SI pain

Use your legs

in Chiropractor  by June 22, 2022 0 comments

Lifting can be done all day without injury if you use a proper technique.  People run into trouble with repetitive lifting because they fatigue and use poor from.  Sometimes it is better to do it in multiple sets rather than try and get it all done at once.  Your Woodbridge, Dale City VA Chiropractor has some tips to help you avoid injury.

Back pain and injuries from improper lifting techniques typically lead to three kinds of injuries to the muscles, vertebral discs, and joints.  Some injuries from incorrect lifting include:

Disc injury

Joint injury

Muscle injury

With improper lifting, you may experience a tear, rupture, or shift out of position of the soft cushions between your vertebrae, called discs.  If this injury does occur, the fibrous rings surrounding the soft leathery discs can bulge and even rupture.  This can cause the dislocated or ruptured disc to press against a nerve, causing pain and numbness to radiate down into you buttocks or leg.

Because of the numerous joints in your spinal column that connect all of the various bony structures, injury may occur.  A joint injury can be caused by a bad lift because it causes excessive strain on your joints, irritating tissue within them, and in some cases, locking them up.  As well, if you change position during a lift, you can place a lot of stress on your lower back muscles.  This added stress can easily strain and injure your back, usually in the form of a small twist or tear of a single muscle or group of muscles.

An important rule to remember when lifting is to never bend from your waist and then stand upright to lift an item from the ground.  Keep your back straight and crouch first by bending at the knees or hips.  This all depends on where the item is that you are lifting and allows your arms and shoulder muscles to do the brunt of the lifting, rather than your back.  Some simple lifting techniques include:

Make sure you have a place to put the object you are lifting.

If you need to turn while lifting the object, use your feet to pivot, not your back.

Your leg muscles should be the ones providing the power during your motion to stand erect, not your back.

Keep the object close to your body in order to maximize the use of your arms and shoulder muscles.

Keep your chest forward and bend at your hips, or knees, not your lower back.

When lifting, push your chest out, pointing forward.  Avoid twisting or turning during your lift as this will cause injury.

Lead with your hips, not your shoulders and keep your shoulders in line with your hips.

Don’t lift any objects that are obviously too heavy.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Shovel Time!

in Chiropractor  by January 14, 2022 0 comments

Last weekend should have been a good warm up for this weekend.  Looks like winter is finally here.  Make sure you get some salt out there (unlike VDOT) and have the shovel ready.  Your Woodbridge, Dale City VA Chiropractor has some tips to keep your back healthy

Typically, the arms, shoulders and back get sore and may occasionally feel pain. The cold air invigorates most people into action; however, the same cold air can numb the sensations of pain and fatigue. Unfortunately, pain is a sign that an injury has already occurred or that mechanically you are doing something incorrect in shoveling the snow. In short, there is a right way and a wrong way to shovel snow, and paying attention to your technique can make a big difference in how you feel the next day. As with any project, the prep work is the most important. The following are some quick tips on how to shovel snow smarter:

Spray your shovel with Teflon so the snow won’t stick to it. The more snow that stays on the shovel, the heavier it gets and the more chance for injury – and frustration.

Do a warm-up first. A tight, stiff body is asking for injury. A few minutes of stretching can save you a lot of pain later. When you are shoveling, don’t forget to breathe. Holding your breath makes you tight and stiff.

Layer your clothing. Layered clothing will keep your muscles warm and flexible. You can shed a layer if you get too hot. Make sure you wear gloves that cover your wrists; if your wrists get cold, your fingers, hands and arms will be cold, too.

Wear the right shoes. Choose shoes with plenty of cushioning in the soles to absorb the impact of walking on hard, frozen ground.

Use the right size shovel. Your shovel should be about chest high on you, allowing you to keep your back straight when lifting. A shovel with a short staff forces you to bend more to lift the load; a too-tall shovel makes the weight heavier at the end. (Note: Save your money – don’t buy a fancy ergonomic shovel; studies have shown that in some models, the hook end is too deep. Twisting to unload a shovelful of snow with this tool may hurt your wrists.) Also keep one hand close to the base of the shovel to balance weight and lessen the strain on your back.

Timing is everything. Listen to weather forecasts so you can shovel in ideal conditions. If possible, wait until the afternoon to shovel. Many spinal disc injuries occur in the morning when there is increased fluid pressure in the disc because your body has been at rest all night.

Drink lots of water. Drinking water frequently throughout the day helps to keep muscles and body hydrated. Be careful with hot drinks like coffee or hot chocolate. Coffee contains caffeine, which has a dehydrating effect and adds even more stress to the body.

