Sacroiliac Joint During Pregnancy
One of the most common complaints during pregnancy is lower back pain. Most expectant mothers assume that the pain is caused by the lopsidedness of the body’s posture as a result of the growing uterus. Many put it down to sciatica related pain. However, this is not always the case.
This joint is very important as it acts as the body’s natural shock absorber when.
.it comes to activities like walking, running, climbing and standing up after sitting, making these activities less strenuousu
The sacroiliac joints – on the left and the right of the spine are L-shaped and are held in place by strong ligaments that provide a limited range of movementn
During pregnancy, a number of hormonal changes take place in a woman’s bodyd The production of estrogen, progesterone and relaxin increases manifold and this alters the bony pelvis to cope with pregnancy and the widening of the sacroiliac joints to facilitate childbirth is the main intentiono Relaxin relaxes the joints, allowing greater movement of the sacroiliac jointst When the movement of these load bearing joints becomes too much, it results in instability in its normal functioningn Affected functioning of the sacroiliac joint during pregnancy causes a strain on the lower back thus leading to sacroiliac joint back pain during pregnancyc Pain related to the sacroiliac joint during pregnancy magnifies when the body posture is altered due to the weight of the expanding uterusu
The symptoms of sacroiliitis during pregnancy include a shooting or stabbing pain in the lower back, buttocks as well as the thighs, similar to that experienced in the case of sciaticac The pain experienced tends to increase when walking and climbing as the hips move and this may result in limpingn At times, the pain is unbearable thus restricting movementn Some women find it difficult to lie down for a long time and this increases the discomfortr Self medication is not recommended at all as it could worsen the condition as well as affect the pregnancyc Consulting a doctor with regard to any pain is highly advisablel Sacroiliitis during pregnancy should not be ignored as it could lead to more serious complications, if left untreatede
The Weather and Your Joints
Some people check the news for the weather forecast. But for many people with arthritis and related joint pain, they already know when a storm is on the way.
Joint pain occurs from a variety of factors, one of the most common being arthritis, a broad term to describe the 100+ forms of chronic joint inflammation that can wear away at cartilage. Arthritis deteriorates this rubbery substance and its ability to absorb movement, until, in some people, it’s completely worn down to the point that bones rub against each other.
And there’s an interesting link between arthritis and the weather: many patients ï¿½ and the doctors who care for them ï¿½ report that joint pain and arthritis symptoms flare up before a storm or changes in the atmosphere.
What’s the Link?
The idea that weather influences pain goes back at least 1,600 years, to Hippocrates in the fourth century BC, and probably earlier. The scientific term is ‘human biometeorology’, and there’s a definitive link between the two in obvious scenarios; you’ll get burnt if you leave your skin unprotected in the sun for example. There are few studies between arthritis and weather changes, however.
So what’s the connection?
In theory, it’s caused by barometric pressure. This is the pressure exerted by air, and it often drops before a storm. If this drop in barometric pressure caused the tissues around the joints to swell, it is conceivable that changes in the weather, like an impending storm, could trigger a flare-up of arthritic symptoms.
There is some evidence to support this thesis. In the 1960s, researcher John Hollander isolated patients with rheumatoid arthritis in a sealed chamber and gradually increased the barometric conditions. The result? Minor swelling with a rise in humidity and decrease in pressure.
Bear in mind the huge variety of possible atmospheric conditions and combinations with joint pain symptoms. Many doctors are believers too, and experience a surge in patients complaining of joint pain on rainy days. There’s clearly a link between the weather and joint pain. Perhaps a better question is how do you manage that pain?
A Natural Way to Manage Joint Pain
The answer to this may already be within you. Specifically, several compounds that occur naturally in cartilage, including glucosamine and chondroitin. They’re both lost in the ageing process, and there are no rich food sources for either one.
A study conducted in 2006 revealed that patients who supplemented with glucosamine experienced a “significant improvement” for pain symptoms related to osteoarthritis. And four clinical studies suggest that chondroitin can lubricate the joints and block the enzymes that break down cartilage.
