Thursday, August 27, 2009

Low Back Pain and Sacroiliac Dysfunction




The National Institutes of Health states that back pain is the #2 reason for people to go to see their physician, outranked only by visits for symptoms of the cold and flu. Chances are, most Americans will have at least one episode of back pain and some of us are plagued with chronic pain. The causes of back pain are varied. Certainly the back is a pain referral site for medical conditions such as kidney infections, certain cancers, gynecologic disorders, and pancreatitis. More commonly however, back pain comes from musculoskeletal issues often derived from muscle imbalances, fascial restrictions, and torsions within our bodies causing abnormal stress on our bones, ligaments, and neural structures. Structurally, the low back area consists of the 5 bones of the lumbar spine and the discs between them, the sacrum or tailbone, and the pelvis. The areas in which the sacrum meets the pelvic bones on either side are known as the sacroiliac joints (SI joints). All of this area is prone to compression due to prolonged sitting, abnormal forces when lifting heavy objects, and less than perfect posture.With this compression, our joint surfaces are not as free to move in an anatomically ideal position setting them up for arthritis, disc disorders, and pain. Muscularly, there are a huge number of muscles that attach into the pelvis. Muscles from the back, pelvic floor, and legs all have origins and insertions into the pelvis. If even one group of muscles is tight, it can change the shift of the whole system and cause quite a few changes even remotely to the pelvis. There are differences in the male and female pelvis. The female pelvis is wider than the male pelvis and the joint surfaces of the SI joints are flatter. In addition, to prepare for childbirth, women secrete a hormone called Relaxin to help soften the ligaments of the pelvis to accommodate for the child's delivery. Levels of Relaxin are elevated with each menstrual cycle and therefore the ligaments that hold the SI joint can be more lax. The laxity of the ligaments combined with the flattened joint surfaces can lead to instability of the SI joint with resulting pain. SI pain is not limited to problems of instability. Sometimes one or both sacroiliac joints are hypomobile, not moving enough. Your therapist often will look for the quality and quantity of sacral motion with special tests during your assessment. When things are not moving as they should, and the body still needs to move, it will choose the path of least resistance moving more than normal at another joint such as the back or hip. Our muscles and soft tissue also work to compensate for joint issues. Our bodies are wonderful machines that continue to work and function even in non-ideal situations! Over time however, these compensations and imbalances can ultimately lead to too much strain on our system. One of the results of soft tissue compensation is torsion, or rotation, of our bony structures. Rotations and upslips of the pelvic bones, and pull on the individual spinal segments not only set us up for pain in these areas, but also changes the orientation and forces put on the joints above and below the back. The complicated thing about back pain is that it is never the same for everyone. What works for your friend to relieve pain may not work for you. For example, herniated disc injuries are usually aggravated by being in flexed positions such as sitting or bending over. Stenosis, or narrowing of the spinal canal, however is aggravated by standing but feels much better in flexed positions. For self treatment, one of the most important things to notice is what positions seem to aggravate your symptoms, and which positions seem to make them better! By placing yourself in the position of comfort, the tissues may be able to relax enough to give you some relief to continue with your day.Other helpful options to relieve back pain:Ice. The properties of cold can reduce the inflammatory process and give relief. A good rule of thumb is to place ice directly on the skin for about 20 minutes. Ice at first feels cold, then burning, then aching, before finally the tissue becomes numb. It is important to go through all 4 stages! Give yourself about an hour before repeating the process.Lie with feet elevated on a chair or with a pillow under your knees. Use this opportunity to focus on your breathing and notice any areas in your body that draw your attention.Stretching, Again, listen to your body for area of tension and trust your intuition. Common culprits include the hamstrings, piriformis, psoas muscle, quadriceps, and the muscles on either side of your spine.Use your yellow ball! Use about a 4 inch ball in your belly searching for areas that are hot, hard or tender. After you find a spot keep it there for at least 2 minutes as your breathe into the tissue and let your body soften over the ball. This helps soften the soft tissue on the front of your body that pulls the lumbar spine forward and compresses it.Staying fit. Continuing to move (although working in a pain free or minimal pain range) is helpful in getting the joint structures moving again and regaining normal joint lubrication. In addition, working on core strength - lower abdominals, paraspinal musculature, and etc - can help provide correct support to the structures of the low back and SI joint areas. Yoga and Pilates are two great ways to achieve this.Notice your posture. Sometimes even subtle changes in the way we sit, stand, and move can make BIG changes in the way we feel.Attend Kristi's Self Treatment class. This class is an excellent opportunity to gain valuable body awareness and Myofascial stretching techniques. It also empowers you to take an active role in your self care. One of my favorite parts about working at HOPT is the time we are able to spend with you one-on-one to address your individual treatment needs. No two individuals are ever the same and therefore we do not give "cookbook" recipes for treatments. We look forward to working with each of you to improve your health and function and getting you back to your most productive life.Erin Arnold, PT--Erin is a Physical Therapist at Hands on Physical Therapy located in Austin, Texas. Hands on Physical Therapy provides a specialized approach that addresses whole body acute and chronic pain patterns. Their staff has extensive training in manual therapy techniques which are utilized for treating structural and soft tissue imbalances within the body. If you would like to learn more about their cutting edge techniques, you may visit them on the web at Handsonpt.netSource: http://www.articletrader.com
Photobucket

Related Posts :



27 comments:

  1. Nice post. I learn something new and challenging on sites I stumbleupon everyday.
    It will always be interesting to read articles from other
    authors and use a little something from their websites.


    Also visit my web page :: Buy sytropin

    ReplyDelete
  2. This is a topic which is near to my heart... Best wishes!
    Exactly where are your contact details though?


