#sciatica #lowbackpain #sacroiliacjoint #functionalmedicine #chiropractic #carolstream
Is it low back pain or sacroiliac pain?
I will show you the 'mechanism' of the sacroiliac joint -- or SI Joint -- to better understand what you are dealing with.
Does the patient actually have a Sacroiliac dysfunction/subluxation which mimics 'low back pain'. The referral pain is due to compression of the lumbar and sacral nerve roots. She has hypertonic lumbar erectors, Quadratus Lumborum, and Gluteus Medius muscle, and Piriformis muscle.
You may experience sacroiliac (SI) joint pain as a sharp, stabbing pain that radiates from your hips and pelvis, up to the lower back, and down to the thighs. Sometimes it may feel numb or tingly, or as if your legs are about to buckle
The sacroiliac (SI) joint is located in the pelvis. It links the iliac bone (pelvis) to the sacrum (lowest part of the spine above the tailbone). This joint transfers weight and forces between your upper body and legs. It is an essential component for energy transfer between the legs and the torso.
The Si joint is frequently overlooked as an important cause of low back pain in about 22% of the cases. It is present in about 40% of all low back pain patients that had spinal fusion.
The SI joint transfers the force and the load from the spine to the legs. The Si joint has very little movement; you don’t want a lot of movement.
SI joint is protected by strong ligaments that prevent shear forces, and it is surrounded by strong muscles for stabilization during movement.
The SI joint, the lumbar spine, and the hip share the same pain.
The pain may be associated with one of these areas or all of these areas. In fact, more than one source of pain may exist.
Usually, the idiopathic SI joint dysfunction will not show up on the x-ray, MRI, or CT. In fact, up to 25% of asymptomatic patients over 50 years old will have abnormal SI joints on x-rays.
Causes of SI joint pain?
The important risk factor is previous lumbar fusion, especially when there is more than three levels involved, similar to adjacent segment disease. So if the spine is fused, then maybe the SI joint will move more and become painful. Pregnancy can cause SI joint pain. Previous trauma to the pelvis can cause SI joint pain. 80% of patients have a history of a specific trauma, usually a twisting injury.
The Treatment: Low Back Pain or SI Joint Pain?
• Is It Low Back Pain or...
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DR. JINAAN JAWAD
D.C., DACNB, FACFN, FIAMA, CFMP
Dr. Jawad is a Board Certified Chiropractic Neurologist and Acupuncturist. In addition, a Diplomat for the American Chiropractic Neurology Board, Fellow of the American College of Functional Neurology as well as Fellow of the International Academy of Medical Acupuncture. He is a Certified Functional Medicine Practitioner.
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