Where does your back go when it “Goes out”?

One of the leading causes of a back “gone out” is sacroiliac (SI) joint dysfunction. This takes place when the sacroiliac joint rotates out of place or is inflamed for some other reason. The patient may be able to point to the time and activity when this occurred or may not be aware of the cause, but sure of the pain.

 

The sacrum is a triangular base of five fused vertebrae at the bottom of the spine. The ilium is part of the pelvis or hipbone. The sacroiliac joint is where the sacrum and ilium join together. This joint is supported by strong ligaments, which can become lengthened, weakened, and/or inflamed with misalignment of the SI joint.

 

What does SI joint pain feel like? Some symptoms can include pain on one side of the tailbone area, pain or tingling down the leg, increased pain with stairs, and referred pain to other areas of the back, hip, and buttock. This can mimic sciatic nerve pain.

 

Fortunately, treatment is available. Treatment must begin with ensuring that the SI joint is aligned, where an educated professional, such as a physical therapist, will do a few tests to check the symmetry of bony landmarks by palpation. If a pelvic rotation is detected, the professional will perform a manipulation or muscle energy techniques will be used to align the patient. These muscle energy techniques can be taught to the patient to be used during the time away from the professional if incidents of misalignment persist.

 

Once alignment is restored or in the case of inflammation of the joint without misalignment, pain and inflammation can be relieved with the use of modalities including ultrasound, electrical stimulation, low level laser, and iontophoresis. Most importantly, proper exercises to strengthen and stretch the surrounding ligaments and muscles are vital. This restores strength and stabilization to overstretched ligaments and restores muscle balance to keep the problem from recurring.

 

Depending on the severity of the problem, stabilization exercises may begin in the aquatic environment with transition to land-based activities. Land-based exercises will always be important as stretching and strengthening must continue at home. Our goal is not to keep you regularly dependent on professional assistance, but rather return to you the health and independence you had before your back ever “went out”. If you have any questions concerning SI joint dysfunction or its treatment, contact Progressive Physical Therapy at 301-729-3485.

 

Article submitted by Crystal Yoder, PTA

Please reload

PHYSICAL THERAPY INSTEAD OF OPIOIDS FOR LOW BACK PAIN

Chronic Pain, Wellness, and Physical Therapy

Functional Dry Needling Helps Muscular Pain

Aquatics as a Treatment for Herniated Discs

Decompression Therapy vs. Traction for Lower Back and Neck Pain

Dizziness

Early Physical Therapy Can Decrease Recovery Time

Osteoarthritis

Treatments for Fibromyalgia

Ankle Instability Following Sprains?

Adhesive Capsulitis (Frozen Shoulder)

Ankle Sprain

Aquatic Benefits

Aquatic Physical Therapy Treatment Can Speed Recovery

Benefits of Aquatic Manual Therapy

Don’t Become A Statistic

FALLS: HOW TO PREVENT AND RECOVER

Functional Dry Needling Helps Muscular Pain

How Does Your Spine Stack Up?

How to Avoid Neck Pain and Headaches at Work

KEEP MOVIN’ with The Movement Specialists

PHYSICAL THERAPY INSTEAD OF OPIOIDS FOR LOW BACK PAIN

Physical Therapy can improve shoulder symptoms

Shedding Light on Laser Therapy

Shoulder Pain Or Possibly Impingement Syndrome

Tarsal Tunnel; “The Other Tunnel Syndrome”

The Benefits of Stretching

What is Sciatica?

When It Comes To Concussions Use Your Head

Where does your back go when it “Goes out”?

Please reload

© 2020 – Progressive Physical Therapy & Rehabilitation Center

ABOUT US

SERVICES

Cumberland Clinic

11801 Upper Potomac Industrial Park St

Cumberland, MD 21502

301-729-3485

 

Keyser Clinic

514 New Creek Highway SW, Suite 2

Keyser, WV 26726

304-788-7816

 

Romney Clinic

22260 Northwestern Pike

Romney, WV 26757

304-822-6024

FOLLOW US

  • YouTube Classic
  • Google+ Basic Square
  • Facebook Basic Square

HOURS

Monday - Friday, 8:00am - 5:00pm 
Scheduled appointments preferred 
Some flexibility in scheduling is available.