Sacroiliac Sprain; Causes and Treatments
JAN 10, 2022
Hello everyone, this is Dr. Aaron Seaton with The Chiropractic Place. Today, our video is about a sacroiliac sprain strain, this is the most common injury that I see with people in their low back when they're having low back pain, that they've strained their low back, and that's kind of the common terminology that they'll use. Typically, they lifted something too heavy or improperly, possibly they were gardening a lot that weekend, there's a lot of different causes for it, but those are pretty common, so usually the patient will show up kind of holding one side of their pelvis like this, and we see them kind of pushed forward in a way from the side of pain, so if you have pain on your left side, it'll kind of push you forward into the right, so that's what we call an antalgic lean that we see with people who have this kind of injury. Usually the pain is on one side, this pain can radiate, typically the pain can... It can radiate up into the lower ribs, it can also come into the buttock area, that's the real classic signs of sacroiliac sprain strain, and like I said, most common thing that we see causing low back pain.
There are some things that people typically do that can kind of irritate this, so there are two things that I tell my patients when we see this, and it's kind of in that acute phase, it's pretty new, the first few days I tell them try not to do a bunch of stretching and try not to do a bunch of massage or myofascial muscle work, and I find that this is a really common response for a lot of patients who have this problem is they start trying to stretch it a ton, they start trying to work on the muscles a bunch and it'll flare it up even more in the beginning. So I try to describe this to patients, so it makes sense when you're having low back pain like this, think of it like you just got a cut on your finger, and that cut just healed and you start going and pulling on it and rubbing on it, what's gonna happen to that cut? Well, that cut is probably gonna open up, it's probably gonna get worse, it's probably gonna take longer to heal, so I tell patients, try to think of it when you have a strain like this in your low back, like you would a cut on your finger, you're not trying to move it a ton, you're not trying to stretch it, you just kinda leave it alone for a couple of days, kinda let it heal up.
And then the two things I would recommend in this is to put some ice on there to help keep the inflammation down and kind of regulate it a little, but also getting an adjustment because the chiropractic adjustment is gonna restore proper motion to that joint without causing a ton of stress to that strain, that deep tissue massage can do or trying to over stretch it.
But usually after the first three to five days or so, you're okay doing those things like massage and stretching, but it's that first five days that you kinda wanna leave it alone with that, but best treatment for this is get that adjusted by your chiropractor. Hopefully, if it's us, come and see us and get that adjusted, usually these last anywhere from seven to 14 days, if there's no crazy complications with them, they do clear up, but you wanna get the motion in there with your adjustments to keep it healing and get it to heal faster. And then after that, obviously, any time we have patients who come in with this, we take digital x-rays of their low back to understand if there's any underlying causes for that, so that we can better help them and serve them in the future. If you have any questions regarding this, give our office a call, I'm Dr. Aaron Seaton with The Chiropractic Place.
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