SI joint problems and aerobic exercise

SI joint problems and aerobic exercise

Welcome to Spine-health’s Sacroiliac Joint patient community, sponsored by SI-BONE. SI-BONE representatives and health care professionals will join the discussion each week, sharing their answers and insights on Sacroiliac (SI) joint topics: when lower back complaints might be caused by the SI joint, how SI joint problems are diagnosed, treatment options for the SI joint, preventive advice and more. At least once per month, a physician or other healthcare professional experienced in SI joint diagnosis and treatment will hold a “Spine Talk” hour and be available in this forum to answer your questions. Learn more in: Could my low back complaints be caused by the SI joint? Education Center on Spine-health sponsored by SI-BONE. SI-BONE is the maker of the iFuse Implant System® for minimally invasive surgical (MIS) sacroiliac joint surgery.

Discuss: when lower back complaints might be caused by the SI joint, how SI joint problems are diagnosed, treatment options for the SI joint, preventive advice, and more with the Spine-health patient community plus our physician faculty and guests from SI-BONE.
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Joined: 08/04/2011 - 8:03pm
SI joint problems and aerobic exercise

If I can't start working towards being able to do some serious exercise soon, I'm going to go nuts, but I don't to injure myself more by doing something harmful.

From your own personal experience, how would you rant these four exercises -- from #1 being the one that's the most beneficial or least harmful to someone with SI joint issues, to #4 being the worst.

- recumbent bike
- treadmill (walking->fast walking->jogging)
- elliptical
- swimming (or rather, paddle-boarding)

Should I specifically avoid any of those if I have a really out of whack SI joint and a lot of issues with it (though what makes it worst for me in this sedentary stage of my life is sitting).

LA_runner_chick's picture
Joined: 09/13/2011 - 5:39pm
My experience with exercise and SI joint problems

Take it with a grain of salt -- this is just what I've found, along with dr. recommendations. I'm an exercise nut, too, and it's been a lot of trial and error to find out what works and what hurts.
Best to worse:
1. Swimming is supposed to be the miracle exercise, since it puts no pressure on your joints. However, there are a few strokes where you really have to arch your back, which can flame up SI joint pain.
2. Recumbent bikes are also supposed to be really lo-impact (I do an upright one myself)
3. Walking is good, but listen to your body. Maybe instead of a treadmill, you can try a trail or the beach or something with a soft surface.
4. Ellipticals make my back crazy. Even though they are no impact, there's something about the motion that really irritates my joint and causes a lot of pain.

Keep us posted on your progress!

SueD's picture
Joined: 01/30/2010 - 1:32pm
Hi Buela

Have you consulted your health professional or surgeon to make sure doing these exercises is OK yet?

I'm not an expert of course, but I would have thought someone with S.I. joint problems may exacerbate their condition with certain jogging, fast walking and bike work. Just my opinion.

2 x Microdiscectomy 2005 / PLIFusion 2-level 2010 / revision surgery 2011 / NEVRO Senza spinal cord stimulator implanted February 2013. I WILL NOT GIVE IN / UP !!

ohioispine's picture
Joined: 09/18/2011 - 3:06pm

I like all of these suggestions. If you like stretching, then stretch your hamstrings but only when you lay on your back. Bring your leg towards you with a towel or your arm depending on your flexibility. This has helped me quite a bit. hope this helps

Amish R Patel DO, MPH