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The SI Joint Syndrome: Is it the disc or the pelvis?

SI joint dysfunction, back pain

ISG syndrome

The pain is extremely deep, almost in the buttocks, often radiates down one thigh, and is almost unbearable, especially when getting out of bed in the morning or climbing stairs. With these symptoms, many patients immediately fear a herniated disc in the lumbar spine. But very often the cause lies one level lower: Sacroiliac joint pain, medically as ISG syndrome designated.

The sacroiliac joint connects our hip bones to the sacrum at the lower end of the spine. It is a massive joint that must transmit immense forces when we walk, run, or jump.

 
 
 
 
 Physiotherapy Waidfuss - Physiotherapist Zurich Wipkingen & Höngg 
 
 
 Physiotherapy Waidfuss - Physiotherapist Zurich Wipkingen & Höngg
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 Joel Beti 
 
January 28, 2025
 
 
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Physio Waidfuss is absolutely recommended! I have already been to Phil and his team twice. Both for my back and my shoulders - I was completely satisfied! The treatments, such as dry needling, achieved a great result. The advice with exercises for home was also very detailed, easy to implement, and helpful. I can recommend Physio Waidfuss to anyone with physical ailments. Thank you very much for the excellent treatment!
  
 
 
 
 
 
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 Shino Mesha 
 
December 4, 2024
 
 
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Based on the many positive reviews, I tried Physiotherapie Waidfuss in Höngg/Wipkingen – and I can only agree with the opinions! The exercises I learned here are super helpful for everyday life and can be done anywhere. My problem was explained in an understandable way, which helped me enormously to better understand my back pain. Furthermore, it became clear to me how important active exercises are in order to remain pain-free in the long term. The practice is very professional and the team is extremely friendly. I can truly only recommend Physiotherapie Waidfuss! Keep up the great work. Best regards
  
 
 
 
 
 
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 Emko Basko 
 
November 29, 2024
 
 
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I had been struggling with severe back pain, sciatica, and bilateral Achilles tendon issues for quite some time. Through active therapy with targeted stretches and exercises, I was able to feel significant improvements. The physical therapy really helped me tremendously! The care was competent, empathetic, and individually tailored to my needs. I can highly recommend the physical therapy in Höngg and Wipkingen to everyone. Thank you very much for the great support!
  
 
 
 
 
 
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 Marcia Varandas 
 
November 22, 2024
 
 
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I have been receiving treatment at Physiotherapie Waidfuss in Wipkingen for over a year and couldn't be more satisfied! Due to a neurological issue with radiating pain into my arms as well as neck and lower back pain, I had been looking for a competent solution for a long time – and finally found it here!!! The team has not only convinced me through professional treatments, but also with valuable everyday tips and effective exercises that I can easily implement. My lower back and neck discomfort has improved significantly, and I feel in the very best hands here. Many thanks to the entire team for the great support! I warmly recommend this physiotherapy practice in Wipkingen to everyone!!!
  
 
 
 
 
 
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 jingle jangle 
 
October 29, 2024
 
 
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Excellent local physical therapy – The team is professional and friendly, and they take the time for an outstanding treatment. I am a dancer and have issues with pain in my legs and back. The location is also ideal, with a tram stop right outside the door and parking spaces right in front.
  
 
 
 
 
 
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 Andrea Smolic 
 
October 9, 2024
 
 
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Philipp is great! He is very friendly, professionally competent, and goes out of his way to find a solution for your pain. The dry needling method really helped me with my back pain and tension that I've had for years. Thank you so much for that! I can only highly recommend this practice! 🙂

What is an SI joint blockage?

The Myth of the "SI Joint Blockade"

When patients come to us with severe pelvic pain, they often have one goal: they want their Lift ISG blockade let go. The feeling that something has „gotten stuck“ back there is extremely real. But from a biomechanical perspective, the SI joint is secured by incredibly strong ligaments. It only moves by a few millimeters anyway. It cannot dislocate or „lock up“ in the classical sense.

What you feel as a stabbing blockage is in most cases a massive muscular and fascial guarding. If the leg axes are misaligned, you are limping after a foot injury, or the deep abdominal muscles are too weak, an asymmetry arises. The nervous system registers an overload of the joint and switches the muscles around the pelvis (such as the piriformis muscle) into strict tension in order to protect the region.

Our Holistic Treatment Approach

Instead of simply pressing hard on the joint, at Physiotherapie Waidfuss we look at the true cause. We harmonize the muscle tension in the buttocks, check the statics of your feet and knees, and integrate targeted Nerve mobilization. Often it is the fascial tissue or an irritated nerve that fuels the pain. In the case of very stubborn muscular trigger points around the pelvis, we use gentle manual pressure techniques upon request to relax the tissue and restore the SI joint's natural mobility.

Everyday practical tips for a pain-free SI joint

ISG syndrome

  • The leg length discrepancy: Lie on your back. Bend your knees with your feet flat on the floor. Now let the painful leg fall outward (like a half butterfly) and slowly slide your heel along the floor toward your buttocks and back again. This mobilizes the SI joint completely without pressure.

  • Avoid one-sided strain: When you're standing, consciously distribute your weight across both Feet. The typical "stance leg-free leg" posture at the supermarket checkout line provokes shear forces in the SI joint and feeds the pain memory.

Your pelvic specialists in Zurich Are you plagued by stubborn SI joint syndrome and no longer know how to sit pain-free? The therapists of Physiotherapy Waidfuss in Zurich (Wipkingen and Höngg) bring your pelvis back into balance. Book an appointment today and take the first step towards a pain-free daily life!