Sciatica from SacroiliacSciatica from sacroiliac joints is possible to experience due to injury or advanced degeneration. However, the condition is diagnosed far more often than it truly presents itself. More likely is the possibility that the pain is completely unrelated to the normal degeneration in the joints and is merely being blamed on the SI joint due to the lack of a better scapegoat condition. It is a shame, but a fact, that most SI joint pain is completely misdiagnosed...Sciatica from Sacroiliac Joint
The SI joints are some of the strongest and best designed in the human anatomy. They must hold up the entire weight of the upper body and distribute incredible force throughout the pelvis. Degeneration occurs in these joints, just like it does in all the joints of the body. Typically, cartilage wears away, ligaments become too tight or too loose and some structural changes occur. However, these bodily alterations are normal and expected to endure as we age. They are not normally the source of any significant pain or other problematic symptoms.However, when there is no structural condition available in the spine to explain chronic sciatica, or treatment for a previously misdiagnosed spinal causation has failed time and time again, sacroiliac joint pain is often diagnosed… Treatment for Sciatica from Sacroiliac JointsTreatment strategies for SI joint pain mimic care practices for most other lower back pain syndromes. They are mostly symptomatic in nature and often revolve around exercise, physical therapy and chiropractic manipulation. Of course, the pharmaceutical route is always thrown into the mix, since sciatica drugs are such a popular modality with patients and doctors alike.Surgery is rarely performed (luckily), but will be considered in cases of severe sciatica relating to SI joint concerns. Like many other dorsopathy conditions, doctors generally throw several (sometimes illogical) therapies at the pain, hoping something… anything… will work. Sciatica from Sacroiliac Joints AdviceI have seen a few (very few) patients with verified pain due to sacroiliac injury or extreme SI joint degeneration. These poor souls really had a tough time functioning, since the SI joint is so important to our basic physical abilities. However, virtually all of these patients responded well to appropriate treatment and recovered. For patients with unresponsive SI joint pain, I typically advise reconsidering the diagnosis. Oxygen deprivation of the area in and around the SI joint can enact seemingly structurally induced pain, while all along, the condition has nothing at all to do with the spine or sacroiliac. In these cases, knowledge therapy is the best possible treatment, since it has no risks and is highly effectual at curing these ischemic sciatica conditions.Sciatica from Sacroiliac to Sciatica 4/28/09 Revised 7/23/11 |
Sensei Adam Rostocki
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