Sacroiliac Pain Syndrome
Sacroiliac syndrome is pain in the sacroiliac joint that can be difficult for many doctors to accurately diagnose and treat successfully.
About the Sacroiliac Joint
The sacroiliac joint (SIJ) is the connection between your pelvic bones (ilium) and your tail bone (sacrum). For most people it is easily found by wrapping your hands around your waist and feeling the two large bony protuberances on each side of your tail bone where the dimples are .
Sacroiliac Joint Pain
The sacroiliac joint (SIJ) has been not only a source of pain for many people, but also a “bone of contention” for doctors and therapists over the years. It wasn’t that long ago that medical doctors were taught that the SIJ does not move, nor could it be misplaced or misaligned without a massive trauma causing actual dislocation. Chiropractors and other physical medicine doctors have always maintained that sacroiliac joint malfunction is not only possible, but a leading cause of lumbosacral pain. Entire disciplines within chiropractic revolve around the SIJ, it’s diagnosis and treatment.
The reason why some did not consider the sacroiliac joint as a cause of lower back pain, is that they did not understand the complex and fine movement within the SIJ. It was thought not to be mobile at all; much like the joints of the skull. It is an irregularly shaped joint unlike any other joint in the body. As such, it’s movement is difficult to understand. Rather than sliding up and down or side to side or rotating, it does all those motions at once. In simple terms, it moves in a figure-8 fashion.
Sacroiliac Pain Patterns
When a SIJ malfunctions, the most common area of pain is over the joint itself with some slight radiation of pain to the lower back and down towards the buttock. SIJ misalignment will often cause inguinal (groin) area pain due to pressure on the inguinal ligament. Sacroiliac malfunction will not cause pain to radiate down the leg: sciatica. Sacroiliac malfunction is worse on certain movements such as bending backwards and towards the side of the affected joint simultaneously. It may also be painful on bending forward at the waist. You may also note pain or discomfort in the joint when lying flat on your back on a hard surface like the floor.
An experienced chiropractor should be able to distinguish between SIJ pain and pain coming from the lower back spinal bones, disc herniation, sciatica, etc. A physical examination consisting of having you bend in various positions, palpation (feeling with hands) and x-rays will establish the nature of the SI joint problem.
Treatment of an injured or malfunctioning sacroiliac joint often involves chiropractic spinal adjustments, physiotherapy modalities to reduce inflammation that often occurs with long standing SIJ malfunction and stretching exercises to take pressure off of the joint due to overly tight muscles. Home care consists of specific stretches to keep the SIJ mobile and reduce muscle tension surrounding the joint.
Pain that will not subside with conservative treatments may require injection with anti-inflammatories. Surgery is rarely preformed on this joint.
The sacroiliac joint is an important joint that allows stability and mobility of the lower back and pelvis. It is an area that can malfunction or suffer an injury and cause considerable pain. Doctors must isolate the joint as a problem and provide proper treatment to restore normal function to the joint and relieve your pain.
If you’ve suffered pain in the sacroiliac area or lower back pain your other doctors have not been able to figure out, call Dr Marks’ office immediately for an evaluation. With decades of experience, Dr. Marks is sure to figure out your problem and provide you with effective, affordable chiropractic pain relief treatment.
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