Irwin Abraham, MD -- Sports Medicine -- 274 Madison Ave #906, New York NY 10016 -- 212-726-9066 (Madison Ave), 516-935-2067 (Hicksville)
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Back pain

Sacroiliac Joint Dysfunction is the most common cause (80%) of lower 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 become "stuck" in an abnormal position that is very painful. This abnormality may result in twisting, pulling, and stretching of many tendons, ligaments, muscles, and even the sciatic nerve. A patient 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 lower 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 change my position or activity?

If you answered "yes" to at least 3 of these questions 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. 

Richard DonTigny is a nationally known Physical Therapist. Dr. Abraham has worked extensively with Mr. DonTigny to learn this method. It so extremely useful that Dr. Abraham teaches the DonTigny method to all the physical therapists that will see his patients.