Further reason to use a natural joint relief supplement: traditional joint relief medications, including non-steroidal anti-inflammatory drugs (NSAIDs) and cox-2 inhibitors are not recommended for long-term use because they’re linked to adverse side effects, including gastrointestinal bleeding and increased risk of stroke and heart attack.
Studies show comparable joint pain relief from willow bark extract ï¿½ found in Joint Relief Solution ï¿½ and even reduced loss of cartilage, from avocado soybean unsaponifiables, as seen in a 2002 study of patients with osteoarthritis of the hip.
You don’t control the weather. But many arthritis patients live with chronic pain that flares up from changes in the atmosphere. They literally “feel it in their bones”, and with roughly one in three Americans living with ongoing joint pain, they want relief.
The best way to reduce joint pain, quite frankly, may simply be to pursue natural treatment for arthritis with a joint relief supplement with Chondroitin and Glucosamine. Multiple studies demonstrate these two compounds not only reduce joint pain, they may also protect cartilage and offer greater mobility. That’s more that most arthritis medications offer, and probably safer as well.
Try Joint Relief Solution. A blend of natural ingredients, including glucosamine and chondroitin, it’s also formulated with willow bark extract. You might be surprised to learn that willow bark has the same active ingredient as aspirin, and shows dramatic reduction in pain symptoms, with less reliance on NSAIDs as well.
Sacroiliac Joint Pain Treatment – Austin, TX
Sacroiliitis is the term used to describe any type of inflammation in the sacroiliac joint. The sacroiliac joint is located on either side of the lower spine (sacrum) and is comprised of the large triangular bone just below the lumbar spine and above the tailbone, connecting to the iliac bone in the hip.
Whereas the majority of the bones in the spine are mobile and flexible, the sacrum does not have a lot of range in motion. It is made up of 5 vertebrae that are fused together and are responsible for carrying the majority of your weight when you walk, stand and sit. This joint is small yet very strong, and reinforced by surrounding tough ligaments. It works to transmit the forces of the upper body to the pelvis and legs. Since this joint acts as a shock-absorbing structure, it is often the source of lower back pain, hip pain and even unexplained thigh pain.
What Causes Sacroiliac Joint Pain?
Sacroiliac joint pain can be caused by a few common agitators in the absence of injury. As we age, the cartilage that covers the joint and acts as a shock absorber between the bones can begin to wear down. When this occurs, the bones begin to rub together and can cause a great deal of pain. When this cartilage is damaged, degenerative arthritis (osteoarthritis) can occur.
Pregnancy is another common reason for experiencing sacroiliac joint pain. During pregnancy, a hormone is released by the woman’s body to help relax the ligaments that hold the joints together, preparing the body for childbirth. Subsequently, any change to the ligament can cause problems down the road. The increased motion of these joints can eventually lead to increased stresses and abnormal wear. During pregnancy, the added weight and altered walking pattern that this causes can also place additional stress on the sacroiliac joints.
In addition to pregnancy, any condition or event that changes the individual’s normal walking pattern can be bad news for the SI joints. This may include a leg length discrepancy, or pain in the foot, ankle, knee or hip. There are a number of other disorders that can also impact the body’s joints and lead to inflammation of the sacroiliac joints. These conditions can include rheumatoid arthritis, psoriasis, gout and ankylosing spondylitis.
Sacroilitis is a chronic condition where there is continued SI joint pain. The cause is not always known, but there are some effective treatments available to help control this pain. Many patients suffering from sacroiliitis find relief from steroid injections administered directly into the joint. This is done using fluoroscopic (live x-ray) guidance to ensure proper placement of the needle. These injections typically include both a numbing agent and a strong anti-inflammatory medication. Steroid injections can usually be done up to 3 – 4 times a year depending on the patient.
Physical therapy has also been shown to be very effective in Sacroiliac joint pain treatment. Sometimes simply correcting your gait (walking pattern) can make a huge difference. Anti-inflammatory medications and oral steroids may also be helpful in controlling symptoms related to sacroiliitis.
