I treat what I call the "I have failed everything patients" meaning most come in totally frustrated that no one can truly help them or tell them what's wrong. I see mechanical issues all day (SI jt/sacral) but also see mainly women with neck pain that has been treatment resistant. Years ago, I realized doing exercises are not going to relax the hypertonicity they had. What would cause that? STRESS! Everyone was focusing on the muscular system (massages, injections, skeletal muscle relaxers) but it would return which means the root cause was being missed! What controls the muscular system? The nervous system! I started calming down the nervous system and their neck hypertonicity would relax. Root cause vs. treating symptoms. Grounding pillow cases (23$ on Amazon) CBD ( a good one) 3x a day that the patient FEELS relaxed at 2.5 hours (not tired) I usually can get their neck tension down 50% just with that protocol! I don't treat necks without doing this. Neck pain is a 2 dimensional issue for me, stress and postural/ mechanical. I rarely feel worried about my neck pain patients getting better! Anyone trying this? Comment below

I published a paper on the “Root Cause of SI Joint Dysfunction” that has (statistically) made medical history in readership. If you haven’t read it yet, here it is:https://www.medcentral.com/pain/spine/low-back-pain/root-cause-sacroiliac-joint-dysfunction-four-step-exercise-protocol In my chronic low back pain clinic, this is the #1 cause I see especially in patients who have already “tried everything.” PT. Chiro. Injections. Nothing worked. One of the biggest issues I see in SI rehab: 👉 Patients are told to “push through pain” That’s a mistake. I tell my patients: - Pain during rehab = you’re making it worse - Muscle soreness = fine - But joint pain? That’s regression And when patients flare up, they quit. A very common problem: Pain when adding load during adduction work Here’s how I troubleshoot it: Instead of:→ Jumping to full volume at the new weight (3x30) Do this:→ 1 set at the new weight→ Remaining 2 sets at lower or no weight→ Slow the tempo down This keeps progression without triggering the joint for me I see this work consistently. Curious— Have you run into this with your SI patients? What have you found works (or doesn’t)? If you want deeper clinical breakdowns like this: I run an Advanced Clinical VIP group→ Weekly live teaching + Q&A→ 59% OFF all courses Join here:https://thewheltonmethods.com/vip-community