Effects of Mulligan’s movement with mobilization in anterior and posterior innominate Iliosacral Dysfunction

Pelvic pain and referred pain in the proximal hip joint area are commonly linked with Sacroiliac joint dysfunction (SIJD). The pain of the sacroiliac joint usually arises below L5, S1 and it is associated with groin pain which is a nociceptive source of pain surrounding lumbosacral structures.2 There are no provoking or relieving movements or positions that are unique or especially common to SIJ pain. SIJD typically results in inflammation of the sacroiliac joint and can be debilitating. It is a condition of malalignment or altered mechanics theories simply caused by the augmented or uncharacteristic motion of the ilium around the sacrum known as iliosacral dysfunction or augmented or uncharacteristic motion of the sacrum around the ilium (nutation and counter nutation) known as a sacroiliac disorder, both of these disorders may irritate sacroiliac joint structures (joint capsule, its ligaments and pain receptors located in the joint) resulting in sacroiliac joint dysfunction. By correcting the innominate anterior and posterior rotation with respect to the sacrum, the Mulligan’s MWM method, when used on SIJ, makes load transfer successful. Movement with mobilization of sacroiliac joint restores sacroiliac mobility by using the hip’s or lumbar’s end range of motion. In this manual technique, the physiotherapist applies sustained glide at a particular joint while the patient actively performs the physiological movement. Mobilization of the sacroiliac joint prevents adhesion formation by repairing and improving the flexibility and tensile strength of tissues and helps to increase the healing process by facilitating fluid flow to the tissues, also promoting the elongation of shortened tissues. Mobilization of joints also enhances vascular flow and thus reduces pain by removing free radicals. The purpose of the study is to investigate the effects of movement with mobilization on anterior and posterior innominate iliosacral dysfunction. This study has no side effects or risks involved to the best of my knowledge.