    Look into my web blog - Raspberry Ketone Review

    ReplyDelete
  3. This is my first time pay a quick visit at
    here and i am in fact impressed to read all at single place.


    Here is my page Lean muscle x reviews

    ReplyDelete
  4. I appreciate, lead to I found just what I used to be taking a look for.
    You have ended my four day long hunt! God Bless you man.
    Have a nice day. Bye

    Feel free to surf to my web site ... Diet Patch Trial

    ReplyDelete
  5. I'm not sure exactly why but this website is loading very slow for me. Is anyone else having this issue or is it a problem on my end? I'll check back later and see if the problem still exists.


    Feel free to surf to my blog - Power Pump XL Review

    ReplyDelete
  6. This is a topic that is close to my heart..

    . Best wishes! Where are your contact details though?


    my blog - Asphalt Driveway Minnesota

    ReplyDelete
  7. I like looking through an article that can make men and women
    think. Also, thank you for permitting me to comment!

    My blog post; Order Vimax Male Enhancement

    ReplyDelete
  8. Hello to all, it's truly a nice for me to visit this web site, it contains priceless Information.

    my web blog ... Slim Helper

    ReplyDelete
  9. Thank you for the auspicious writeup. It in fact was a amusement
    account it. Look advanced to far added agreeable from you! By the way, how can we communicate?



    Also visit my site - Revitalize Cream

    ReplyDelete
  10. Hi! Quick question that's completely off topic. Do you know how to make your site mobile friendly? My site looks weird when browsing from my iphone 4. I'm trying to find a template or plugin that might be able to resolve this issue.

    If you have any suggestions, please share. Thank you!


    Feel free to visit my webpage Ripped Muscle Xtreme

    ReplyDelete
  11. Hi to all, how is the whole thing, I think every one is getting more from this website, and your views are nice for new visitors.


    Also visit my weblog; Dermarose

    ReplyDelete
  12. Hello, yeah this paragraph is in fact fastidious and I
    have learned lot of things from it concerning blogging.
    thanks.

    Look at my site; Garcinia Cambogia Weight Loss

    ReplyDelete
  13. You made some really good points there. I looked on the net to learn more about the issue and found most people
    will go along with your views on this web site.

    Here is my weblog ... 1285muscle

    ReplyDelete
  14. You can definitely see your expertise in the work you write.

    The sector hopes for even more passionate writers like you who are not afraid to say how they believe.
    All the time go after your heart.

    Also visit my web site: Buy Pure garcinia cambogia

    ReplyDelete
  15. Hi there! I'm at work browsing your blog from my new iphone 4! Just wanted to say I love reading your blog and look forward to all your posts! Carry on the outstanding work!

    Look into my web page :: Hard knight

    ReplyDelete
  16. Greetings from Idaho! I'm bored to tears at work so I decided to browse your website on my iphone during lunch break. I enjoy the information you present here and can't wait to take a look when I
    get home. I'm amazed at how quick your blog loaded on my cell phone .. I'm
    not even using WIFI, just 3G .. Anyways, amazing site!


    My homepage Ripped Muscle Extreme

    ReplyDelete
  17. I was suggested this website by my cousin. I'm not sure whether this post is written by him as nobody else know such detailed about my trouble. You are incredible! Thanks!

    My webpage: acai ultra lean diet

    ReplyDelete
  18. Your style is so unique compared to other people I have read stuff from.
    Thanks for posting when you've got the opportunity, Guess I will just bookmark this web site.

    my blog post; Muscle building supplement

    ReplyDelete
  19. I am in fact delighted to read this weblog posts which includes lots of useful information, thanks for providing these data.


    Feel free to visit my web page :: Best Wrinkle Cream

    ReplyDelete
  20. I visited many web pages but the audio feature for audio songs present at this site is
    actually marvelous.

    muscle x edge reviews

    ReplyDelete
  21. Download and read Push Total Movie - Accessible for Free Under legal standing?


    Feel free to surf to my web-site: casinoeuro

    ReplyDelete
  22. Hmm it seems like your website ate my first comment (it was extremely long)
    so I guess I'll just sum it up what I had written and say, I'm thoroughly enjoying your blog.

    I as well am an aspiring blog blogger but I'm still new to the whole thing. Do you have any tips for novice blog writers? I'd
    certainly appreciate it.

    My web page :: Lift and Glow Pro Review

    ReplyDelete
  23. You actually make it seem so easy with your presentation but I
    find this matter to be actually something that I think I
    would never understand. It seems too complex and very broad for me.
    I am looking forward for your next post,
    I'll try to get the hang of it!

    Visit my website; Buy Raspberry Ketone

    ReplyDelete
  24. Touche. Great arguments. Keep up the amazing spirit.



    Feel free to surf to my web page Raspberry Ketone Review

    ReplyDelete
  25. When I originally left a comment I seem to have clicked on the -Notify me when new comments are added- checkbox and now every time a comment is added I recieve four emails with the same comment.
    There has to be a means you can remove me from that service?
    Many thanks!

    Feel free to surf to my page; http://muscleproducts.org

    ReplyDelete
  26. Fantastic items from you, man. I have bear in mind your stuff previous to and you're simply too wonderful. I actually like what you have got right here, really like what you're
    saying and the way in which wherein you are saying it.
    You make it enjoyable and you continue to care for to stay
    it sensible. I can't wait to read much more from you. This is really a terrific website.

    http://isolve.com.br/neodroid/index.php?title=Usu%C3%A1rio:KayleneIS

    My webpage; build muscle now

    ReplyDelete
  27. Can Using HDMI 1. 3 Conductor

    Check out my website - vehicular *http://www.firstaquatics.com/*

    ReplyDelete