#BADGLEY BOOK SIGN: @SimonoffBob. In reply to your question. My paper about Badgley Book Sign is not on-line. It was published in the proceedings, and I presented it from the stage. My tweet thread of 7/20/2019 describes how it is performed; so people can do it at home. More...
The #Badgley Book Sign I presented at the Interdisciplinary World Congress of Low Back and Pelvis Pain in Dubai in fall of 2013 will be discussed in a book I am writing about the diagnosis of #fibromyalgia....
My research of the #Badgley Book Sign is the first World announcement of a radiological study to directly demonstrate sacroiliac joint (SIJ) dysfunction (subluxation). NASA spent a million $ studying the problem (per Dr. Andry Vlemming; world class expert on SIJ)....
My under standing is that NASA studied the sacroiliac joint using fluoroscopy, which is difficult to interpret. Also, they used standing position, which provides only one view. The secret is that one needs before & after views to demonstrate movement of the joint (0.5-2.0 cm)...
In my radiological study of sacroiliac joint (SIJ) subluxation, I used the sitting position and a bolster (~1” Guideon Bible; a “standardized ubiquitous devinely inspired medical instrument”) to mechanically stress the injured SIJ. A curious fact is that ....
Pelvic girdle bony ring, when fractured, usually breaks in two places, a well known physiologic fact. When sacroiliac joint subluxation occurs is usually on only one side. I believe that sudden injury stress on ring is relieved at one joint; allowing immediate decompression ...
Phenomenon of sacroiliac joint subluxation usually unilateral. Patients often know which side is injured: sciatic occurs on that side, they prefer to sit on other buttock, & stand with most weight on other leg. They sleep (albeit restlessly)on opposite side w. pillow vs. legs...
Reason for restless sleep (worse than vertebral disk herniation & reduced stress reclined) with sacroiliac joint (SIJ) disorder is that when reclined the ground force of mattress occurs at anyplace on bony ring, translating to most loose SIJ, arousing painful ligament stretch...
People with sacroiliac joint injury/subluxation sleep ~3-5 hours per night with frequent awakenings. They surface sleep, infrequently dream, have terrible daytime fatigue &, as result of non-restorative sleep, become depressed; all signature symptoms of #fibromyalgia...
People with sacroiliac joint subluxation commonly have #sciatica below the injured hemi-pelvis (usually just to thigh or knee; occ. to foot) & often pain radiates to the associated groin. Sometimes a shifting is felt in the hip region & a click or pop can be heard...
Oftentimes, when I enter exam room these patients w. sacroiliac joint injury/subluxation found sitting w. elbows on knees. This called the Trendenberg posture & is way they sit at home. The are not slouching. This posture puts sacroiliac joint in anatomic neutrality ...
The Trendelenberg posture gives clue to relative relief from constant pain of “SIJ Subluxation Chronic Pain Disorder Syndrome” (name I coined for disorder). Person lies on back & brings knee towards same-side shoulder several times, then slips SIJ belt around pelvis. Next ...
Person rolls out like a log & stands. These maneuvers attempt to keep the SIJ anatomically “form closed” (after Vlemming). I have found SIJ belts to relieve about 15% of pain of this disorder. SIJ subluxation is caused by lax &/or injured ligaments; discussed in my next thread...
The concepts and observations in this thread are mostly my own and based on empirical clinical data I have gathered over decades evaluating patients. My hypotheses include that #Prolotherapy would be the optimum way to treat SIJ Subluxation Chronic Pain Disorder Syndrome.
• • •
Missing some Tweet in this thread? You can try to
force a refresh
