Sports injury to the Sacro-iliac joint

Injury to sprain to the sacro-iliac joint is common in some sports. Sacro-iliac joint problems is one of the most common injuries to the lower back that is regularly treated with Chiropractic methods. One of the most common ways the joint is injured is by landing forcefully on one or both legs. Since the joints transmit the weight of the upper body into the legs the motion of landing forcefully on the feet is a common way of spraining the sacro-iliac joints. Usually a sprain of the sacro-iliac joint is felt on one side of the back and can radiate into the hip or buttocks area. The pain is made worse by movement and loading the joint by lifting or going up stairs. The joint is usually tender at an area just below the beltline. In sacro-iliac joint sprains it is usually more painful to bend backwards than forward. Usually the pain from a sacro-iliac joint sprain will be dull and may radiate into the groin area, the back of the thigh, the knee or abdomen.
X rays are often of limited usefulness in Chiropractic evaluation of the sacro-iliac joint due to the angle of the joint and the presence of ligaments within the joint.
Some motions that are able to cause sprains to the sacro-iliac joints also include bending motions. Lifting and hyperextending the spine is one possible mechanism of spraining the joints.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience treating lower back pain and injuries. Dr. Etter’s practice focus includes conservative care for lower back pain, neck pain, sports injuries, whiplash and myofascial pain syndromes. Etter Chiropractic is located at 11240 Strangline Road in Lenexa, Kansas.

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The Motion of the Sacro-iliac Joints and Chiropractic

The sacro-iliac joints transmit the weight of the spine and upper body into the pelvis and legs. It is estimated that the sacro-iliac joints are involved in about 40% of cases of back pain treated by Chiropractors.
When a person feels their own lower back it often seems that no motion can occur in the sacro-iliac joints. While it is true that the motion of the sacro-iliac joints is small in comparison to other joints the motion is definite. In males the motion is generally less than females. The motions increase when doing such activities as jumping from a height. Any activity that causes intense loading of the legs in a standing position is stessful on the sacro-iliac joints and should be avoided by those recovering from an episode of lower back pain involving the sacro-iliac joints.
Pregnant women also have increased motion at the sacro-iliac joints due to hormonal influences. The hormonal increase in motion of the sacro-iliac joints is said to increase the most during the last three months of pregnancy and subside about three months post pregnancy.
In Chiropractic testing of the sacro-iliac joints one of the key symptoms that determine if lower back pain is due to the sacro-iliac joints is pressing on the front of the hips while lying on the back. This motion is known as the Gapping test and is known to be able to differentiate lower back pain from such causes as a disc herniation and pain from the sacro-iliac joints. Pain may be present in the joints are tested even after a persons back is largely pain free.
Problems with the sacro-iliac joints are hard to visualize on x rays due to the ligaments inside the joint and the angle of the joint. Therefore, x rays are usually of limited importance in Chiropractic evaluation of back pain caused by the sacro-iliac joints.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience. Dr. Etter’s Chiropractic practice focus is conservative treatment of lower back pain, neck pain, sciatica, sports injuries and whiplash. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas, Overland Park, Kansas and the surrounding areas.

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The Hip joints or S-I joints and back pain

The S-I joints or sacro-iliac joints are the joints which transmit the weight of the spine into the legs. The joints are also major shock absorbers for lessening the effects of jarring and bumping on the spine. The joints are smaller than the palm of the hand and located just at or below the beltline. The sacro-iliac joints are unique in that they are moveable yet have strong ligaments inside the joint. In children the joints are smooth and more freely moveable. As we age the joints generally become rougher and permit less motioin. Some older individuals may have very little if any movement in the sacro-iliac joints.
The sacro-iliac joints are commonly the cause of back pain treated by Chiropractors. The pain from a sacro-iliac joint problem may be felt in the groin, back of the leg or down the leg. The pain may be hard to differentiate from the pain caused by a herniated disc.
S-I joints that are causing pain are often aggrevated by lying with the painful side down. For this reason it is often helpful to lie with the painful side up and a pillow between the knees if suffering from lower back pain caused by a sacro-iliac joint problem.
Chiropractic adjustments are often very helpful in treating lower back pain caused by sacro-iliac joint problems.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience treating back pain, neck pain, and sports injuries. Dr. Etter’s Chiropractic practice serves Olathe, Kansas, Overland Park, Kansas and Lenexa, Kansas.

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Hip Pain and Sciatica

The spine has a series of curves which are normal and help the spine to move and bear the weight of the body. The curve in the lower back is towards the front of the body or anteriorly convex. The sacrum or pelvis also has a curve which is in the opposite direction of the curve of the lumbar spine. The weight of the spine is transmitted into the pelvis via the sacro-iliac joints. The sacro-iliac joints (SI joints) are slightly moveable joints that may be responsible for as much as 40% of cases of back pain seen by Chiropractors. The SI joints however may often show rapid recovery with Chiropractic adjustments. One of the ket features of pain in the sacro-iliac joints is that such pain is not directly related to the discs and does not typically cause pain that radiates beyond the knee. The pain caused by an inflammed sacro-iliac joint is often a deep, dull pain on rest and a sharp pain on motion.
One key area of the pelvis which may cause sciatic pain is the piriformis muscle. In about 10% of persons the sciatic nerve runs through the piriformis muscle. These people are susceptible to sciatica due to nerve impingement by the piriformis muscle. Such sciatica usually presents over a period of days to weeks and may start with a dull ache in the buttocks.
Dr. Tom Etter is a Chiropractor with over ten years of practice experience treating back pain, neck pain, sciatica, and sports injuries. Dr. Etter’s Chiropractic practice serves Olathe, Kansas, Lenexa, Kansas and Overland Park, Kansas.

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Back Injuries-The SI joint and Chiropractic

The S-I or sacro-iliac joint is the joint of the tail bone (or sacrum) and the hip bones (or ilium). There are two S-I joints and they are about 3-4 inches long and located just below the beltline. The S-I joints are a common cause of lower back pain and it is estimated they are a factor in about 40% of cases of lower back pain treated by Chiropractors.
The S-I joints are very strong joints with limited movement. They transmit the weight of the spine and upper body into the pelvis. In the event of injury to the S-I joints there will be pain localized to the area of the S-I joint as well as pain that may be referred into the groin, hamstrings or back of the thigh. Generally the pain from an S-I problem does not extend below the knee which is a factor that differentiates this type of pain from disc pain (which may extend below the knee).
Lifting, bending and back bending may be motions that may overstress the S-I joint. One common scenario is straightening up from a stooped position and experiencing immediate pain over the joints. Some of the factors that may predispose someone to an S-I injury are pregnancy, prolonged bending and sitting, or degenerative arthritis.
Some theories on the cause of S-I sprains focus on an imbalance of strength between the hip flexors and hamstrings. Tight hamstrings are a common finding in persons with S-I joint problems.
In S-I subluxation the surfaces of the joints slip and become locked in an abnormal fashion. The purpose of the Chiropractic adjustment is to unlock the joints and return the joint to a normal alignment and retore normal movement of the joint.
Dr. Tom Etter is a Chiropractor. Etter Chiropractic serves Olathe, Kansas, Lenexa, Kansas, and Overland Park, Kansas. Dr. Etter’s Chiropractic practice focus is back pain, neck pain and sports injuries.

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