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what is the SI joint?

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  • what is the SI joint?

    Help me understand more..... I've heard/read a few discussions on this before. What is it essentiallly? The pelvis? How would someone determine if their horse needed I.jections there? What are the "signs" or symptoms?? And how effective are the results? I heard it needs to be I jected through the rectum using an xray of some sort....? Thanks!

  • #2
    Rectum What? threw back (hip/pelvis area) with 10 inch or 7 inch needle (i think its been years) very iffy procedure. You know it works if horse is no longer in pain i guess.

    Dr explained it to me as two sticks rubbing together, didnt used to rub, now it does... (horse fell as baby .... or from jumping/hard turn compression... or slipped and fell in pasture...) people are built pelvis go up si joint ::: horses are built with their si joint resting in there pelvis/hip area

    I AM NOT A VET DID NOT GO TO VET SCHOOL HORSE HAD PROCEDURE DONE 3 YEARS AGO! so i may be getting things confused

    Call a few local vets ask chiropractors for references, also ask vets for references dont get this !!!done by just any vet!!!! Make sure they have done it before, many times, consistently see good results Remember you are INJECTING S*&T INTO YOUR HORSES BACK!


    • #3
      Originally posted by StrawberryFields View Post
      Help me understand more..... I've heard/read a few discussions on this before. What is it essentiallly? The pelvis? How would someone determine if their horse needed I.jections there? What are the "signs" or symptoms?? And how effective are the results? I heard it needs to be I jected through the rectum using an xray of some sort....? Thanks!
      The SI joint is short for Sacroiliac joint. It is the intersection of the sacrum (spine at the point of the croup) and the ilium (largest part of the bones that make up the pelvis).

      According to Dr. Kevin Haussler at Colorado State University in several interviews on this subject, injury to the SI joint is fairly common and can be due to stress or normal wear and tear including osteoarthritis, but that SI problems are often vague and hard to diagnose.

      Symptoms: Vague but may include a reluctance to move forward, rigid back, trouble with lateral work that was not present previously, stiff and crooked at canter, swaps off behind at the canter, bucks and kicks out, or refusing jumps. You may also see asymmetric muscling in the hind-quarters in severe cases.

      Diagnosis: Bone scan to reveal osteoarthritis, ultrasound to detect damage to ligaments, ultrasound and radiographs can be used to detect a displaced tuber sacrale (bone in pelvis out of alignment).

      The current therapy that is recommended by the medical community does not include injection: oral NSAID to reduce inflammation, hind-limb stretching excercises involving protraction and retraction, chiropractic or osteopathic techniques, and massage to reduce muscle spasticity (acupuncture as well).

      Nothing in the research I have done in the past on this issue mentions anything involving an injection through the rectum although some people claim to be able to palpate portions of the lower part of the pelvis well through the rectum. Furthermore, since the joint is very inaccessable there is no recommendation for injection because it is difficult to isolate the joint capsule with the long needles required for the procedure. While there seems to be a small school of thought that injecting can be helpful and warranted, it does not seem to be the norm.


      • #4
        Just sayin'...

        Otherwise, I can say it's one of the most painful experiences *I* have ever experienced, when I had mine slide. Ever screamed while sneezing? Yep.
        COTH's official mini-donk enabler

        "I am all for reaching out, but in some situations it needs to be done with a rolled up news paper." Alagirl


        • #5
          SI injection technique :

          The injection is 4-point from the outside of the horse's body.
          THe rectal part you may have heard about would be part of the diagnostic, a rectal ultrasound, not part of the injection.

          Shows pictures of needle placement.

          Pictures of the SI articulation, because it isn't a true joint in the sense we compare it to other joints
          Other good picture :

          See number 5, that's where the horse can get arthritic, hence you inject as close as possible to that plane, but you can't get in between. But again there's more issues that can arise from the SI than arthritis in number 5. The surrounding structures can have problems too, as I described in the other SI thread, yet it would still be considered SI pain.

          Bottom two figures show the SI joints after necropsy

          See picture 8.515

          Sacro-sciatic ligament, see p 7
          Last edited by Lieslot; Jun. 3, 2011, 08:15 AM.


          • Original Poster

            Thanks jenners.... I would havv googled it myself but I didnt know what si stood for. I also had various parts to my question... too much to put into a google search. How did u do that btw?


            • Original Poster

              Oh and im not looking for information bc I want to inject my horse... I do not have any right now bc I am in college
              Was just wondering