Sacroiliac Joint Dysfunction is the most common cause (80%) of low back pain. The hipbone meets the lower end of the spine, called the sacrum, where they form a joint. The hip can rotate forward at this joint and can get very painfully "stuck" in an abnormal position. This abnormality may result in twisting, pulling, and stretching of many tendons, ligaments, muscles, and even the sciatic nerve. Then one may have "sciatica" and/or muscle strain all due to a sacroiliac joint problem.

Disk herniation is generally believed to include only 5% of all cases of
low back pain.

Try this short quiz:
1. Is my pain worse when I get out of bed?
2. Does my pain get worse after prolonged sitting?
3. Is my pain worse after prolonged standing or walking?
4. Is my pain better for a while after I can change position or
activity?

If you answer "yes"to 3 of these, you likely have sacroiliac joint
dysfunction as your most basic pain problem.

Only a careful history and exam will diagnose a sacroiliac joint
dysfunction, not an MRI, CT, or x-ray. Treatment of sacroiliac joint dysfunction  (SIJD) uses a graded set of gentle painless manipulations developed over a period of 35 years by Richard Dontigny a nationally known Physical Therapist. Dr. Abraham has worked extensively with Mr. DonTigny to  learn and  teach this method. It so extremely useful that Dr. Abraham  teaches the DonTIgny method to all physical therapists that will see his patients."