Iliac Joint (pelvis) Pain Injury & Football
Back pain is usually attributed to the Sacro Iliac Joint.
Located at the pack of the pelvis, the Sacro Iliac joint may
be damaged in a variety of ways. Traumatic incidents, bio-mechanical
mal-alignment, inflammatory joint disease and even hormonal
fluctuations in pregnancy can all be sources of pain in the
Sacro Iliac joint.
The articulations that attach the Sacrum to
the iliac bones of the pelvis make up the Sacro Iliac joint.
Covered with articular cartilage, these joints receive great
stability from the tough ligaments that support them.
Physical trauma can easily result in Sacro Iliac
joint dysfunction. For instance, falling and landing
on the buttocks after a heavy tackle can immediately
cause damage to the joint. However, the presence of mal-alignment
in the bones and muscles as well as the unequal length of
the legs may contribute to a gradual development of this condition.
Sporting activities may also put constant strain to the Sacro
Iliac joint, which can later develop to a Sacro Iliac joint
Pain in the Sacro Iliac joint may also be caused
by inflammatory disorders. Termed as 'spondyloarthropathies',
these disorders target the spine. Ankylosing spondylitis,
psoriatic arthritis, inflammatory bowel disease and Reiter's
syndrome are common examples of these disorders. Inflammatory
disorders can be diagnosed through blood tests.
Iliac Joint Pain Signs & Symptoms
Mechanical Sacro Iliac joint dysfunction is
usually signalled by the presence of slight pain at the base
of the spine. The pain usually originates from a specific
side of the spine. The pain may be heightened by activities
that require participation of the lower back.
These activities include sitting, bending, lifting.
Standing up from a seated position, or lifting the knee up
to the chest during stair climbing can also intensify the
pain. As a result of the injury, the player may experience
soreness on the groin, buttocks or on the back of the thigh.
Unlike the effects of a disc prolapse, Sacro Iliac joint pain
does not usually extend to body parts below the knee.
Iliac Joint Pain Treatment
If the pain suddenly intensifies, the player
must immediately take a rest from activities that may worsen
the injury. For the first 24 hours of the joint pain, the
person must try to find and maintain a position that helps
alleviate the pain.
If biomechanical factors like unequal leg length or altered
lower limb alignment caused the dysfunction, treatment must
begin with addressing these conditions first. The patient
may also use orthotics to improve his or
her condition. Orthotics is a supportive material inserted
into the sole of the shoes.
If normal Sacro Iliac joint movement is ‘blocked’,
a Chartered Physiotherapist may treat the condition using
passive mobilizations. This treatment will gently and gradually
restore regular motion in the Sacro Iliac joint. At the same
time, it will eliminate the excess stress present in the ligaments
that surround the joint.
Once movement is possible in the joint, the
patient may progress towards more active rehabilitation. Rehabilitation
will include exercises for more than 30 of the muscles that
help provide the Sacro Iliac joint with sufficient stability.
To alleviate pain and facilitate healing of the Sacro Iliac
joint, many people opt to do pool running with the use of
a buoyancy belt.
Iliac Joint Pain Prevention
Taking proper care of the back is an important
step in ensuring that the dysfunction does not happen again.
To achieve this, a person must have a clear understanding
of the mechanics of a good posture. This proper posture must
be maintained at all times and most especially during extended
periods of sitting. To aid in this, a person may place a lumbar
roll at the base of the back. People must also refrain from
driving for long hours.
a Lumbar Roll
Improving the muscular stability of the spine
will ensure long term maintenance of the body’s proper
posture. A sitting support may also be effective in improving
the body’s posture during sitting activities such as
driving and typing. The sitting support facilitates good posture
by supporting the forward curve located at the bottom of the
back. This will also enhance the back’s ability to manage
Research suggests that back pain may be relieved
and normal function may be regained through core stability
and strength exercises. These exercises will effectively address
poor postural habits that may have caused the dysfunction
Through the supervision of a Chartered Physician,
the patient will easily master the exercises. Since these
exercises are not extremely vigorous, it is possible for patients
across all ages to perform them. Eventually, the patients
may use Swiss Balls (below) to practice movements that will
help alleviate pain as well as protect the back from further
here to view exercise balls
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