SI Joint Dysfunction

Patient Support For Recovery From Low Back Pain

SIJD & your feet!

I have been blessed to meet and converse with more and more people who suffer from Sacroiliac Joint Dysfunction. I have learned so many rich and meaningful things from listening to each persons unique journey with pain. One of the more practical things I have begun to notice is that many of us tend to have other physical ailments in common (besides SIJD) and it extends all the way from the head down to the toes!

I wouldn’t term these additional physical problems we sometimes have as “SIJD Associated Conditions” but I would say that they are definitely RELATED to the fall out of having SIJD. Due to the improper body mechanics we adapt to function via compensating, our bodies are at risk of developing other problems as a RESULT of SI Joint sublixation and malaligned SI Joints (SI Joint instability). This seems to be especially true of SIJDer’s who are also hyper-mobile because the joints are more prone to injury with movements that can to easily go outside “normal range of motion”.

Since recovering from SIJD I have been able to address some of the residual effects SIJD had on my body after so many years of instability and yes, I have hyper-mobile joints too! One thing that I have had to address was knee pain, I just couldn’t figure it out! One day I casually asked my PT (V.Sims) what could be causing my knee pain, in 2 minutes she told me what was wrong and how to fix it! She ordered me to remove my shoes and socks (ugh!) and pull up my pant legs. She looked at my feet and quickly left to the back of the office! She returned with some orthotics in her hand saying, where these all the time (at home and out).

She went on to explain that my knee pain is from my “overpronation” in my feet!  When I asked her how she picked up on that so quickly she gave me some brief tips…my symptoms of course were the first indicator but when looking at me stand without my shoes and socks on she could see that my heels were turned in and there was a large gap between my big toe and the pne immediatly beside it…wow, who knew that meant anything other than havig ugly toes??! Anyway, she also told me that she sees this often with patients who have Sacroiliac Joint Dysfunction…my thoughts were, “great throw another log on the fire why don’t we??!!”

But the shoe inserts she told me to wear religiously have been like an instant cure for my knee pain AND the pins and needle I would get in my toes and feet (which I had thought was the residual of my L-spine stuff)…there’s just so much to learn isn’t there?

Here’s some info on this topic…

Over PronationOne of the most common causes of foot and leg discomfort is a condition known as over pronation. Normal pronation, or “turning inward”, of the foot is necessary as the foot adapts to the ground. With over pronation, the arch flattens, collapses, and soft tissues stretch. This causes the joint surfaces to function at unnatural angles to each other. When this happens, joints that should be stable now become very loose and flexible. At first, over pronation may only cause fatigue. As the problem gets worse, strain on the muscles, tendons, and ligaments of the foot and lower leg can cause permanent problems and deformities. 


1. When standing, your heels lean inward.

2. When standing, one or both of your knee caps turn inward.

3. Conditions such as a flat feet or bunions may occur.

4. You develop knee pain when you are active or involved in athletics. The knee pain slowly goes away when you rest.

5. You abnormally wear out the soles and heels of your shoes very quickly. 


Symptoms can manifest in many different ways. The associated conditions depend on the individual lifestyle of each patient. Here is a list of some of the conditions associated with over pronation.

1. Hallux Abducto Valgus (bunions)2. Hallux Rigidus (stiff 1st toe)3. Arch Pain3. Heel Pain (plantar Facsitus)5. Metatarsalgia (ball of the foot pain)6. Ankle sprains7. Shin Splints8. Achilles Tendonitis9. Osteochondrosis10. Knee Pain11. Corns & Calluses12. Flat Feet13. Hammer ToesOver Pronation and Over Pronation Insoles Orthotic Proof Sources and Safety Data.The use of foot orthotics has been researched and tested by leading institutions around the world, and is widely accepted in the medical community. Foot orthotics/ foot insoles are used in both public and private hospitals and clinics. Clinical studies and field research verify the value of orthotics in relieving over pronation and improving structural integrity. Flexible orthotics control foot motion without restricting function and creating compensatory movement in other structures.Sources:

American Academy of Orthotists and Prosthetists

Anthony RJ (1991) The Manufacture and Use of Functional Foot Orthoses.

Valmassey R (1998) Clinical Biomechanics of the Lower Extremity.

Whing W , Zernicke R(1998). Biomechanics of Musculoskeletal Injury.

Journal of Applied Biomechanics

The above post is from:

2 comments on “SIJD & your feet!

  1. this makes complete sense to me as i am a SIj dysfunction sufferer and have been for the past 3 years. i have a corn in the ball of my foot were before was a nasty veruca and as a result of getting rid of the veruca then came a corn with scar tissue so these past years i have been walkin differently to over compensate my bad foot! i never would of thort that my foot had anything to do with it but it makes complete sense now. im seeing a chiropodist in the next 2 weeks and a back specialist for help with this problem. im glad to know that u have made a full recovery from SIJ dysfunction as i was anxious about not getting better :( if u could get back to me that would put my mind at ease lol. thanks for the help :)

  2. Hi Jamie,

    We are so glad you stopped by our humble blog, I hope we can be of some encouragement to you in your journey for freedom from pain. Please let us know if there is anything we can do to help you along your way. We have lots of relevant resources we can pass along to you if you’d like and/or please feel free to ask any questions, we will do our best to answer and hopefully provide insight or even just some encouragement.
    We LOVE to see our fellow SIJD sojourners recover from this terrible condition, it’s the very reason we have this blog!

Leave a Reply

Liquid Blank Theme By Kozmik. Proudly powered by WordPress