Sacroiliac Belt

The Sacroiliac (SI) Belt is a medical prosthetic device manufactured specifically for stabilizing a hypermobile and painful sacroiliac joint. A sacroiliac belt helps to reduce severe SI joint pain and low back pain during the course of Prolotherapy treatment of SI ligament sprain injury—this pain is often confounded by the presence of  a significantly shortened leg.

How the Sacroiliac Belt works

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Tightening the SI Belt belt around the sacroiliac area applies direct compression to the sacroiliac (SI) joints. This compression squeezes the SI joints together, preventing either SI joint from moving out of alignment—especially while weight bearing (i.e., standing and walking).

If you are required to wear an SI belt, it is important that you ALWAYS wear the SI belt while you are weight bearing. If you stand without the belt, there is no guarantee that your SI joints will remain in alignment. Then, you will have to visit the practitioner for realignment.

Guidelines for Sacroiliac Belt usage

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1) Following physical adjustment treatment (e.g., Osteopathic Manual Therapy, Chiropractic Therapy):

  • When you are being treated, you will have the SI belt removed while you lie on the treatment table and the practitioner adjusts the sacroiliac joints and all other pelvic components into proper alignment.
  • While still lying down on your back, you will then need to properly replace the SI belt and cinch the belt as firmly as is comfortable.
  • Only after the SI belt is firmly cinched in place can the patient roll off the table, stand up and walk.  Upon rechecking, your SI joints should remain in proper alignment.

2) During and following a shower:

  • Since your sacroiliac joints are bearing weight any time you stand, you must wear the SI belt even when taking a shower. This means that the SI belt will become wet from the shower.
  • After showering and drying off, you will need to lie in bed, remove the wet belt, and replace it with a backup, dry belt. After the dry belt is firmly cinched in place, you may roll off the bed, stand up and walk.

Bottom line:
If you need to use an SI belt to relieve significant SI pain or short leg problems, you need to own two sacroiliac belts.

Gary B. Clark, MD, MPA | 1790 30th Street, Suite 230, Boulder, CO | (303) 444-5131