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One of the
controversies among more traditional orthopedic practitioners and the
manual medicine community is SI joint movement. How can a joint that is
held together with strong ligaments move? The SI does move, but not like
the elbow or knee. These hinge joints were built to move large amounts.
The SI on the other hand is a viscoelastic structure like silly putty that
was built to stretch small amounts (like a shock absorber). When you
walk, the short duration forces being placed across it by you foot hitting
the ground and the bending of the spine cause it to stretch and store
energy. This energy is released by swinging your leg forward. However,
sitting causes some lengthening and stretching of the ligament (like a
paperback book placed on top of silly putty). |
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