Use proper posture. When you do shovel, bend your knees and keep your back straight while lifting with your legs. Push the snow straight ahead; don’t try to throw it. Walk it to the snow bank. Try to shovel forward to avoid sudden twists of the torso and reduce strain on the back. The American Chiropractic Association recommends using the “scissors stance,” in which you work with your right foot forward for a few minutes and then shift to the front foot.

Take your time. Working too hard, too fast is an easy way to strain muscles. Take frequent breaks. Shovel for about five minutes at a time and then rest for two minutes.

See your chiropractor. Gentle spinal manipulation will help keep your back flexible and minimize the chance for injury. If you do overdo it, your chiropractor can help you feel better and prevent more injury.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

A real pain in the butt!

in Chiropractor  by August 13, 2021 0 comments

Low back pain isn’t always a disc or a muscle.  It can be your SI which is just to the side of your low back along the pant line.  As your Woodbridge, Dale City VA chiropractor I am seeing more and more of this instead of lumbar disc injuries.  Here is some information on the SI joint that will help you figure out what is causing your pain.

Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.

The Science

SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).

Dysfunction

SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.

Symptoms and Treatment

As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!

Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

What is SI pain?

in Chiropractor  by July 24, 2020 0 comments

As your chiropractor in the Woodbridge, Dale City VA area I see tons of low back pain.  Not all low back pain is the same and the SI injury is a very common complaint.  This is that pain that is to the right or left of your spine along the pant line.  It can also cause pain into the buttock and back of leg.

Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.

The Science

SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).

Dysfunction

SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.

Symptoms and Treatment

As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!

Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Leg pain but not sciatica!

in Chiropractor  by June 26, 2020 0 comments

This injury is pretty common with low back injuries.  It sometimes gets confused with sciatica because patients have low back pain and a pain into their leg.  Your Woodbridge, Dale City VA Chiropractor has some information on it to help you tell the difference.  Of course, if you are getting low back pain with pain into your leg it would be a good idea to see your chiropractor.

Symptoms

Symptoms of ITB syndrome consist of pain on the outside of the knee, more specifically at or around the lateral epicondyle of the femur or bony bit on the outside of the knee.

It comes on at a certain time into a run and gradually gets worse until often the runner has to stop. After a period of rest the pain may go only to return when running starts again. The pain is normally aggravated by running, particularly downhill.

Pain may be felt when bending and straightening the knee which may be made worse by pressing in at the side of the knee over the sore part. There might be tightness in the iliotibial band which runs down the outside of the thigh. A therapist or trainer may use Ober’s test to assess this. Weakness in hip abduction or moving the leg out sideways is another common sign. Tender trigger points in the gluteal muscles or buttocks area may also be present.

Causes

TFL muscleCertain factors may make you more susceptible to developing runners knee or iliotibial band syndrome. A naturally tight or wide IT band may make someone more susceptible to this injury. Weak hip muscles, particularly the gluteus medius  are also thought to be a significant factor.

Over pronation or poor foot biomechanics may increase the risk of injury. If the foot rolls in or flattens, the lower leg rotates and so does the knee increasing the chance of friction on the band. Other factors include leg length difference, running on hills or on cambered roads.

Treatment

Below are outlined a number of treatment options for ITB friction syndrome. See rehabilitation for more details on how the various forms of treatment might be included in a full rehabilitation program.

Rest

Rest is important to allow the inflamed tendon to heal. Continuing to run with ITB syndrome will most likely make it worse. Initially complete rest is a good idea but later activities other than running which do not make the pain worse such as swimming or cycling should be done to maintain fitness.

Cryotherapy

Apply cold therapy or ice to reduce pain and inflammation. Ice should be applied for 10 to 15 minutes every hour until initial pain has gone then later 2 or 3 times a day and / or after exercise is a good idea to ensure the pain does not return. Once the inflammation has gone then potential causes must be addressed such as a tight ITB or the pain will most likely return.

Medication

A doctor may prescribe anti-inflammatory medication such as NSAID’s e.g. Ibuprofen. This is useful in the early acute stage to reduce pain and inflammation. Long term it is not likely to be of benefit, particularly if it is just being used to mask in injury and not as part of the treatment. Always check with a doctor before taking medication in case you have contraindications which mean they could cause harm, for example asthmatics should not take Ibuprofen.

Stretching exercises

Stretching exercises for the muscles on the outside of the hip in particular are important. The tensor fascia latae muscle is the muscle at the top of the IT band and if this is tight then it can cause the band to be tight increasing the friction on the side of the knee.

Foam roller exercises

Using a foam roller on the IT band and gluteal muscles can help stretch the iliotibial band and remove any tight knots or lumps in the tendon. therefore friction on the side of the knee.

Strengthening exercises

Improving the strength of the muscles on the outside of the hip which abduct the leg will help prevent the knee turning inwards when running or walking and therefore help reduce the friction on the ITB tendon at the knee. In particular strengthening exercises for the tensor fascia latae muscle and gluteus medius such as heel drops, clam exercise and hip abduction are important.

