Contemporary Healthcare for Sacroiliac Injuries

si-jointA young woman briskly traverses the stairs, downwards to the kitchen. Near the bottom she slips, falling firmly onto her buttocks. She’s more startled than anything, arising and getting on with her day. However, she later notices pain in the right side of her pelvis when her weight is substantially shifted to her right leg and when she sits crossed legged on the floor during stretching. She also notes right gluteal pain when rotating her leg inwards and outwards. She hopes that the symptoms spontaneously resolve soon so as to not interfere with caring for her newborn and her body reshaping program.

Upon visiting her doctor, he finds no problems on x-ray. He informed her that normal hormone induced laxity of pelvic ligaments during late pregnancy, followed by the trauma (fall) resulted in some sacroiliac joint dysfunction. The stability of the joints between the sacrum and pelvic bones is provided by ligaments, no muscles directly support the SI joints.

Some important conservative care include restricted activity (avoid that which aggravates your condition), deep massage if there is an apparent occasional painful locking of the joints, flexibility exercises to engage the soft tissue as it heals. Deep heat and ice application will provide analgesia and promote circulation. You may address pain with oral OTC and prescription medicines, or preferred herbal analgesics. The target tissues are often too deep for topical medicated rubs.

Contact us with specific questions regarding contemporary assessment and management of sacroiliac joint injuries.

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September 2010
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