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Page 16 Sacroiliac and pelvic pain
Pain in your lower back, hips, lower abdomen, base of the spine (sacrum), and/ or legs may indicate weak core muscles and poor posture. In addition, the sacroiliac joint, connecting the base of the spine to the hipbone (iliac) of the pelvis must bear a lot of weight. Unnatural stress, due to injury or poor posture, can cause inflammation and pain. and over time this can result in degenerative joint disease, arthritis and osteoarthritis.
The pelvis is made up of three bones: the base of the spine (or sacrum) and the two hip bones (the iliacs). The sacroiliac joint is where they meet, but unless you just suffered an injury; your sacroiliacs (SI joints, or SIJ) shouldn’t hurt. If you’ve recently been injured, consult a Physical Therapist or medical doctor. However, if you’ve never injured your back, you are likely experiencing the effects of posture adaptation, usually related to weak or poor posture. Sacroiliac pain frequently involves sciatic nerve involvement causing radiating leg pain or femoral nerve entrapment causing groin and front leg pain.
Sacroiliac pain is usually positional; it gets better, worse or different as body position changes. You move, your back hurts, so you then try to move a different way that doesn’t hurt. This doesn’t mean you’re cured or even pain-free; it means you’ve limited your choice of movement - your body’s chain of motion - to a smaller range of options. Over time, pelvic posture distortions cause pain and breakdown (i.e. arthritis /degenerative joint disease) in the spine and other joints from the stress of daily wear and tear.
In time, compensation to avoid pain means you keep adapting until there’s only
one way you can move without causing pain. And then even that goes away and it hurts regardless of what you do. Episodes of Sacroiliac pain may come on after over-activity or without apparent cause, and is triggered as body adapts to mechanical stress, weak posture and inefficient motion. e.g.
* Hunching over a computer keyboard typing for hours at a time * Sitting driving, working and relaxing * Chronic posture stress and inactive lifestyles
The mechanical stress from these activities, week after week, forces your body to change in response to the unnatural stresses you’re placing on it. Sacroiliacs can handle lots of stress, however, when you only use them in limited but repetitive ways some muscles become tight from overwork. Ligaments connecting the arm to the upper torso stiffen and restrict joint movement. And one day you wake up with your Sacroiliac feeling like you’ve run a marathon.
Postural exercises to strengthen deep, core muscles and unlock the sacroiliac only take a few minutes each day. Start with Focused Pelvic Tilt. The secret is to move and exercise your muscles in the full range of motion, so everything gets worked and everything gets strong. If you spend most of your day with your arms raised in front of you (typing, driving, etc.), be sure to do exercises that bring your arms out to the side, down against your legs, and up above your head.
This article is for information purposes ONLY and should not be used as a diagnostic tool. Always consult with your medial adviser or G.P. on all medical matters. Should you require any further information, have any other question that you may want answered or would prefer a one to one FREE consultation then please contact Kevin at The Physical Therapy Clinic, telephone 966 765 686, mobile 605 306 129 or email Kevin on:
physicaltherapyclinic@hotmail.com
Female Focus
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