Sports massage

A professional therapist may perform sports massage to help relax and loosen the tissues and use myofascial release techniques which have been shown to be highly effective. Self massage techniques can also be very helpful in correcting excessive ITB tightness, especially where access to a massage therapist on a regular basis is not possible.

Electrotherapy

Use of electrotherapeutic treatment techniques such as TENS or ultrasound may help reduce pain and inflammation.

Acupunture

Dry-needling techniques or acupuncture may be beneficial also. Acupuncture is performed by inserting needles of various lengths and diameters into specific points over the body and in this case around the knee joint. The needle is usually inserted, rotated and then either removed immediately or left in place for several minutes. It is thought to be beneficial in reduce chronic or long term pain.

 

Training modification

Errors in training should be identified and corrected. These can include over training or increasing running mileage too quickly. As a general rule a runner should not increase mileage by more than 10% per week. Running across a slope or camber in the road for long periods or poor foot biomechanics should be considered. When training starts again avoid too much downhill running.

A rehabilitation strategy which includes stretches and exercises to strengthen the hip abductors is important. In acute or prolonged cases a corticosteroid injection into the site of irritation may provide pain relief.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

SI joint and low back pain

in Chiropractor  by July 19, 2019 0 comments

Sacroiliac or SI pain is one of the most common types of low back pain I see as your chiropractor in the Woodbridge, Dale City VA area.  It is a pain that is on the right or left side of your waist line.  It can cause pain into your butt or leg.  Chiropractic can help with this complaint once the inflammation goes down so I always preach ICE!

Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.

The Science

SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).

Dysfunction

SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.

Symptoms and Treatment

As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!

Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

What is the SI joint

in Chiropractor  by July 6, 2018 0 comments

Your (my) hip is out…  I say it all the time to patients and they say it all the time to me.  Than we both point to that area on the back along the waist line to the right or left of the spine.  Now I am pretty good with anatomy and it obviously isn’t your hip joint, it is your SI joint.  It is also the cause of a significant amount of low back complaints I see in my Woodbridge, Dale City VA Chiropractic office.

Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.

The Science

SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).

Dysfunction

SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.

Symptoms and Treatment

As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!

Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

What is SI pain?

in Chiropractor  by October 13, 2017 0 comments

One of the most common low back complaints I see doesn’t really end up being the lumbar spine.  It is usually the SI joint.  The term is very common with regards to low back pain but when I say it to patients most have never heard of it.  And rightfully so!  As your chiropractor in the Woodbridge, Dale City VA area I want to change that with some basic information on the SI joint.

Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.

The Science

SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).

Dysfunction

SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.

Symptoms and Treatment

As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!

Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

What is SI pain?

in Chiropractor  by May 5, 2017 0 comments

Low back pain is one of the most common things I see in my Woodbridge, Dale City VA Chiropractic office.  The problem with the diagnosis of low back pain is most of the pain isn’t in the low back, it is in the SI.  SI pain is that pain along your pant line which is worse on either the right or the left.  It can sometimes shoot into the butt or leg.

Pain in and around the sacroiliac joint is one of the more common causes of low-back pain. With approximately 80 percent of the population suffering from low-back pain at some point in their lives, the sacroiliac joint dysfunction likely represents about 15-25 percent of those cases.

The following points will help you educate your patients about the sacroiliac joint dysfunction.

What Is Sacroiliac Joint Dysfunction?

Sacroiliac joint dysfunction (SJD) is a broad term often applied to pain in the sacroiliac joint region—the largest joints at the base of the spine.

SJD can be painful and debilitating, but it is rarely life-threatening.

SJD rarely requires invasive types of treatment such as surgery.

Symptoms and Causes

SJD symptoms include low-back pain, typically at the belt line, and pain radiating into the buttock or thigh.

These symptoms are hard to distinguish from other causes of low-back pain, such as disc herniations or facet joints disease.

Most often, SJD is caused by trauma. For example, rotation of the joint when lifting or participating in some vigorous activity may cause tears in small ligaments surrounding the joint, resulting in pain and dysfunction.

While more serious conditions such as fracture or dislocation, infection and inflammatory arthritis can cause sacroiliac joint pain, minor trauma is considered a much more common cause.

The risk of SJD may also increase with true and apparent leg-length inequality, abnormalities in gait and prolonged exercise.

Pregnant women may suffer from SJD because of hormone-induced relaxation of the pelvic ligaments during the third trimester, weight gain and increased curvature of the lumbar spine.

Evaluation

Because SJD pain resembles other types of low-back pain, it is often difficult to isolate it as the actual cause of the patient’s discomfort and disability.

