Sacroiliac Joint pain

SI joint pain

A common presentation during and after pregnancy

SI joint pain (or Sacro-Iliac Joint pain) affects predominantly women during and after pregnancy. It can also affect men. The SI Joints sit where the sacrum (the very end of your spine) meets the pelvis (more specifically, the right and left ilium). It can be one, or both joints to be painful.

The quality of pain can be sharp or dull, often without radiation (the pain remains local). Usually it is worse during the morning and it eases with movement. 

Anatomy of the SI Joint:

The sacroiliac joint is located at the junction of the sacrum and the ilium on both sides of the lower back. It is a synovial joint with limited movement, as it is primarily designed to support the weight of the upper body and transfer it to the pelvis and lower limbs. The stability of the SI joint is maintained by strong ligaments and muscles surrounding it.

Symptoms of Sacroiliac Joint Pain:

SI joint pain is often characterized by a deep, dull ache in the lower back and buttocks. The pain may radiate down the back of the thigh and may be more prominent on one side. Other common symptoms include:

Pain with Movement: Activities that involve bending, twisting, or prolonged sitting/standing can trigger or worsen SI joint pain.

Pain While Climbing Stairs: The act of climbing stairs may exacerbate SI joint pain due to increased stress on the joint.

Pain when Changing Positions: Transitioning from sitting to standing or vice versa can be painful for individuals with SI joint issues.

Instability: Some people may experience a feeling of instability in the lower back or a sense that the pelvis is "out of alignment."

Causes of Sacroiliac Joint Pain:

Several factors can contribute to SI joint pain:

Trauma or Injury: A fall, accident, or direct impact to the lower back can cause SI joint dysfunction and pain.

Arthritis: Inflammatory arthritis conditions, such as ankylosing spondylitis, can affect the SI joint and lead to pain and stiffness.

Pregnancy: During pregnancy, hormonal changes and the release of relaxin hormone can lead to increased joint laxity, potentially causing SI joint pain.

Degenerative Changes: As people age, wear and tear on the SI joint may lead to osteoarthritis and subsequent pain.

Leg Length Discrepancy: A significant difference in leg lengths can affect the alignment of the pelvis and SI joint, leading to pain.

SI Joint Pain during Pregnancy:

During pregnancy, the body releases the hormone relaxin to prepare the pelvis for childbirth. Relaxin increases the ligamentous laxity around the SI joint and other pelvic structures, which can lead to SI joint pain and instability. Additionally, the growing uterus and the shifting of the body's center of gravity during pregnancy can put additional strain on the SI joint, exacerbating pain and discomfort.

NHS and NICE Guidelines for Managing SI Joint Pain:

The UK's National Health Service (NHS) and the National Institute for Health and Care Excellence (NICE) have developed guidelines for managing SI joint pain. Treatment options may include:

Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be recommended to manage mild to moderate SI joint pain.

Mobilisation: Chiropractic, Osteopathy or Physiotherapy, as prescribed by NICE guidelines, can include exercises to strengthen the muscles supporting the SI joint, improve flexibility, and enhance joint stability.

Injections: For severe SI joint pain, corticosteroid injections may be administered directly into the joint to reduce inflammation and alleviate pain.

Role of Chiropractic and Manual Therapy:

Chiropractors and manual therapists can play a significant role in managing SI joint pain. They employ various techniques to restore proper alignment, mobility, and function to the SI joint and surrounding structures. Treatment may involve:

Chiropractic Adjustments: Specific adjustments to the SI joint can help realign the joint, reduce inflammation, and alleviate pain.

Soft Tissue Therapy: Manual techniques, such as massage and myofascial release, can target tight muscles and soft tissues around the SI joint, promoting relaxation and reducing tension.

Exercise Prescription: Chiropractors may design tailored exercise programs to strengthen the core and pelvic muscles, which can improve the stability of the SI joint.

Advice on Posture and Movement: Education on proper posture and body mechanics can help individuals avoid movements that exacerbate SI joint pain and improve overall biomechanics.

Sacroiliac joint pain can cause significant discomfort in the lower back and pelvis, impacting daily activities and quality of life. Understanding the anatomy of the SI joint, recognizing the symptoms, and identifying the causes are essential steps in managing this condition effectively. NHS and NICE guidelines offer evidence-based approaches to address SI joint pain, including pain relief, physical therapy, and supportive devices. Additionally, chiropractic and manual therapy can play a valuable role in managing SI joint pain by providing specific adjustments, soft tissue therapy, exercise prescription, and expert advice on posture and movement. If you experience persistent or severe SI joint pain, it is crucial to seek professional evaluation and guidance to determine the most appropriate treatment plan for your individual needs. It is always worth to investigate lower back pain causes, especially if severe lower back pain. 

