Pain in the pelvis

Pain in the pelvis. Pain in the pelvis can often be linked to pregnancy or miscarriage over a long period of time. Pelvic pain is a nuisance affecting up to 50% of pregnant women, according to the large Norwegian mother / child survey (also known as MoBa). Pelvic pain and nearby structures such as the lower back and hip are of course not a unique ailment for pregnant women or those who have recently given birth - muscular or joint dysfunction can affect both women and men, young and old.

 

Scroll below for to watch two great training videos which can help you with pelvic pain and tight seated muscles.

VIDEO: 5 Exercises against Sciatica and Sciatica

In the pelvis and seat we also find the sciatica nerve. This nerve tends to become irritated and pinched by pelvic problems - and this can cause episodic sharp, almost stabbing pains in the seat. Here are five exercises that can relieve nerve pain and provide better pelvic function. We recommend that you do these daily if you have pelvic problems.

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VIDEO: 5 Strength Exercises Against Back Prolapse

In the case of pelvic problems it is also important to strengthen the deep back muscles - so you can relieve your overloaded pelvis. Precisely for this reason, we have chosen these gentle and adapted strength exercises that can also be used even if you have a back prolapse. Click below to see them.

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Common causes and diagnoses of pelvic pain:

Atrosis / osteoarthritis (the pain depends on which joints are affected)

Pelvic (the wound is often located in the lumbosacral / hip region, and has associated myoses in glutes musculature)

pelvic locker (typically causes pain and dysfunction of the iliosacral joints, as well as the lower back)

Gluteus maximus myalgia / trigger point  (causes typical myosis pain in the seat, tailbone and occasional ileing in the back of the thigh)

Gluteus medius myalgia / trigger point  (can cause deep pain in the seat and the transition to the lower back, can also contribute to false sciatica)

Gluteus minimus myalgia / trigger point  (may cause deep pain in the seat and occasional tingling all the way down to the outside of the lower leg)

Ischiogluteal bursitis (gluteal mucositis) (may cause severe pain, reddish swelling and inflammation-like pain in the buttock region)

Obturator internus myalgia / trigger point (myosis that can refer pain deep to the tailbone, hip and glutes)

rheumatism (the pain depends on which joints are affected)

 

The Norwegian Mother and Child Survey (MoBa)

The MoBa survey was conducted in the years 1999-2008. Over 90000 pregnant women participated in the survey. In this study, almost half stated that they had had pain in one or more stages of pregnancy. 15% reported that they had pelvic floor syndrome in the latter part of pregnancy.

 

Also read: Hit by Sciatica in Or After Pregnancy? Try these 5 Exercises Against Sciatica

 

Anatomy of the pelvis

What we call the pelvis, also known as pelvis (ref: large medical lexicon), consists of three joints; the pubic symphysis, as well as two iliosacral joints (often called pelvic joints). These are supported by very strong ligaments, which give the pelvis a high load capacity. In the 2004 SPD (symphysis pubic dysfunction) report, obstetrician Malcolm Griffiths writes that neither of these three joints can move independently of the other two - in other words, movement in one of the joints will always lead to a counter-movement from the other two joints.

If there is uneven movement in these three joints we can get a combined joint and muscular torment. This can become so problematic that it will require musculoskeletal treatment to be corrected, e.g. physiotherapy, chiropractic or manual therapy.

 

 

X-ray of female pelvis

In the x-ray above you can see a female pelvis / pelvis (AP view, front view), consisting of sacrum, ilium, iliosacral joint, tailbone, symphysis etc.

 

MRI image / examination of female pelvis

In the MR image / examination above you see a female pelvis in a so-called coronal cross-section. In MRI examination, versus X-ray, soft tissue structures are also visualized in a good way.

 

Causes

Some of the most common causes of such ailments are natural changes throughout pregnancy (changes in posture, gait, and change in muscular load), sudden overloads, repeated failure over time, and little physical activity. Often it is a combination of causes that cause pelvic pain, so it is important to treat the problem in a holistic way, taking into account all factors; muscles, joints, movement patterns and possible ergonomic fit.

