Question
I've been a chiropractic patient for 35 years.  My DC retired about 7 years ago & in that period of time, I've had bilateral hip replacements.  I'm still occasionally bothered by an out-of-place S-I, but another DC stresses the fact that a side-posture adjustment should never be done on a patient with hip replacements.  Can you verify this and, if true, what do you suggest in order to put the sacroiliac back in place?  Applying ice & moist heat several times a day is not doing a thing & I doubt that it will.  I've been a chiropractic patient for this many years because of chronic S-I issues.  I'm aware of the fact that nothing relieves the pain until the S-I is back in place.  Thanks!

Answer
Kathy,

I'd sure like to know what evidence that DC has to show that side posture adjustments shouldn't be done on patients with hip replacements.  I've never seen anything in the literature to prove or disprove that.  I've never had a problem in my office.  I'd suggest finding a DC that is not afraid to carefully/skillfully adjust your SI's.   You should also have the DC do some soft tissue therapy around the hips and pelvis, e.g. Graston Technique or Active Release.

'Hope this helps.

Dr. G