Update on using the sacroiliac belt

It’s been a week since I started self-treatment for SI joint pain. I’ve made some changes after talking with my teacher that I want to share, in case you’re doing this at home. (If you’re just tuning in, you may want to read my first post on this topic.)

First, I am wearing the sacroiliac belt at night while I sleep.

Since we spend about one-third of our life sleeping, and we’re unconscious while we sleep, sleep posture is extremely important when working on alignment issues like an SI joint that has been out of alignment for years.

I decided to sleep with the sacroiliac belt on 24/7 to prevent the alignment occurring during the daytime hours from being undone while I sleep. Of course I take it off to shower and swim. 

Second, since I change the side I sleep on several times each night, I am using two body pillows, one for each side, to rest my upper arm and leg on. It’s important not to stretch or strain the SI joint while sleeping, and keeping the upper leg level eases tension on the joint.

I was already using a Therapeutica Sleeping Pillow, which nicely accommodates sleeping on either side as well as on the back. (If you decide to order one, please note that you need to measure your shoulder width to get the right size for your body.)

Screen Shot 2015-06-10 at 8.51.37 AM

If I roll onto my back, I wedge the bottom corners of the body pillows under my knees for support to lessen strain on the SI, hip, and knee joints. If you’re mainly a back sleeper, consider putting a bolster or pillow under your knees.

I have no excuses now for not sleeping in an aligned position. Already I notice that I change positions less often during my sleep, which indicates my sleep has become more restful. (Yes, you can be stressing your body even in your sleep!)

Third, since the sacroiliac belt is adjustable, I make sure it is stretched really taut when I am doing anything strenuous — doing massage and bodywork, going for a hike, standing for long time, and working out. If I’m lying on the sofa watching a movie or sitting to eat, I may loosen it a bit.

In fact, part of my rehab program may include taking long walks with the belt on. That’s been an issue for me. Walking about 3 miles without a rest is my limit because by then, my hips are hurting. I would so love to be able to take longer walks and hikes without hip pain.


Source: PopSugar

My functional movement workouts include lots of exercises that strengthen the joints: leg lowering, pushups, squats, bridge, etc. I’ve been researching and practicing other exercises to strengthen and align the pelvis.

A couple of other things: The habit-changing is going okay. When I habitually cross my legs or stand with more weight on one leg, more and more I catch myself, stop doing it, and focus on being evenly aligned.

It feels good to be aligned, and I notice that I’m not doing those things as often as I used to.

I’ve also begun to pay more attention to what I do with my feet when standing. Not collapsing in the arches is my goal. I make a kidney-bean shape to my foot, keeping the arch raised.

All these changes are making a difference after just one week. At various times, I’ve felt my soft tissues shifting: on my inner left heel, my left tibialis anterior, the inside of my left knee, in the left groin, and at a couple of places on the left SI joint. This is a good thing!


Image from Yoga Basics.

Have I mentioned that I’ve been unable to hold tree pose standing on my left leg? It’s too wobbly.

The SI belt is changing my body for the better.


Here’s a little aside about why the SI joint takes so long to heal: The joint has to be strong, because it’s where the downward pressure from the head, spine, ribs, and sacrum meets the upward pressure from the legs, which are like columns.

The sacroiliac joints are where these pressures meet. These are the longest joints in the body and are deep and inaccessible to touch because of all the ligaments connecting the sacrum and the ilium.

screen-shot-2017-01-20-at-9-40-21-amLigaments are cable-like connective tissue holding the bones together. Ligaments have a tiny bit of flexibility (elastin), but their main role is to be strong and provide stability (collagen).

When ligaments get too stretched out, pain and misalignment result from the joint being too loose.

Wearing the sacroiliac belt holds the bones in place (like a hoop around a wooden barrel holds the staves together tightly). Over time, the ligaments adjust, regaining appropriate length to keep the bones aligned properly.

