Ever had a pain in the butt? No, I am not talking some crazy family member who cannot keep the mouth shut. I am talking about a real pain in the buttock region, possibly confused with low back pain.
A common cause of pain in the area of the tailbone, especially the tailbones in women, is the sacroiliac joint (SIJ). Before we proceed further, let us form a mental picture of the pelvis . The pelvis is a boney ring formed by four bones: two fused sections comprised of the pubis, ischium and ilium, one sacrum, and one coccyx. These four sections of bone are joined by strong ligaments at the pubic symphysis (in front) and the sacroiliac joints (in the back). All three of these joining points for the pelvic ring are potential sources of pain, especially in women and most especially in pregnant women. Thus, women in particular need to understand the risks for having SIJ dysfunction, the ways to diagnosis the problem, and the solutions for this pain in the butt.
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The list of tips for sore feet is not complete without mentioning the butt muscles. This group of muscles may be the laziest in the entire body. When the butt muscles become weak, the entire leg is affected, including the feet. Everything starts to turn inward. The thigh bone rotates inward causing "knock-knees." The ankles turn inward to the point that the arch of the foot can become plastered to the ground. This misalignment of the leg leads to a chain reaction of chronic pain.
Anyone with back, hip, knee, ankle, or foot pain should remember to strengthen the butt muscles. The easiest and most practical way to improve strength in the buttocks is to stand on one leg. Go ahead and try it (if needed, hold onto a chair for safety). Your beltline should remain parallel to the ground and your body should remain upright. If that was difficult, try it again only this time focus on tightening the butt cheek on the same side you are standing on. Once the butt muscles engage, the leg be...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
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