SI Joint Pain

Hello BBM,

I am a novice lifter (24M). I have had mild low back pain on my right side for several years. I was ready to work through what I assumed was just nonspecific low back pain as I became stronger.

Unfortunately several months into my training as my squat/DL lifts got a bit heavier, I began to experience what I believe is (and what my doctor referred to as) SI joint pain on my right side. I thought if I could just continue lifting and maybe try some different variations of these exercises I could work through it, however now squatting and deadlifting only 150 lbs, the pain and muscle weakness on my right side becomes severe enough that I can’t finish more than 2 sets even with a backoff of 10-20 lbs. For the rest of the day after doing these lifts, walking and even sitting is uncomfortable and painful.

This has been very frustrating, as I just want to be able to squat and DL or do a variation thereof without too much pain. I’m not sure I even need a diagnosis at this point, I just want to lift. My doctor recommended PT, I’m starting that soon but I’m not sure how much that will actually help. I’m tired of people/healthcare professionals telling me I need to stretch more, that my hamstrings are too tight, or that heavy DLs are dangerous but I’m also not sure how to proceed from here.

What do?

Have you read this yet?

It sounds like you are still attempting to lift loads that exceed your current tolerance / capacity, rather than finding a tolerable entry point into the rehab process as outlined in this article.

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I have read it, but I suppose my belief that this was a temporary situation that would resolve itself plus my desire to make gainzzz convinced me that I would not need to follow the entire pain rehab procedure from the beginning.

I will start by decreasing the weight on the bar and go from there, thank you doctor.

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