Low Back Pain

Written by Debby Apr 25 2014


Signs and Symptoms:
Typically patients present with pain in the lower back, often spreading down to the buttocks or back or side of the thigh. The pain may increase during movement or weight bearing on the affected side. Sneezing, coughing, rolling over in bed, sitting for long periods and driving can also be very uncomfortable.

Pain may spread to the groin area, sometimes resembling a groin strain and sometimes there is a feeling that the leg or hip is rotated.

What is Sacroiliac Joint Dysfunction?
Pain in the sacroiliac joint may be a result of a subluxation of the joint. This is a partial dislocation. The bones are slightly displaced, which stresses the ligaments that hold them together. It also puts pressure on the surrounding structures but in the majority of cases it is easily treated.

Inflammation in the joint from trauma, chronic overuse, illness or infection may also cause SI joint pain. This inflammation can be in the ligaments or surrounding tissue. This will cause swelling and put pressure on the nerves. Degenerative arthritis is a common cause of inflammation in this joint.

Hormonal changes during pregnancy cause a softening of the ligaments reducing support for the joint which can then lead to pain. Pregnancy may also cause Symphysis Pubis Dysfunction, which will also affect the sacrosanct iliac joint, causing both groin and low back pain.

Treating Sacroiliac Joint Pain:
Osteopathic treatment is usually very effective at treating SIJ pain. Osteopaths use hands on treatment to relax the painful tissues, realign the joint and may also use methods such as ultrasound to promote healing and reduce the inflammation. Exercises are also given to strengthen the area and increase mobility. Initially during the first 3 days patients are advised to use an ice gel pack or frozen peas wrapped in a damp cloth over the painful area to help reduce inflammation and initial rest will help alleviate the pain.

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