Diagnostic imaging procedures, such as X-ray or MRI, aren’t very helpful in evaluating SJD.

The mostcommonly used diagnostic procedures are physical examination and anesthetic blocks of the sacroiliac joint.

Physical examination involves stressing the joint in various body positions and movements.

During anesthetic blocks, a procedure with unproven validity for SJD diagnosis, the anesthetic solution often creeps outside the sacroiliac joint and may relieve pain from other structures.

Treatment

Because it is often difficult to isolate SJD as the source of pain, an appropriate management strategy is hard to implement. Once SJD is determined as the cause of the problem, many therapies are available.

Chiropractic manipulation and mobilization of the sacroiliac joint has been shown to be beneficial.

Exercise focusing on strengthening the core stabilizer muscles of the spine and trunk and on maintaining mobility of the sacroiliac joints can also be helpful.

Patients with a leg-length inequality may benefit from a shoe inserts helping to properly distribute weight borne by your lower back and sacroiliac joints.

For those with abnormal gait biomechanics, gait training may be needed.

To reduce the excess rotation that sometimes occurs with SJD, a pelvic belt can help stabilize the sacroiliac joints.

In cases of fractures and dislocations of the sacroiliac joints, surgery is needed.

Prevention

Use proper lifting techniques and ergonomics during your daily activities.

Maintain a regular exercise program and a healthy diet to help you function at peak capacity and prevent injuries

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Sacroiliac Pain

in Chiropractor  by November 11, 2016 0 comments

There are several types of low back injuries.  One of the most common that I see in my Woodbridge, Dale City VA chiropractic office is SI pain.  This is the low back pain people get across the pant line and it is usually worse on one side.  It makes getting out of a chair and long car rides a nightmare.  The good thing is there are no discs in the area so it usually isn’t a surgical injury.

Pain in and around the sacroiliac joint is one of the more common causes of low-back pain. With approximately 80 percent of the population suffering from low-back pain at some point in their lives, the sacroiliac joint dysfunction likely represents about 15-25 percent of those cases.

The following points will help you educate your patients about the sacroiliac joint dysfunction.

What Is Sacroiliac Joint Dysfunction?

Sacroiliac joint dysfunction (SJD) is a broad term often applied to pain in the sacroiliac joint region—the largest joints at the base of the spine.

SJD can be painful and debilitating, but it is rarely life-threatening.

SJD rarely requires invasive types of treatment such as surgery.

Symptoms and Causes

SJD symptoms include low-back pain, typically at the belt line, and pain radiating into the buttock or thigh.

These symptoms are hard to distinguish from other causes of low-back pain, such as disc herniations or facet joints disease.

Most often, SJD is caused by trauma. For example, rotation of the joint when lifting or participating in some vigorous activity may cause tears in small ligaments surrounding the joint, resulting in pain and dysfunction.

While more serious conditions such as fracture or dislocation, infection and inflammatory arthritis can cause sacroiliac joint pain, minor trauma is considered a much more common cause.

The risk of SJD may also increase with true and apparent leg-length inequality, abnormalities in gait and prolonged exercise.

Pregnant women may suffer from SJD because of hormone-induced relaxation of the pelvic ligaments during the third trimester, weight gain and increased curvature of the lumbar spine.

Evaluation

Because SJD pain resembles other types of low-back pain, it is often difficult to isolate it as the actual cause of the patient’s discomfort and disability.

Diagnostic imaging procedures, such as X-ray or MRI, aren’t very helpful in evaluating SJD.

The mostcommonly used diagnostic procedures are physical examination and anesthetic blocks of the sacroiliac joint.

Physical examination involves stressing the joint in various body positions and movements.

During anesthetic blocks, a procedure with unproven validity for SJD diagnosis, the anesthetic solution often creeps outside the sacroiliac joint and may relieve pain from other structures.

Treatment

Because it is often difficult to isolate SJD as the source of pain, an appropriate management strategy is hard to implement. Once SJD is determined as the cause of the problem, many therapies are available.

Chiropractic manipulation and mobilization of the sacroiliac joint has been shown to be beneficial.

Exercise focusing on strengthening the core stabilizer muscles of the spine and trunk and on maintaining mobility of the sacroiliac joints can also be helpful.

Patients with a leg-length inequality may benefit from a shoe inserts helping to properly distribute weight borne by your lower back and sacroiliac joints.

For those with abnormal gait biomechanics, gait training may be needed.

To reduce the excess rotation that sometimes occurs with SJD, a pelvic belt can help stabilize the sacroiliac joints.

In cases of fractures and dislocations of the sacroiliac joints, surgery is needed.

Prevention

Use proper lifting techniques and ergonomics during your daily activities.

Maintain a regular exercise program and a healthy diet to help you function at peak capacity and prevent injuries

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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