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Low back and sacroiliac pain explained


For this week’s blog, we’re going to talk about low back pain. I had 4 new evaluations on Monday and they were all a different form of low back pain/hip pain. Whether your lifestyle is sedentary or active, low back pain can be experienced by anyone and this proves true with clients we see in our clinic.

Remember the time when you could get up out of a chair and not hurt? Can you imagine rolling over in bed without pain? Can you imagine getting down on the floor and being able to get up without help? Well, that’s what we do here at Bodyworx. We help people do what they want to do, need to do and love to do without pain pills.

I see a lot of people who have back trouble in the sacroiliac joint or SI joint. Symptoms of back pain can range from pain or stiffness when getting up from a seated position, hip or flank pain when doing yard work or generalized low back ache and discomfort to extreme pain.

There are several different things that can influence pain in the SI joint. Research shows that if you don’t have good hip joint motion in a couple different directions, the hip gets tight, it locks up and then it starts making motion happen in the SI joint which causes irritation in the low back.

Another thing we see is flank pain that people notice when they do yard work. Flank pain comes from a muscle called your quadratus lumborum. When this gets tight, it pulls your hip up and it irritates the SI joint. Something else that I see is weakness in the muscles that are deep in the abdomen. When we don’t have good trunk strength our whole body just squishes together. When we have good trunk strength and when the muscles engage, it gives us lift and it unloads all the joints including the low back and the SI joint.

I just saw a man from Wichita, KS this morning. He’s a nurse. He hurt his back six weeks ago and it didn’t get better. I saw him one time last week and guess what he had going on? He had pain in the area of the SI joint. We did some manual therapy with him and got him going on some strengthening exercises to do on his own. He came in this morning and he said “95% better…Exercise is working great, I’m not having a lick of problems.” That’s what we like to see here.

So, if you have any back issues or if you know anybody that has any back issues, forward this blog post or our youtube video to them, because this is what we specialize in. We like to get people answers and get them back to what they want to do without pain pills.

For more information, check out this article we put together on back pain, and this podcast on back pain. You can also feel free to call us anytime at (316) 558-8808 to discuss your unique situation, or just fill out this contact form.

Until next time,
Dr. Doug Bonnesen
Doctor of Physical Therapy

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