154: Sacroiliac Joints: The Next Level (with Til Luchau & Whitney Lowe) Listener Favorite! The Thinking Practitioner podcast

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154: Sacroiliac Joints: The Next Level (with Til Luchau & Whitney Lowe) Listener Favorite!

6d ago 1:03:28

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🎙Til Luchau and Whitney Lowe go deep into the sacroiliac (SI) joints in this listener-favorite rebroadcast of Episode 74, where they unpack anatomy, mechanics, assessment controversies, and treatment strategies. From the relationship between pain, stability, and mobility, to ligamentous support, gait mechanics, and the limits of positional models, they offer both clinical clarity and practical takeaways. Along the way, they share road stories, podcast crossovers, and resources for further learning.

🎧 Listen in for evidence-based insights, hands-on strategies, and nuanced discussion that balances analytical precision with experiential wisdom.
👉Thailand Retreat 2026
Join Til and friends for Finding Balance, an immersive bodywork and movement retreat at a floating retreat center in Thailand. Learn more → https://a-t.tv/thailand-retreat-2026/

🔍Key Points by Time Code:

00:00 – Sponsor, catch-up & travel stories; 2022 Fascia Research Congress
03:13 – Today’s focus: sacroiliac joints; Whitney’s Massage & Bodywork article on SI dysfunction
03:53 – Til’s Ilia/SI online course announcement (now available on demand)
04:50 – Podcast review shout-out: Hands at the Table reviews Til’s course
06:11 – Anatomy tour: interlocking joint surfaces, nociceptors, ligament overview
08:30 – Weight transfer & keystone analogy; iliolumbar, sacrotuberous, sacrospinous ligaments
13:53 – Pain mechanisms: “culprit or victim?” framing
15:00 – Motion at the SI joint: small ROM, often misunderstood
18:01 – Nutation vs. counternutation explained; clinical relevance
24:50 – Assessment: why provocation tests (Laslett cluster) matter more than positional diagnosis
28:58 – Treatment approaches: working with sensitivity, remote-site effects, neural target zones
30:22 – Clinical reasoning: differentiating nerve tension vs. ligament vs. joint capsule
33:20 – Complexity of models vs. simplicity of sensation-first approaches
37:14 – Hypermobility paradox: Ehlers-Danlos and individualized load titration
45:00 – Gait mechanics: contralateral in-/out-flare with each step; self-exploration drills
46:07 – Lateral tilt, functional vs. structural leg-length differences; heel lift caveats
58:43 – Self-care: DonTigny-inspired gentle movement in both directions
59:30 – Course info recap; live & recorded access options
1:00:42 – Closing sponsor; how to find show notes & rate the podcast

Resources:

Article: “Current Concepts in Sacroiliac Joint Dysfunction” (free, registration required)
Training: Ilia & SI Joints: Principles
Review: the Hands at the Table podcast hosts dissect an AMT Principles course
Previous TTP SIJ episode: 3: Sacroiliac Joint Pain: Causes, Controversies, and Considerations
Whitney’s references:
- Physiotutors web clip on Laslett SI joint test cluster: https://www.youtube.com/watch?v=g8txpsqHYpQ&t=197s
- Szadek KM, Hoogland P V., Zuurmond WW, de Lange JJ, Perez RS. Nociceptive Nerve Fibers in the Sacroiliac Joint in Humans. Reg Anesth Pain Med. 2008;33(1):36-43. doi:10.1016/j.rapm.2007.07.011
- Bertoldo D, Pirri C, Roviaro B, et al. Pilot study of sacroiliac joint dysfunction treated with a single session of fascial manipulation® method: Clinical implications for effective pain reduction. Med. 2021;57(7):1-11. doi:10.3390/medicina57070691

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ABMP: save $24 on new membership at abmp.com/thinking.
Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,.
Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet
Til’s upcoming retreat, Finding Balance in an Out-of-Balance World, happening March 2026 in Thailand. Use code “thinking” for $100 off: https://a-t.tv/thailand-retreat-2026/

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🎁 Get the full transcript at Til or Whitney's sites!

Whitney Lowe’s site: AcademyOfClinicalMassage.com
Til Luchau’s site: Advanced-Trainings.com

About Whitney Lowe | About Til Luchau | Email Us: [email protected]

(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

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