The Joints Involved
Pelvic instability happens when the ligaments of the pelvis become too lax, either through injury, pregnancy, or genetic laxity. Laxity is the opposite of tightness, where the ligaments bends too much, too easily, and don't support the structure as needed. There are three joints to the pelvis: the right and left sacroiliac joints, and the one that is often overlooked--the pubic symphysis. The whole pelvis may be rotated, or the individual bones could be higher, lower, more forward or back than they should be. Chiropractic adjustment is often all that's needed to begin setting the bones back in the correct alignment. If there is existing pelvic instability, the patient may find that the adjustment seems to revert back very quickly. If this seems to be the case, we will test by compressing the patient's pelvis to see if this eases pain or seems to provide more support. If it does help, a sacroiliac brace is needed to support the patient in the healing process.
The goal of bracing the pelvis is to provide the body with the support it needs to strengthen and rehabilitate the ligaments that hold the pelvis together. One of the best ways to do this is simply by walking with the brace on. begin by walking a few minutes each day with the brace, and continue to increase your walking distance and times. Also included with your brace will be a Thera-band--follow the instructions in that section for important strengthening exercises.
If you begin to feel that the brace is not supporting you or providing relief, your pelvis has likely become misaligned again. It is important to adjust the pelvis throughout the healing process, and the frequency depends on the person and degree of injury to the ligaments. Be sure that you check with Dr. Jeremy to find the right frequency of adjustment for you.