Conditions and Treatment
SI joint dysfunctions
Sacroiliac joint dysfunction refers to pain in buttock joints when they move either too much or too little. Mostly pain is due to hypermobility which is too much movement in the sacroiliac joints, is a result of loose ligaments supporting the joints. Hypermobility has many causes, including pregnancy or injury to ligaments. Swelling in these joints can cause pain in your buttocks or lower back, and can extend down one or both legs.
Our approach
We approach in early stages in supporting with a sacral belt followed by joint mobilisation and stability core exercise program.
Piriformis syndrome
Piriformis muscle runs from the spine to the hip and is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. Piriformis syndrome is when the Piriformis muscle tightens or spasms around the sciatic nerve. This can happen due to poor sleeping, sitting or standing posture that load the hip muscles. Patient will feel pain in the buttock region with spread from the buttock, back of thigh and
sometimes even in calf and the outside of the foot.
Our approach
We use hot formentation, stretching and hip extensor strengthen exercises Later on a core stability toning program along with postural correction is favorable to complete management.
Pubis symphysis Dysfunction
Public Symphysis Dysfunction is discomfort and pain in the pubic area, including pelvic pain radiating to the upper inner thighs and perineum. These occur due to slipping injury where legs split or due to the ligament relaxation in pregnancy.
Our approach
We use pelvic taping, inner thigh muscle soft tissue release and stretching exercises to reduce load on the pubic joint and just reducing pain. Icing helps early inflammation. Abdominal exercise program and hip muscle strengthening works to prevent reoccurrence.
Coccydenia/tailbone pain
Coccydenia is the term used to describe the symptoms of pain in and around the coccyx without any reports of severe low back pain or radiating pain. It usually occurs due to a direct fall on the buttock region.
Pain is most commonly triggered in a sitting position, but may also occur when the individual changes from a sitting to standing position.
Our approach
We treat initially with icing, anti-inflammatory drugs, soft tissue release and coccyx mobilization. After initial inflammation settles exercise program to strengthen and stabilize the spine is essential.