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is provided as a service to our patients for educational purposes only. "If
you understand your condition, you will be able to do the things necessary to
rehabilitate much faster." Please feel free to print the information so
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Do not presume that information is meant for you if you have not seen the doctor
and received a specific diagnosis. Some conditions share similar symptoms but
require very different treatment. If you have friends or family who may have
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Sacroiliac Sprain is primarily a mechanical disorder of the joints
of the pelvis and is characterized by the dull ache and pain in the hips, pelvis,
tail bone and lower back that may or may not radiate down the legs or into the
buttocks. Pain is usually increased when moving from sitting to standing and
aggravated by stomach sleeping or hyperextension movements.
Note the large surface area on the left as it bears all of the upper
body weight. Often pain in the leg above the knee can be caused by this
mechanical condition. Left untreated, the symptoms will likely subside
but the irritation will continue and cause further damage and insult with
the next episode of pain.
DISCUSSION: The sacroiliac sprain is very common in today's population.
The increasing amount of time spent in car seats and at the desk in front
of the computer lend to increased dysfunction of the SI joints. Proper
sitting and standing techniques help reduce the frequency and intensity
of pain. This is often mistaken for discogenic low back pain. If left
untreated, this common problem can give rise to disc problems that are
far more difficult to treat and tend to progress to radicular pain in
the legs. When treated properly, the mechanical dysfunction is restored
and the muscular components strengthened to prevent regular recurrence.
There are occasions when the SI joint irritation can cause radicular symptoms.
Ligaments surrounding the SI joint are strong and plentiful. They carry
the entire weight of the upper body and They can get stretched and cause
chronic dysfunction. Sometimes the swelling of the stretched ligaments
causes irritation to the prirformis muscle and the sciatic nerve. This
can cause leg pain and mimic posterior joint syndrome, disc syndrome and
sciatica. It is important to correctly diagnose the sprain of the SI joints
as the treatment is different than that of disc or posterior joint. This
is the essence of the sprain and the ligaments must be rested in order
TREATMENT This is a simple condition that occurs quite often in
present day society. A course of manipulation relieves the compression
and restores normal spinal alignment. In as little as two weeks of treatment,
normal alignment can be achieved. Many times, however, it takes several
months of life style changes, exercises and follow-up manipulation to
insure the mechanical change is realized on a permanent basis.
LIFE STYLE CHANGES: Long periods of sitting should be interrupted
by standing and stretching. Do not sleep or lie on your stomach and avoid
activities that hyper extend the lower back. Note the large surface area
of the joint in the cross section view to the right. Unlike any of other
joints of the body, the SI joint has large surface area and a very dynamic
combination of planes of motion. Walking, climbing stairs or even moving
from sitting to standing are all complicated functions of the SI joint
complex. When injured, all of these motions must be altered in order for
the symptoms to subside. Specific adjustment of these joints is critical
when they are injured or inflamed in order to restore normal alignment
SUPPLEMENTATION: Glucoseamine Sulphate and Trace Minerals:
Have proven effective in long-term prevention of deterioration of joint tissues.
This may help reduce the mechanical breakdown associated with sacroiliac sprain.
HOME REMEDIES AND RECOMMENDATIONS: Utilize moist heat packs
on a daily basis during the first phase of treatment. This will help relax tight
muscle fibers and bring blood to the region. Hot tubs and baths provide temporary
relief. Exercises should be specific and in a particular order. They should
be simple and aimed at stabilization at first. Seek advice from your chiropractic
physician on when to do these exercises and how often. When performed correctly,
rehabilitation exercises can be the key to avoiding multiple episodes of low
back pain and maintaining the function of the low back muscles and joints.
MAINTENANCE: Regular spinal adjustments are important to
reduce the symptoms of sacroiliac sprain. Patients who receive monthly spinal
manipulation and therapy report fewer complications with sacroiliac sprain.
It is important that you follow your physician's advice about the frequency
of treatment for your particular condition. Follow our wellness
recomendations for absolute health.