If you want to know the cause of sacral pain in women.
If you want to know the symptoms of sacral pain in women.
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Here’s everything you need to know about sacral pain in women.
One of the most common and important causes of lower back and pelvic pain, especially in women, is inflammation of the sacroiliac joint. This pain is often described as sacral pain in women. We will talk more about this pain below.
Before going into the details of sacral pain in women, it is important to know that Inflammation of the sacroiliac joint is known in medicine as sacroiliitis, and people with Joint inflammation can feel pain in the lower back and lower pelvis by spreading to the groin in front of the pelvis.
First, for a better understanding of the structure and anatomy of the sacrum and sacroiliac joint, we have a brief description.
A part of the pelvis is called the ilium bone. Also, your sacral bone is a triangular part that sits at the bottom of the spine. This bony part of the end of the lumbar spine connects the two ilium bones of the pelvis on both sides.
The joint between these bones is called the sacroiliac joint. The ilium itself has three parts, It is said that only a part of this bone called the iliac part connects to the sacrum, this joint has very little movement. The range of motion is limited and its stability is provided by very strong ligaments. Anything that causes inflammation of this joint can cause sacral pain in women. In the following, we will talk more about the causes of inflammation of this joint.
What are the causes of the above joint inflammation?
As we have said, the main cause of sacral pain in women is inflammation of the sacroiliac joint. Inflammation of this joint can cause pain in the back, lower pelvis and lower back, even by spreading to the groin.
Among the causes associated with joint inflammation are the following:
- Degenerative changes or joint abrasions or osteoarthritis
- Joint fractures
- Joint dislocation
- Nonunion or delayed union of fractures and joint dislocations.
- Rheumatological disorders such as Ankylosing spondylitis and Spondyloarthropathies, such as psoriasis and Reiter’s syndrome and inflammatory bowel disease including ulcerative colitis and Crohn’s disease and rheumatoid arthritis.
- Pregnancy: during childbirth, when it is associated with the mechanism of opening the pelvic outlet and stretching the pelvic joints during childbirth.
- Joint infections such as brucellosis
- Infection of bones near the joint
What are the signs, symptoms and manifestations of joint inflammation?
It is said that pain is the most important and main symptom of inflammation and disorder in the above joint. This pain has special features. The above pain can be felt in the lower back and behind the pelvis, back and buttocks, in the groin and in front of the pelvis and even in the front of the thigh.
Another feature of this sacral pain in women is that the pain will be aggravated by prolonged sitting. Also, when the person with sacral pain is lying on the shoulder on the same side, the pain intensity will increase. Another symptom and manifestation other than pain is joint dryness. Dryness of this area is usually felt in the morning after waking up and after the person has been sitting for a long time and wants to get up.
If a woman sees a doctor with pelvic and back pain and the doctor determines that the source of the pelvic and back pain in the woman is the above joint, it is necessary to perform special joint examinations under pressure, when the patient’s painful joint is pressed, the patient’s pain increases. And this increase in pain following pressure is actually a sign that the patient’s source of pain is in the above joint.
As mentioned above, inflammation of this joint has various causes, such as brucellosis, infectious causes, and other causes. It is normal to use special tests and radiological examinations to determine any of the causes.
Also, in some cases where the source of the above pain cannot be determined exactly, the doctor uses injections This injection is both therapeutic and used to diagnose the source of the pain. The procedure is as follows, and the doctor will inject some local anesthetic into the space inside the above joint. If the source of the patient’s pain is this joint, the patient’s pain will temporarily disappear.
How is sacral pain treated in women?
We said that one of the most common causes of sacral pain in women is inflammation of the above joint. If the doctor concludes by performing diagnostic tests and imaging procedures, that the cause of lower back pain and lower pelvis and buttocks is sacroiliac joint problems, The most important therapeutic measures applied by the doctor will be as follows:
- Advise to rest: means advising to reduce strenuous physical activity that is associated with increased pain, and the use of heat compresses is recommended, because local heat in this area can reduce pain and discomfort.
- The use of OTC anti-inflammatory and analgesic drugs such as various NSAIDs such as ibuprofen and naproxen.
- Sleeping on the opposite side of the shoulder, that is, the side where the half of the body is not in pain, and placing a small pillow between the knees can reduce some of the sacral pain and discomfort.
- Intra-articular injection, which is performed in special cases by a specialist, The injectable substance is corticosteroid.
- Perform Stretching exercises: These exercises are performed to strengthen the muscles around the joint and also to increase the stability and strength of the ligaments around the above joint.
You can ask your doctor about some of these standard exercises.
If a person has sacral pain or inflammation of the above joint that has not responded appropriately to any of the above supportive measures, and if a person has debilitating pain, the doctor may use an invasive procedure, that is surgery. In this surgery, the doctor fuses the connection between the two bones, namely the ilium bone and the sacral bone. By connecting the above bones, the pain will be reduced to some extent.