Bismillahirahmanirahim,
This entry is most related to the woman , is common symptom has been showing
for women when their get pregnant and also for man who had a big stomach.
I want to ask why is this going to be important to
you?
As we know Sacroiliac
Joint pain is a condition that affects 15% to 25% of
patients
with axial low back pain , I would like to say it largest axial joint in the
body
Diarthrodial
synovial joint , the function of this joint is more for designed primarily
for
stability.
Function of SI joint ?
This joint
is playing as transmission and dissipation of trunk loads to the lower
extremity
with Limiting
x-axis rotation , for woman it doing a great job as facilitating parturition
(giving birth) and it provides a various types of motions as
1. Gliding
2. Rotation
3. Tilting
The muscle surrounding this SI Joint .
This SI
joint cover up muscles are functionally connected to SI joint ligaments,
therefore their actions can affect joint mobility and the Muscles involved:
·
Gluteus maximus
and minimus
·
Piriformis
·
Biceps femoris
·
Quadratus
lumborum
·
Erector spinae
Ligament involve in SI joint.
SI ligamentous structure is extensive and functions as a
connecting band between the sacrum and ilia
·
Limit motions in all planes of movement
·
These ligaments are weaker in women
Sacrospinous and Sacrotuberous ligament
and the function is Resists forward tilting (nutation) of the sacrum on the hip
bone during weight bearing of the vertebral column
Interosseous ligament function
are to Resists anterior and inferior movement on the sacrum; strongest ligament
supporting the SI joint
Posterior (dorsal) ligament function to
be Resists backward tilting (counternutation) of the sacrum on the hip bone
during weight bearing of the vertebral column sacroiliac
Did you know
the status aging of SI joint ?
This will
give you the idea what will be happen
when changes begin in puberty and continue throughout life
·
Adolescence
Iliac
surfaces becomes rougher, duller, coated in some areas with fibrous plaques
·
30’s – 40’s
Surface
irregularities, crevice formation, clumping of chondrocytes
·
60’s
Motion may
become markedly restricted
·
80’s
Erosions and plaque formation are inevitable
Mechanism of Injury at SI Joint.
The
mechanism of injuries related in SI joint most common due to combination of
axial loading and abrupt rotation
In other
problem is related in this mechanism are Pathological changes affecting SI
joint structures
· Capsular or synovial disruption
· Capsular and ligamentous tension
· Hypomobility or
hypermobility
· Extraneous compression or shearing forces
· Abnormal joint
mechanics
· Microfractures
or macrofractures
· Soft tissue injury
· Inflammation
The risk factor when have SI joint pain are
·
Leg length discrepancy
·
Gait abnormalities
·
Prolonged vigorous exercise
·
Scoliosis
·
Spinal fusion to the sacrum
·
Pregnancy (weight++)
SI Joint
pain area and Referral patterns for SI joint pain most commonly can be found as
·
Radiation into
the buttock
·
Lower lumbar
region
·
Lower extremity
·
Groin area
·
Upper lumbar
·
Abdomen
Pain may
worsen with:
·
Riding in a car
·
Weight bearing on the affected side
·
Valsalva
·
Forward flexion in standing position
Pain may be relieved with:
·
Weight bearing on non affected side
What are
the treatment for this problem?
Widely acknowledged
to be one of the most challenging problems to treat .
Treatment
modalities consist of:
1. Physical therapy
2. Orthotics
3. SI Joint blocks
4. Surgery
5. Mobilization
Treatments can be divided this way:
1. Correcting
the underlying pathology
2. Alleviating
symptoms
Physiotherapy
in manage of pain SI I will put 5 area need to be concentrate ,there will be a
·
Stretching and strengthening the weak muscles
·
Pelvic stabilization
·
Restoration of postural and dynamic muscle
·
imbalances
·
Correction of gait abnormalities
Insha Allah
, for next entry i will be share the type of the exercise that can be use to
deal with the SI joint pain , and i hope this info will give you a clear idea
regarding of the symptom and guideline to trace of this problem , wallahuaklam
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