Pain in the pelvis is often associated with pregnancy, and in the past people were also inclined to call all pelvic pain in pregnant women pelvic girdle pain. This is known today to be far from the case. Pain in the pelvis can occur in anyone, and there can be several different reasons for this. The pelvis consists of three bones that together form a ring. A joint is found in the three places where the bones meet. One joint is found in front of the pubic bone and is called the symphysis. The other two joints are located at the back and are called the sacroiliac joints.
Pelvic girdle pain
That the pelvic joints become looser in pregnant women is a natural part of pregnancy. This is due to a hormonal influence, which prepares the pelvis to give as much as possible during childbirth. In some women, however, this develops into pain and instability in the pelvis. If you have pain in all three pelvic joints, it may be pelvic girdle pain, but it can also be caused by locking in one or more of the three pelvic joints, which can be remedied by a chiropractor. It is not known why some women develop pelvic girdle pain and others do not.
Pelvic girdle pain typically develops in mid-pregnancy. The joint pain occurs when you lie on your back, bend forward or walk. There may also be pain in the buttocks or near the pubic bone.
Pelvic girdle pain is a serious and painful condition, but luckily the vast majority of women recover. Half a year after birth, the pain will have disappeared in approximately half of the patients, and after a few more months, most will be symptom-free. Only in a few cases does the pain condition remain permanent.
With pelvic girdle pain, it is important that you always use your body within the pain limit. The pain must be used as a guide so that you do not overload the pelvis and cause it permanent damage. Your chiropractor can guide you in both working and resting positions, so that the pelvis is loaded correctly.
It is important to find out whether you have pelvic girdle pain or not. This is because treatment/advice for pelvic loosening and treatment of pain in the pelvis due to causes such as locking in the pelvis, hip or lumbar joints are diametrically opposed, where the latter must be encouraged to move and responds well to chiropractic treatment.
Pain in the pelvic joint
Other causes of pelvic pain can be faults or overloads of the individual pelvic joints in the pelvic ring. The symptoms can be stabbing, burning or chasing pain localized over one or both dimples in the lower back, and possibly radiating down to the outside of the knee. Often the pain is triggered suddenly by a single movement.
Pain in the pelvic joint is often diagnosed as a sacroiliac joint syndrome or so-called locked pelvic joint. It is not entirely known what triggers the pain, but daily experience in the clinic has shown that chiropractic manipulation of the joint has a beneficial effect on pain in and the function of the pelvis.
Muscles and muscle tendons in and around the pelvis are often exposed to overloads due to poor working postures, repeated strains during sports and work or as a result of incorrect positions in the foot, ankle or knee. This can lead to tendinitis, which can be extremely disabling if the cause of the strain is not identified and rectified.
Pain and diffuse tenderness in the gluteal muscles due to unaccustomed work, unsuitable working positions or psychological influences are common. You can feel thickenings in the muscles - both as balls (myoses and trigger points) and possibly as elongated and string-shaped, tender knots that are too tight muscle fibers.
In and around the pelvis there are many mucous sacs (bursae), whose purpose is to ensure that muscles and tendons can work smoothly. Depending on where the mucous membrane is, different loads such as pressure, pressure or rubbing from the surrounding muscles and structures could trigger pain in the mucous membrane. The pain can be acute and extremely intense, often worsening at night and when resting. Cystitis can be troublesome for several weeks if not treated properly.
Try ice and painkillers yourself, and in some cases you have to try a blockade injection by a doctor. It is again very important to identify the cause of the pain. The chiropractor will treat bursitis by improving the function of joints and muscles around the bursitis.