Are you suffering from pain in your “hip”?
SI joint pain commonly presents in the lower back, on one side or both, just below your belt line. The pain may refer into your hip or thigh but rarely travels below your knee. You may experiencing difficulty sitting or standing for a period of time. Often, when arising, it may take some time to “straighten up” as you experience moderate to severe pain in this area. SI joint pain affects millions of people and is a very common form of musculoskeletal dysfunction.
What is a Sacroiliac Joint?
The Sacroiliac joint connects your sacrum (in between your tail bone and your lumbar spine) and your ilium bones (big wing-like bones on either side of the sacrum). The joint is supported by very strong, think ligaments on the top portion, and a typical synovial type joint in the front and lower portion. The sacroiliac (SI) joint is stabilized by a network of ligaments and muscles, which also limit motion in all planes of movement. The normal SI joint has a small amount of normal motion of approximately 2-4 mm of movement in any direction. The sacroiliac ligaments in women are less stiff than men’s, allowing the mobility necessary for childbirth.
What Is Going On?
Mechanical strain and injury to the SI joint are produced by either a combination of vertical compression and rapid rotation (i.e. carrying a heavy object and twisting), or by falling on to your back. (Slip & fall). Injuries of this type can produce ligamentous laxity (stretched out ligaments) and cause painful abnormal motion. Instability can also arise from lumbar spine surgery in which a large portion of the ilio-lumbar ligament is injured.
SI joint pain can also be caused by leg length discrepancy, gait abnormalities, prolonged, vigorous exercise, trauma, traumatic birth, and long scoliosis fusions to the sacrum. Painful sacroiliac joint arthritis can also arise from autoimmune disorders, such as ankylosing spondylitis, juvenile rheumatoid arthritis, Reiter’s Syndrome, psoriatic arthritis, and infections including staphylococcus, gonorrhea and TB.
Sacroiliac joint dysfunction is commonly misdiagnosed, at the Fuhrmann Health Center we strive to pinpoint the source of your pain. Often, disorders of the lumbar spine, hips, or tailbone may mimic SI joint pain.
How Dr. Fuhrmann Can Help?
A proper history and physical exam will determine what is injured and once we diagnose your problem (s), a specific treatment plan will be designed to get you pain free as fast as possible. Dr. Fuhrmann has several treatment options available to reduce and eliminate your pain:
- Spinal Manipulation
- Soft Tissue Therapy /KT tape / Trigger point Therapy
- Instrument Assisted Soft Tissue Mobilization<
- Cold Laser / Low Level Laser
- Rehabilitative Exercises
- Patient Education