Sunday, December 7, 2008

Sacroiliitis: a Real Pain in the Back

By Andrew Mitchell

Have you been having difficulty sleeping, turning, or bending over lately? Are you constantly plagued by sharp pains in the lower back? If so, you could be suffering from sacroiliac joint inflammation - not exactly something you want to be stuck with over the Christmas holidays.

What exactly are the sacroiliac joints, you might ask? They are two 'L-shaped' joints located on either side of the spine, down at the lower back. They rest between the pelvic ilium and the sacrum (small wedge-shaped bone at the bottom of your spine), and are held in place by a variety of muscles and ligaments. Sacroiliac joints make it possible for you to move your pelvis - they get pulled and twisted along the pelvic girdle, which is what happens every time you move your lower back.

When one of the joints gets inflamed, sharp pains may arise in the lower back, buttocks, and sometimes the thighs. This can happen either when one of the joints gets stuck, or when one half of the pelvis is constantly being pushed backwards and forwards.

While the more severe forms of sacroiliitis tend to emerge with aging, the minor infections of the sacroiliac joint and the surrounding ligaments are quite common. The primary causes of sacroiliitis are degenerative arthritis, or osteoarthritis of the spine (because the disease often erodes the sacroiliac joints); injury caused by sudden impact or damage to the pelvic region; and pregnancy (because the pelvis is forced to stretch to allow for childbirth). Sacroiliitis is treatable, however, so do not worry. Just be sure to visit an osteopath as soon as you become aware of any of the symptoms.

The most noticeable symptoms of sacroiliac joint inflammation include: - Restricted hip movement (having difficulty turning around or rolling over in bed) - Stiffness in the lower back after long periods of immobility (such after long car journeys) or when waking up in the morning - Difficulty bending down - Pain during sexual intercourse - Sharp pain the thighs when swinging your legs out of bed or out of the car

If you find that you have any of these symptoms, it is important that you go see an osteopath, as they will have an in-depth knowledge of the workings of the sacroiliac joint. Here are some things you can try on your own to try and ease some of the pain: - Try sleeping on your side at night (instead of your back or stomach). - Try placing a pillow in between your knees when sitting or lying down. This should take some pressure of the pelvis. - Take an icepack, wrap it in a damp tea towel, and place it on the inflamed region for periods of 10 minutes on and off for half an hour. Do this for up to three times a day.

Sacroiliac joint inflammation can be extremely uncomfortable, but osteopaths can help you deal with the pain quite effectively through a combination of physical therapy and anti-inflammatory treatments. So as long as you visit your osteopath regularly and take good care of yourself, this upcoming holiday season should be as enjoyable as your last.

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