Pelvic girdle pain
What is it?
Pain presenting in the back of the pelvis is can be referred to as pelvic girdle pain or sacroiliac joint pain. The surface of where the sacrum joins on to the hip can be referred to as the sacro iliac joint. There are two joints that form the back of the pelvis.
Signs and symptoms:
- Pain in the buttock region usually on one side
- Maybe accompanied by generalised lower back pain or pelvis pain
- May experience pain into your hips
- Can experience referred pain travelling down the leg
- Pain at the pubic symphysis, (or perhaps a grinding feeling)
- Not feeling confident in your back or legs to support you properly
Your body produces a hormone called relaxin, which is produced during pregnancy. It is the softening and physical changes of your body that leads to extra stress placed on your ligaments, muscles and joints.
Osteopathic treatment may be of assistance by providing a variety of non invasive techniques such as soft tissue massage and joint mobilisation techniques to improve the mobility and strength of the hips, lower back and pelvis. We also provide patients with pelvic floor exercises which may help by improving the stability of your pelvis. Osteopaths offer advice with regards on how to carry out daily activities and how to look after your posture. Following pregnancy, most of this pain resolves well.
Aches and pains associated with posture during pregnancy:
During pregnancy, a pregnant woman's posture will change dramatically over 40 weeks due to the growing baby. Back pain during pregnancy is a common complaint. It is often due to the increase in weight which alters your centre of gravity. This coupled with the effects of the hormone relaxin, can lead to extra stress placed upon your muscles and joints.
- Ensure you have a good posture
- Wear shoes that have a low heel and good arch support
- Lift correctly: when lifting ensure you squat and avoid bending at the waist or lifting with your back
- Sleep on your side with pillows under your bent knees, under your abdomen for extra support
- Apply heat
- Engage in moderate activities such as swimming or attending aqua natal classes can help ease lower back pain
- Complementary therapies such as osteopathy
What is it?
Sciatica is nerve pain that originates from the sciatic nerve. The sciatic nerve provides sensation and function to the lower limb. This nerve travels from your lower back, down through the gluteal region, hamstrings and down into the lower leg.
Signs and symptoms
- Decreased strength in the lower extremity
- Shooting pain travelling down back of gluteal region, thigh and calf
- Pins and needles
- Aggravated by coughing, sneezing or bearing down
- Hot pain in gluteal region
- Pain in the buttock when sitting
There are multiple causes of sciatica. These include lumbar disc involvement, degeneration of the spine, tight muscles in the hip capsule, sacroiliac involvement and pregnancy.
Osteopathic treatment may help to promote flexibility, posture and strength. It is important to rest and avoid aggravating factors. A combination of soft tissue therapy, joint mobilisation, trigger point release and stretching may be effective to relieve nerve pain. Low impact exercises such as swimming, yoga or pilates may be effective. Always try to sit and stand with good posture.
Sciatica. (2015) Retrieved from http://www.osteopathy.org.au/pages/sciatica.html