In general, your Austin sacroiliitis treatment plan will depend largely on the extent of damage to the joint and will usually be accompanied by physical therapy to help restore proper range of motion and rehabilitation. In most cases, a combination of therapies is ideal. In severe cases where the pain interferes with the patient’s everyday life, surgery may be considered as an option, if more conservative approaches have proved to be ineffective.
Schedule an Appointment for Sacroiliitis Treatment in Austin
At the Diagnostic Pain Center in Austin, we see patients with a wide variety of pain problems, including sacroiliitis. Sacroiliac joint pain is a condition that Dr. Robert Marks, Dr. Sauman Rafii, and our skilled medical team are experienced at treating.
If you would like to schedule a visit to learn more about Sacroiliitis treatment in Austin, please give our office a call today at (512) 981-7246. You may also request an appointment online using our convenient appointment request form.
Sacroiliac Joint and Pregnancy
Question: I have found a bunch of people who started having sacroiliac joint problems during pregnancy that does not get better after their delivery…Is this common?
I have found a bunch of people who started having SI joint problems during pregnancy that does not get better after their delivery. Is this common and why wouldn’t the issues get better after pregnancy? More importantly, now that I am pregnant and am starting to have some pain in the SI joint area, what can I do to both manage the pain during pregnancy (without hurting my baby) and also to make sure that I don’t continue to have SI joint pain after pregnancy. Should I be stretching every day? I do yoga, but nothing else. I would prefer not to take medications. If I have bad SI joint pain after delivery, what type of doctor should I see, or should I see a physical therapist? I have had sciatic pain before, and I definitely don’t want to have it again. Thank you for your help!
Doctor’s Response: Pregnancy is a leading cause of sacroiliac joint dysfunction.
Obstetricians have known about painful sacroiliac joints for decades. Papers have been published over and over in the literature about the young female with low back pain during pregnancy and after pregnancy, secondary to sacroiliac joint problems. Although this is not a frequent problem, it is common enough to be one of the leading causes of sacroiliac joint dysfunction, and one of the leading reasons why young women end up having fusions of the sacroiliac joint at a later date, long after they have delivered their child vaginally.
During the later stages of pregnancy and at the time of delivery, hormonal changes cause the connective tissues that hold the sacroiliac joints together to become more elastic. This allows for the baby’s head to come out of the pelvic ring, and the pelvis spreads slightly at the sacroiliac joints and at the symphysis pubis in front during delivery. Most of the time, all of this goes back to normal within six weeks; but, occasionally, one of the sacroiliac joints literally becomes sprained through this. I have treated patients, as long as twenty years after delivery, with what is believed to be a sacroiliac joint dysfunction resulting from that joint being sprained during a vaginal delivery of one of their children.
If there is pain during pregnancy, and it is suspected to be coming from the sacroiliac joint, then a sacroiliac belt is about all that can be done to try to stabilize the sacroiliac joints until the baby is delivered. If the pain has not gone away within six weeks after delivery, and the pain is disabling, then at that point an injection can be done to diagnose whether the pain is coming from the sacroiliac joint or not. That injection should be done by a professional, under image, to verify that the sacroiliac joint is generating pain.
In Spine-health’s Doctor Advice section, physicians respond to frequently asked questions about back pain issues. These responses represent the opinion of one physician, and do not necessarily reflect the views of the broader medical community. The advice presented has not been peer reviewed by Spine-health’s medical advisory board.
Http://www. pregnancy-baby-care. com/conditions-during-pregnancy/sacroiliac-joint-during-pregnancy. html
Http://sites. google. com/site/delenaafeldmans/sacroiliac-joint-pain-relief-in-pregnancy
Http://www. diagnosticpaincenter. com/sacroiliac-joint-pain/
Http://www. spine-health. com/ask-a-doctor/sacroiliac-joint-dysfunction/sacroiliac-joint-and-pregnancy