Sacroiliac Sprains From Low Back Pain Sioux City
Sacroiliac sprains are common injuries resulting from bending, turning, twisting, and lifting activities. Sufferers often describe a history of low back pain reoccuring in the same spot whenever they increase their activity level. This pain starts in the same location—the “nub area” in the lower back—and travels down the glute and into the hamstring or knee. The pain is sharper with sitting, standing, climbing, squatting, or twisting.
This “nub area” is, in fact, the upper aspect of the sacroiliac joint, or SI joint, which connects the sacrum and the ilium bones. The SI joint allows for a tremendous amount of flexion and extension bending movements. It also helps us twist. A tremendous amount of stress is placed upon this joint with our everyday activities. Running, jumping, and lifting magnify the forces placed upon the SI joint and are often the cause of acute injuries.
Anatomy of The Sacroiliac Joint
The sacroiliac joint is unique because it is both a synovial and ligamentous joint. What this means is that it has characteristics of two joint types. The ligament portion of the joint is a common source of chronic injuries, which arise when the ligaments do not heal after a first injury. This leaves weak sections within the joint that are then reinjured with the next stress placed upon it.
Injury to the sacroiliac joint causes pain that radiates from the nub area into the glute, hamstring, and to the knee. The pain can radiate past the knee for short bursts, but only rarely does it extend into the foot for a significant amount of time. Many people describe the pain as wrapping around their knee.
This radiating lower back pain feels better with rest and ice; positions such as sitting in a recliner, or laying on one side, can also ameliorate the pain. People tend to experience sharp stabbing pain when standing, but this pain disappears after several steps. However, if you stand or walk too far, then the pain returns.
Treatment for Acute and Chronic Low Back Sprains
Chiropractic and rehab therapy is a very common and effective treatment for sacroiliac sprains. The goals of treatment are to decrease pain and inflammation around the sacroiliac joint and corresponding muscles. The ligaments of the joint have a very poor blood supply, which slows nutrient delivery to the area, and thus the healing process. Because of the nature of the joint, these ligaments are also under chronic stress during normal daily activities and movements.
Ice is very effective at decreasing pain and inflammation in the low back and sacroiliac. Electric therapy, ultrasound, and cold laser are therapeutic modalities used to decrease pain and inflammation, and to enhance healing. Light movement exercises and stretches help maintain joint motion, and help decrease pain. With improvement, exercises will be utilized to enhance strength and endurance around the sacroiliac joint, with the aim of preventing further injuries. Massage therapy can be a beneficial way to decrease muscle spasms in the lumbar, gluteal, hamstring, and quadricep muscles; this is key as muscle spasms alter normal pelvis movements and aggravate the ligaments.
Graston technique and Active Release Technique are commonly utilized in sacroiliac injury treatment. Active Release Technique (ART) is tremendously beneficial in decreasing fascial adhesions throughout the lumbar, gluteal, and hamstring muscles, which could otherwise alter normal sacroiliac movements. By improving normal muscle function, ART reduces the added stress on the sacroiliac joint, and decreases the likelihood of future sacroiliac sprains. Graston technique is used on the tendons and ligaments around the lumbosacral and sacroiliac. Graston technique enhances normal healing by breaking up scar tissue that formed in these ligaments during previous injuries, did not heal correctly the first time, and now contribute to chronic sacroiliac sprains.
Conservative chiropractic treatment is an excellent and effective treatment for sacroiliac sprains. Combining multiple treatments enhances healing and recovery, and reduces the likelihood of future sacroiliac sprains.