The Sacroiliac Joint Conundrum: Are Two Degrees Truly Significant?

Stop me if you’ve heard this one before: "The patient’s PSIS is 2 degrees higher on the right, so their pelvis is rotated and that’s why their back hurts." In this episode of Untold Physio Stories , we’re diving into the weeds of the Sacroiliac Joint. We’ve all been taught the intricate palpation models, but when we look at the actual kinematics, we’re often talking about movements so small they’re nearly impossible to reliably detect with human hands. In this episode, we discuss: The "Two-Degree" Threshold: Is a 2-degree shift a clinical "aha!" moment or just measurement error (or normal human asymmetry)? Reliability vs. Reality: Why our obsession with "alignment" might be distracting us from what actually gets the patient moving. The Untold Story: A real-world case where focusing on the "degrees" led a clinician down a rabbit hole, and how shifting to a multi-modal, loading-based approach changed the outcome. The bottom line: If your treatment plan changes based on a 2-degree palpation finding, you might be treating the map, not the territory. It’s time to stop over-complicating the SIJ and start focusing on what the evidence actually tells us. Don’t let a minor deviation in a "test" dictate a major shift in your "treatment." Sensitivity matters, but clinical relevance matters more. Untold Physio Stories is sponsored by ⁠Comprehend PT⁠ - Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up! ⁠⁠ The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking. Check out ⁠⁠EDGE Mobility System⁠⁠ 's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual

You can listen to The Sacroiliac Joint Conundrum: Are Two Degrees Truly Significant? online on Radio and Podcast. Open the player on this page to stream the available audio.

The Sacroiliac Joint Conundrum: Are Two Degrees Truly Significant? is an episode from Untold Physio Stories by Dr. Erson Religioso III, DPT, FAAOMPT.

This episode is 00:20:39 long.

This episode was published on Dec 19, 2025.

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