Episode
154: Sacroiliac Joints: The Next Level (with Til Luchau & Whitney Lowe) Listener Favorite!
- Podcast
- The Thinking Practitioner
- Published
- Oct 1, 2025
- Duration seconds
- 3808
- Processing state
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Summary
🎙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.👉Thailand Retreat 2026Join Til and friends for Finding Balance, an immersive bodywork and movement retreat at a floating retreat center in Thailand. Learn more → https://a-t.tv/thailand-retreat-2026/ 🔍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: different…