 

Pelvic

Pelvic relief is one of the very first things mentioned when talking about pelvic pain. Sometimes it is mentioned correctly, other times by mistake or lack of knowledge. relaxin is a hormone found in both pregnant and non-pregnant women. During pregnancy, relaxin works by producing and remodeling collagen, which in turn leads to increased elasticity in muscles, tendons, ligaments and tissue in the birth canal - this provides enough movement in the area involved for the baby to be born.

 

Men, and that's a big but. Research in several large studies has ruled out that the levels of relaxin are a cause of pelvic joint syndrome (Petersen 1994, Hansen 1996, Albert 1997, Björklund 2000). These relaxin levels were the same in both pregnant women with pelvic joint syndrome and those without. Which in turn leads us to the conclusion that Pelvic joint syndrome is a multifactorial problem, and should then be treated with a combination of exercise aimed at muscle weakness, joint therapy and muscle work.

 

- Also read: Why did I have so much back pain after pregnancy?

 

pelvic locker

Pelvic lock is another term that is also used frequently. It indicates that the iliosacral joints have a dysfunction / impaired movement, and as shown in Griffiths' SPD report (2004), we know that if we have a joint that does not move then this will affect the other two joints that make up the pelvis. The iliosacral joints have very small range of motion, but the joints are so essential that even minor restrictions can cause dysfunction in nearby muscles or joints (eg lower lumbar spine or hip).

The link to the lumbar spine is obvious if we think from a biomechanical scene - the lower vertebrae are the closest neighbor to the iliosacral joints and can be affected by musculoskeletal problems in the pelvis. This is illustrated by the fact that joint treatment aimed at both the lower back and pelvis is more effective than just joint treatment aimed at the pelvic joint, as shown in a recent study in  Journal of Bodywork and Movement Therapies.

 

In the study, they examined two different manual adjustments (as performed by chiropractors and manual therapists) and compared their effect on patients with sacroiliac joint dysfunction - also known as pelvic joint dysfunction, pelvic lock, ileosacral dysfunction or pelvic joint lock in the vernacular and vernacular.
The study (Shokri et al, 2012), a randomized controlled trial, wanted to gain clarity in the difference between adjusting only the pelvic joint compared to adjusting both the pelvic joint and the lower back, in the treatment of pelvic joint locking.

 

To jump straight to the treat, so be it konklusjonen as follows:

… «A single session of SIJ and lumbar manipulation was more effective for improving functional disability than SIJ manipulation alone in patients with SIJ syndrome. Spinal HVLA manipulation may be a beneficial addition to treatment for patients with SIJ syndrome. » …

 

So it turned out that it adjusting both pelvic and lower back was significantly more effective when it came to pain relief and functional improvement in patients who had been diagnosed with pelvic dysfunction.

 

 

Classification of pelvic pain.

Pelvic pain can be divided into acute, subacute og chronic pain. Acute pelvic pain means that the person has had pelvic pain for less than three weeks, subacute is the period from three weeks to three months and the pain that has a duration of more than three months is classified as chronic. Pelvic pain can be caused by muscular tension, joint dysfunction and / or irritation of nearby nerves. A chiropractor or other expert in musculoskeletal and nerve disorders can diagnose your ailment and give you a thorough explanation of what can be done in terms of treatment and what you can do on your own. Make sure you do not walk with pelvic pain for a long time, contact a chiropractor (or other musculoskeletal expert) rather and diagnose the cause of the pain. When you know the cause, it becomes much easier to do something about it.

Clinically proven effect on pelvic and lower back pain relief.

- A recent RCT showed that joint treatment of both pelvic joints and lumbar spine was more effective in the treatment of pelvic joint syndrome (Kamali, Shokri et al, 2012)

- A systematic review of studies, a so-called meta-study, concluded that chiropractic manipulation is effective in the treatment of subacute and chronic low back pain (Chou et al, 2007).

