🎙Til Luchau and Whitney Lowe go deep into the sacroiliac (SI) joints in this listener-favorite rebroadcast of Episode 74, where they unpack anatomy, mechanics, assessment controversies, and treatment strategies. From the relationship between pain, stability, and mobility, to ligamentous support, gait mechanics, and the limits of positional models, they offer both clinical clarity and practical takeaways. Along the way, they share road stories, podcast crossovers, and resources for further learning.

🎧 Listen in for evidence-based insights, hands-on strategies, and nuanced discussion that balances analytical precision with experiential wisdom.

🔍Key Points by Time Code:

00:00 – Sponsor, catch-up & travel stories; 2022 Fascia Research Congress 

03:13 – Today’s focus: sacroiliac joints; Whitney’s Massage & Bodywork article on SI dysfunction

03:53 – Til’s Ilia/SI online course announcement (now available on demand)

04:50 – Podcast review shout-out: Hands at the Table reviews Til’s course

06:11 – Anatomy tour: interlocking joint surfaces, nociceptors, ligament overview

08:30 – Weight transfer & keystone analogy; iliolumbar, sacrotuberous, sacrospinous ligaments

13:53 – Pain mechanisms: “culprit or victim?” framing

15:00 – Motion at the SI joint: small ROM, often misunderstood

18:01 – Nutation vs. counternutation explained; clinical relevance

24:50 – Assessment: why provocation tests (Laslett cluster) matter more than positional diagnosis

28:58 – Treatment approaches: working with sensitivity, remote-site effects, neural target zones

30:22 – Clinical reasoning: differentiating nerve tension vs. ligament vs. joint capsule

33:20 – Complexity of models vs. simplicity of sensation-first approaches

37:14 – Hypermobility paradox: Ehlers-Danlos and individualized load titration

45:00 – Gait mechanics: contralateral in-/out-flare with each step; self-exploration drills

46:07 – Lateral tilt, functional vs. structural leg-length differences; heel lift caveats

58:43 – Self-care: DonTigny-inspired gentle movement in both directions

59:30 – Course info recap; live & recorded access options

1:00:42 – Closing sponsor; how to find show notes & rate the podcast

Resources:

Sponsor Offers: 

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🎁 Get the full transcript at Til or Whitney's sites! 

About Whitney Lowe  | About Til Luchau  |  Email Us: [email protected]

(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)