The sacroiliac (SI) joint gets blamed for a lot of pain it probably isn’t causing. It’s not that clinicians are acting in bad faith. It’s that once you’re trained to look for something, confirmation bias makes it easy to keep finding it, even when the evidence says it’s uncommon. A Joint Built Not to Move...
Sacroiliac (SI) joint pain is less common than general low back pain, but it shows up more often in specific groups: pregnant and postpartum patients, and anyone recovering from a fall or direct trauma to the pelvis. It’s also one of the harder diagnoses to pin down, which is part of why treatment approaches vary...
Sacroiliac (SI) joint pain is a frequently overlooked source of low back and hip pain in athletes. It’s easy to miss because it doesn’t always announce itself the way a muscle strain does — instead, it tends to show up as a dull ache in the lower back, buttock, or posterior hip that can mimic...
If you’ve been told spinal manipulation “puts your SI joint back into place,” that explanation doesn’t hold up under imaging, even though the treatment itself works. Manipulation, alongside targeted strength training, remains one of the most effective interventions for sacroiliac (SI) pain. The question researchers have spent decades on isn’t whether it works. It’s why....
If you’ve been told your sacroiliac (SI) joint is “out of alignment” based on a clinician feeling for bony landmarks on your pelvis, that finding is on shakier ground than most patients realize. Static palpation and motion-based SI testing have been studied since the 1980s, and the reliability numbers are bad enough that flipping a...
Manipulation, exercise, and taping are the three interventions physical therapists reach for first with sacroiliac (SI) joint pain. For years, though, the SI joint has been one of the most argued-about diagnoses in orthopedic PT. That changed somewhat in late 2025: a multispecialty consensus guideline endorsed by more than twenty medical societies, including the American...
Written by Dr. Lucas Glomb Little League Elbow, a common overuse injury among young baseball players, occurs when repetitive throwing motions place excessive stress on the growth plate of the elbow. This condition, also known as medial epicondylitis, can lead to pain, weakness, and decreased range of motion in the affected arm, therefore limiting an...
Arm Injuries in Throwers Throwing injuries among baseball players are on the rise with a 54% and 58% increase in disability and days missed, respectively, over a one year period.(5,6) Recent evidence suggests that up to 50% of professional pitchers and 47% of youth level players can expect an injury limiting their participation in baseball.(1,12)...
By: Lucas Glomb, PT, DPT, OCS Little League Shoulder, a common overuse injury among young baseball players, occurs when repetitive overhead motions place excessive stress on the shoulder joint. This condition can lead to pain, weakness, and decreased range of motion in the shoulder, hindering an athlete’s ability to throw effectively. This repetitive stress causes...
Modalities in Physical Therapy come and go. Many clinics have closets full of old, outdated, and unproven modalities that were once the next best thing for pain. In my experience, the worst thing about these modalities outside of their ineffectiveness is they displace proven and effective interventions such as manual therapy and exercise. Currently, this...