 

 

What does one do chiropractor?

Muscle, joint and nerve pain: These are things that a chiropractor can help prevent and treat. Chiropractic treatment is mainly about restoring movement and joint function that can be impaired by mechanical pain. This is done by so-called joint correction or manipulation techniques, as well as joint mobilization, stretching techniques, and muscular work (such as trigger point therapy and deep soft tissue work) on the involved muscles. With increased function and less pain, it may be easier for individuals to engage in physical activity, which in turn will have a positive effect on both energy and health.

 

Exercises, training and ergonomic considerations.

An expert in muscle and skeletal disorders can, based on your diagnosis, inform you of the ergonomic considerations you need to take to prevent further damage, thus ensuring the fastest possible healing time. After the acute part of the pain is over, in most cases you will also be assigned specific home exercises that also help reduce the chance of relapse. In the case of chronic ailments, it is necessary to go through the motor movements you do in everyday life, in order to weed out the cause of your pain occurring time and again. It is important that every training program has a gradual build-up / progression - otherwise you risk getting strain.

 

 

What can you do yourself?

1. General exercise, specific exercise, stretching and activity are recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the body and aching muscles.

2. Trigger point / massage balls we strongly recommend - they come in different sizes so you can hit well even on all parts of the body. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:

3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.

4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve pain by cooling the area gently. Cooling is especially recommended when the pain is very severe. When they have calmed down then heat treatment is recommended - it is therefore advisable to have both cooling and heating available.

5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).

 

Recommended products for pain relief in pain

Biofreeze (Cold / cryotherapy)

 

 

 

- Here you will find an overview and list of exercises we have published in connection with the prevention, prevention and relief of pelvic pain, pelvic pain, pelvic locking, osteoarthritis and other relevant diagnoses.

Overview - Exercise and exercises for pelvic pain and pelvic pain:

5 Good Exercises Against Sciatica

5 yoga exercises for hip pain

6 strength exercises for stronger hips

 

Recommended products for effective training of the pelvis and hip (see knitting exercises on the product page):

 

Read more: Complete Set of 6x Mini-Bands

 

Difficulty finding a good lying position? Tried ergonomic pregnancy pillow?

Some think that a so-called pregnancy pillow can provide good relief for sore back and pelvic pain. If so, we recommend Leachco Snoogle, which is the best seller on Amazon and has over 2600 (!) positive feedback.

 

Also read:

- Backache?

- Headache?

- Pain in the neck?

 

References:

1. SPD: The Clinical Presentation, Prevalence, Aetiology, Risk Factors and Morbidity. Malcolm Griffiths.
2. Normal Serum Relaxin in Women with Disabling Pelvic Pain During Pregnancy. Gynecol Obstet Invest. 1994; 38 (1): 21-3, Petersen LK, Hvidman L, Uldbjerg N
3. Symphyseal Distention in Relation to Serum Relaxin Levels and Pelvic Pain in Pregnancy. Acta Obstet Gynecol Scand. 2000 Apr; 79 (4): 269-75. Björklund K, Bergström S, Nordström ML, Ulmsten U
4. Relaxin is not related to symptom-giving pelvic girdle relaxation in pregnant women. Acta Obstet Gynecol Scand. 1996 Mar; 75 (3): 245-9. Hansen A, Jensen DV, Larsen E, Wilken-Jensen C, Petersen LK.
5. Circulating levels of relaxin are normal in pregnant women with pelvic pain. Eur J Obstet Gynecol Reprod Biol. 1997 Jul; 74 (1): 19-22. Albert H, Godskesen M, Westergaard JG, Chard T, Gunn L.
6. Kamali & Shokri (2012). The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome. Journal of Bodywork and Movement Therapies
   Volume 16, Issue 1, January 2012, Pages 29–35.

 

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