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Low Back and Hip |
Related websites: Pain Relief Therapy - HealingStretches - BalancePosture - Restorative Massage Sacroiliac Joint - recognizing and treating pain and discomfort using trigger point self therapyInformation on this page will be updated regularly and new articles added as they become available. For more specific details send me an Email,Recognizing the Symptoms The sacroiliac joint is where the lower end of the backbone, the sacrum is joined to the pelvic crest. It is a vital joint where the upper and lower body meets. There is a complex web of soft tissue i.e. ligaments, tendons, muscles and fascia covering the joint performing various functions. These work in conjunction with other tissue groups just superior in the region of the backbone, tissue attached to the iliac crest and tissue in the gluteal area. The beginning of trauma in the sacroiliac area will cause some stiffness and as it increases, some intermittent pain, depending on activity and posture. This stiffness and hardening of the tissue over time can spread to the neighboring regions and not only cause chronic pain, but also could cause a "lock up" of the lower back because of the extreme tightness. Possible Causes of tightness and pain Lack of mobility and exercise could cause stiffness and initiate the pain cycle. Also an old injury could have caused trauma and created scar tissue causing further tightness that is self-perpetuating. Surgery could also cause a similar chain of results. But these conditions are aggravated most, when we indulge in excessive activity, experience sudden impact or repetitive stress, and practice something as simple as bad posture. Tightness and pain can accumulate over years and lifting things at awkward angles can very often take the simple discomfort of the lower back over the brink into chronic spasm. Generally as the discomfort grows into tightness, if you palpate the tissue around the SI joint you will notice the hardening and you will feel sharp pains when bending, turning at the hip, reaching forward and mostly when lifting heavy objects. Locating tissue that is affecting the region When you palpate the tissue around the SI joint ie. on either side of the backbone as well as over the sacrum, you will feel the hardness of the tissue which is difficult to distinguish from the bones to which they are attached. The tissue around the iliac crest, the lower backbone and the sacrum should all be relatively soft when relaxed. If not, then it is clear that tension has been building here. Kneading the area around the boney structures will soften the superficial layer and will soon reveal very sensitive spots in specific locations. These are some of the trigger points we speak of. Treatment and Client participation in the healing and restoration process These trigger points superior to the SI joint, on the posterior surface of the sacrum and along the iliac crest if located and treated correctly can soften the taut bands of muscle around the SI joint. Yes, this is true. Just treating these points with the appropriate pressure does restore the soft tone of the tissue, even without the typical "deep tissue" treatment. Even though the general location of these points are known, full participation by the client in identifying the location that is most sensitive is required. The client can perform this healing procedure on himself. Since the sacrum is in an awkward location for self-treatment, a tennis ball or small rubber ball can help. Place it on the floor and lie on the floor with the ball at or near the problem area. Now roll the ball around gently in a back and forth motion until you find the TP as described above. If you feel you have found the intensely sensitive center then gently 'sink' into it and hold for 30 seconds to a minute. the pain should diminish. Repeated treatments will cause the related muscle bands to soften and lengthen. There are more spots so continue to roll the ball around gently and 'look' for them. Repeat this process as many times as you like. You will feel progressively better after each treatment. For stretches to complement this treatment, go to the stretches section. In the near future I will add more detailed articles on the treatment of this area and also dicuss how it can improve your muscle tone (at rest) and range of motion. . . |
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