numbness and tingling due to a structural cause. If your numbness and tingling doesn’t respond to treatment by your primary care physician, an investigation by a specific structural correction chiropractor may be needed.

Come to Pivotal Chiropractic in Ann Arbor for a Chiropractor Who Puts You First!


If you have back pain, neck pain, or tingling or numbness in your hands and feet, it’s time to see a chiropractor. To schedule a complimentary consultation, where a conversation is never a commitment, contact us at 734-221-0362.

Monday, May 18, 2020

4 Stretches to Provide Pain Relief While Working at Home

If you’ve been working from home, think about how much movement you’re getting throughout the day. You wake up, walk from your bedroom to the kitchen, poor a cup of coffee, then head to your home office to begin the day. Lunchtime rolls around when you grab a bite to eat, then back to work. When the day finally ends, you probably go sit at the kitchen table, eat dinner, relax on the couch to unwind, and then off to bed … only to wake up the next day and do it all over again. This is a typical day for millions of Americans right now.

What’s the answer?


You have to get your body moving and out of the house! Take 30-45 minutes to work out in the morning or afternoon. This could be a walk or run around the neighborhood, or a series of body weight exercises. If you’re lucky enough to have a home gym, go ahead and pump some iron. Mobility is also important! Spend 2-3 minutes every hour stretching. That might seem like a lot, but its only 2-3 minutes, and in reality, if you mute yourself on those conference calls, so you can multitask.

Spending 2-3 minutes every hour to do some general maintenance on your body will help counteract a lot of the physical stress and achiness you experience while working from home.

Read the full article on our website to see the 4 stretches Dr. Gessert recommends to keep you active while working at home.