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Richard
Richard
12:52 03 May 24
Fantastic informative straightforward information looking forward to working with Edo
Linda Jukes
Linda Jukes
18:07 01 May 24
I have had back pain for many years and tried lots of different ways to ease it, with no success. From my first appointment at Alive Chiropractic Clinic, I could feel an improvement. I am so pleased with the results after a 12 week course. The clinic is superb and Edo is friendly and supportive. I will continue to visit the clinic and recommend to everyone!
Gary Rolls
Gary Rolls
19:48 24 Apr 24
I have been a patient of the Alive Chiropractor clinic for the last six weeks. Following a stroke in March 2022 I had been suffering with a walking imbalance and general lack of mobility. I would say that my improvement stands somewhere between 60-70% already. I would happily recommend the clinic to anyone that is suffering to book themselves an appointment.
Peter Waller
Peter Waller
11:29 15 Apr 24
After visiting Dr. Edoardo at the Alive chiropractic clinic, I booked a block booking of 12 sessions. From start to finish he made me feel very comfortable, and as each session went on i began to feel much better within myself.As well as the work he done with me in the clinic, he has taught me many different exercises to help me with the problems in which i suffer with, as well as explaining to me how my diet can also help me going forward.He has been a great help, and i shall continue to see him in the future so that he can help me maintain ( and improve) my well being.RegardsPeter
leonie macdonald
leonie macdonald
16:15 18 Mar 24
I was greeted by an interested and professional person. I was helped to deal with a recent trauma, not only with deep breathing techniques and compassion but also accurate chiropractic treatment. Every time I left my appointment I felt a profound sense of healing.
Emma Simmons
Emma Simmons
20:34 07 Jan 24
My experience from the very first consultation has been excellent! Edo is extremely knowledgeable and a great professional. His holistic outlook and advice brings benefits beyond his chiropractic adjustments, which is an added bonus! I would highly recommend his practice.
olly morency
olly morency
09:16 21 Nov 23
An excellent service; Edo helped me with corrections for my back, and advice on how to improve my health span with breath work and improved movement. Strong recommend!
Moira Priestley
Moira Priestley
20:18 15 Oct 23
I found the treatment I received very beneficial. My sciatica has eased a lot and I am sleeping much better. I would highly recommend Alive Chiropractic.
Ben Boughton-White
Ben Boughton-White
06:04 15 Oct 23
A fantastic chiropractic experience!Dr Edo provides a whole body approach to resolving chiropractic issues. His care plan to help solve your unique issues is fantastic, short and simple adjustments rather than long sessions of big adjustments has worked brilliantly for me. Communications are easy and booking ahead is brilliant for me and my schedule.I can’t recommend Alive highly enough!
Benny Clifford
Benny Clifford
15:53 25 Sep 23
Dr Edo has been a great help in getting me moving again, and he is a trustworthy pair of hands in his field of work. Top man!The reception is also very welcoming. I very much recommend this place!
Jane Bygraves
Jane Bygraves
12:30 14 Sep 23
I have a better range of movement and am moving more freely after a course of gentle, thorough treatment with Alive Chiropractic. My energy levels have improved.
Sarah Spadon
Sarah Spadon
18:48 10 Sep 23
I’ve been adjusted by Dr Edoardo for a number of years now, since I’ve been under care I’ve never had any problems but most importantly he helps me keep my nervous system healthy through maintenance care which allows me to be more in control in all of my day to day activities and keeps my mind healthy. His adjustments are gentle and precise and he is really kind and makes you feel at ease in any moment. Highly recommend!
Morgex
Morgex
11:05 10 Sep 23
This is my first experience with chiropractic ever, and it has been life changing! I have a slipped lumbar disc and I was in lots of pain and had very limited mobility. I saw Edo for a few appointments and not only did my back get better, it has stayed that way since! I am doing the exercises he prescribed and now I am only seeing him for maintenance and I feel better than ever, more relaxed and aware of my posture overall . He is a good listener, very informative, professional and communicative.
Isabella White
Isabella White
07:15 08 Sep 23
A wonderful experience so far with Dr Edo at his clinic in Poundbury. I have come away from my first six sessions feeling so much more aware and in tune with my body, and I have experienced noticeable changes in my body and mindset also.Dr Edo is professional, knowledge, and believes firmly in his work which he is clearly passionate about. I feel he has an empowering vision, cares deeply, and has a refreshing balance of western and eastern understanding. Because of this, Dr Edo has a deeper, holistic approach by taking into account all aspects of one's lifestyle (diet, exercise, mental/emotional state) in sessions. For someone like myself who values a holistic perspective on health, Dr Edo's approach is invaluable and helped me relax and feel at great ease. Sam in reception is lovely and you instantly feel welcomed when coming in for a session also. Thank you to you both. Highly recommend!
Chris Copeland
Chris Copeland
20:59 16 Aug 23