When that happens (and I don’t know how long that will take), I can stop wearing the belt all the time, perhaps only wearing it when or if I feel pain and taking it with me on long walks, just in case. I’m prepared for it to take a while.


To see an update on this process after 18 months, read Sacroiliac joint healed!


10 thoughts on “Update on using the sacroiliac belt

  1. Hi, I am having a tremendous amount of SI joint pain from a car accident a year ago. I had back surgery 6 years ago but had healed to be able to run a 1/2 marathon 1 year prior to the accident. It sound that you are very knowledgeable on this subject and I would be interested in contacting you for wisdom on this. I am currently wearing the SI belt and it helps tremendously, but it seems that I am constantly fighting getting out of alignment and the pain come right back.
    Would you be willing to visit about your experience over private email?

  2. I have a herniated disc, which was being treated monthly by an ART chiropractor for approx one year. Then six months ago I slipped and fell onto my posterior.
    A month later, I started having severe SI joint pain. My chiro told me that it was the disc problem and discounted the fact that my pain was in my pelvis/ Rt SI joint area.
    So I’ve dismissed him and I’ve been seeing a PT for almost four months.
    PT has helped and my home exercises help also. But my SI joint keeps coming out and I can’t quite self correct with my PT exercises.
    Could you shed some light as to how to more effectively self correct my alignment and stay aligned ?
    I wear an SI belt and a lower back support while working. My pain can get pretty intense and at 47 years old I have had to limit all activities besides working, cooking low carb and doing my PT and yoga. Sitting for more than 45 minutes causes bad sciatic pain. I stay home a lot due to my pain.
    I’d greatly appreciate your experience and expertise in dealing with an unstable SI Joint.

    • I am not an expert by any means, except for what’s happening in my own body. I encourage you to see a physical therapist with a good reputation for diagnostics. He/she can recommend exercises that may help to relieve the issue and maybe also do some manual therapy. Learn as much about it as you can and try different things to find what works for you.

  3. Totally agree with all you said! Using a Serola SI/trochanter belt. So the ligaments moving with it on is OK? Near the groins and on the trochanter exterior and interior? I have that pain with it on…but I’m walking better and my chiropractor sees the difference. Tighter is better but have pain on the SI joint when it’s too tight. Usually when sitting. Chiropractor said tighten it as much as you can handle…your skin will tell you if its too rough.

    Nice to hear your story and see I’m not alone!

    I haven’t been able to work, surf…or anything. I see the difference slowly…been using it 24/7 for one month. I did wear it swimming…the only exercise but walking I can do now. I was overmobilized by a horrible chiropractor before! Never go to one that wants you to sign a year-long contract! And never go 3 times week for three months and twice a week for 3 months! I unravelled and have been going through hell. Long story short: I got a refund from that chiropractor and I should have sued him. They were harsh and overworked me…breaking both ilia blades next to the SI joint. Chiropractic and this belt and cortisol shots and walking and swimming are all that keep me going. 45 and too young for this.

    Nice to see that there is an answer because regular doctors are so lost when it come to this with men! Women yes. Men no. Uncommon. And that’s why chiropractic works hand in hand with this belt. Glad I read your story…I see you did your research like I’ve been doing.

    • Hey, Christian, hang in there! Thank you so much for sharing your story. I agree there are chiropractors with questionable skills and questionable business practices. So sorry for your suffering. I hope that former chiropractor doesn’t do that to anyone else! Glad you found one that is helping you now.

      I wore my SI belt as tight as I could. I didn’t have pain but occasionally had redness on my skin. It felt great for my pelvis to finally be more stable. No issues with trochanter or groins. I worked throughout but modified my yoga practice and movements to avoid any twisting to the low spine/SI joints and any kind of lifting and turning.

      Everyone is too young for this! Yes, doctors know a lot more about women’s pelvises because we often have issues there related to pregnancy, labor, and delivery.

      Hang in there with the belt. It can take a while for those ligaments to stop being all stretched out. Good luck! Keep me posted, please!

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