Dr. Edo has a very calm temperament and his knowledge aids in your own relaxation, which is a help when your own flexibility, mobility or posture are far from relaxed. Sam, the Chiropractic assistant, is the first person to greet you when you arrive and will explain the fundamentals of the practice. The practice is clean, modern and has ample road side parking. The whole experience has been a success and I am now able to move without pain, the new mobility gained will enable me to get on with life and have new experiences and adventures, for this I thank you.
Sonya Hendry
Sonya Hendry
18:21 16 Aug 23
I have been coming to see Ed at Alive Chiropractic since opening. Visiting regularly is enabling me to have a more comfortable and mobile life. The ambiance and warm welcome, along with total professionalism means so much.
Alison Michele Williams
Alison Michele Williams
20:49 30 Jul 23
A great, professional, friendly service. A whole rounded approach to better well being and healthy body.Thank you!
Tessa Aindow
Tessa Aindow
16:58 13 Jul 23
Brilliant experience. My back has improved so much and I don’t have the same aches and pains. Dr Edo is very professional and gives great advice and exercises to help alongside the adjustments at the clinic.
Malwina T
Malwina T
15:56 19 Jun 23
Great and unique treatment. Eased the lower back pain significantly! Changed my outlook on chiropractic treatments and self care. Highly recommend!!!
jill cheng
jill cheng
09:17 16 Jun 23
I visited the clinic after suffering with low back pain for nearly ten years. The chiropractor helped me regain functionality and quality of life. More importantly, he helped me understand and connect some aspects of my life to my body and how it works, strongly recommended 👍🏻
Chirosofia
Chirosofia
20:41 14 Jun 23
I have known Edoardo since day one at Chiropractic College, and I have witnessed his growing passion for this profession. His long time experience as a Yoga Instructor, combined to his deep knowledge into the Chiropractic art, science and philosophy, will make your journey towards healthy-living a very pleasant experience. Book that appointment and enjoy feeling better!
Paul Ansell
Paul Ansell
12:33 08 Feb 23
All my life I’ve had bad posture and bad back I’ve been to doctors specialists and always same outcome I’ve got to live with it. At the age of 58 I went to this practice and he has done wonders this is the best I have ever been since I can remember. Highly recommend
Zoe Ratcliffe
Zoe Ratcliffe
17:05 30 Jan 23
I attended Alive chiropractor after seeing a special offer they were offering and suffering from a bad back for a long time it felt like a good idea to go see what they said. Since this I have been attending twice a week and the improvements are happening. Edo is very knowledgeable and really wants the best for you he doesn't just care about the back or other pains you may be having but also acknowledges the impact these things can have on you emotionally and personally. I can't recommend this service enough.
Michelle Lambell
Michelle Lambell
21:55 24 Jan 23
Regular sessions with Dr Edo at Alive Chiropractic have made such a big difference to my posture, my way of working at my desk and taught me how to manage my breathing, all of which have led to a big shift in my mindset towards looking after myself and my body.I will happily recommend Alive Chiropractic to my friends.
Paul Nicol
Paul Nicol
08:22 30 Sep 22
I have just finished initial treatment for my back problem. Appointments with the NHS in the past have never resulted in a diagnosis let alone treatment. However at Alive I received a diagnosis and treatment plan on the initial consultation. This set out exactly how I was going to be treated and cost. Following the treatment I could not be healthier or happier. An exceptionally professional service in which Dr Edoardo Elisei seems passionate about what he does. It is more than just a hands on treatment on his 'couch', but a full lifestyle treatment ensuring exercises and diet are in balance to assist recovery and as a preventative for the future. I would be happy to recommend to anyone.
claudia marcela lopez gallardo
claudia marcela lopez gallardo
08:05 30 Jul 22
Edo is a great professional, very friendly and knowledgeable. He corrected my posture in only few months, he said this was going to happen and I couldn't believe it, it was so fast and happened, the changes not only I could feel them but also you can see them. He did the adjustments with a lot of care, with a lot of patience he took the time to give the advices and exercises that I could benefit my posture in the future. I totally recommend him.
TheLizwalker
TheLizwalker
10:18 18 Jul 22
When I first met Dr Ed I had problems bending, and worst of all I could hardly move my neck. I was a total painful wreck.Ed takes a very holistic approach, encouraging me to lose weight and work on different rehab exercises to reinforce the manipulations and adjustments he made.Here I am some three months on, I weigh a lot less, I have incredible flexibility in my lower back and can now touch my toes and, best of all. I have full flexibility of my neck.Eds holistic approach really works, he is very approachable and easy to chat about things with.One caveat, Ed knows when you haven't done your exercises so don't cheat. :)I cannot thank him enough for the massive improvements in my health and his encouraging me to make little changes for a healthier long term lifestyle.
Elaine Daniel
Elaine Daniel
13:05 07 Jul 22
I saw Edo in March and he was so informative regarding my spinal issues. I have had many treatments from him over the past few months and feel so much better and have more movement and less pain. He provides exercises for clients to help with strengthening muscles which is all part and parcel of chiropractic healing. I would recommend going to see him anytime.
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