Sacral bone pain is perceived in the lower part of the back and saddle area. Commonly, the underlying reason for pain is injury or trauma to the joint present between the hip and vertebral column. Sacroiliac pain can be misunderstood as some other conditions like buttocks problem or a slipped disc. It is compulsive to diagnose correctly the underlying cause of the pain in order to carry out the prompt treatment.
Anatomy of the Sacrum
Sacral bone is located at the lower part of the vertebral column. It is triangular-shaped bone present between the two hip bones. The sacrum is anatomically present between fifth lumbar vertebrae and the coccyx. The sacrum is basically made up of five segments (S1 to S5) which are fused together.
Causes of Sacral Bone Pain
There may be many underlying causes of sacral bone pain some of which are discussed below:
It is a gynaecological disease in which some of the glands of the innermost layer of the uterus are present outside their normal location. This disease may extend up to Sacro-uterine ligaments and behind the cervix. Sacral pain is common in such patients which is cyclical in nature.
In the persons having any vertebral column deformity, pain is a common happening in the lumbar and sacral area. The anomalies may be congenital or acquired. Pain in this situation is sudden in onset, continuous, severe in nature and felt when a load is exerted to the vertebral column.
Sustained Physical Activity
Continuous and sustained physical workout may lead to strain on the musculature of the lower back. Rectal-uterine ligaments are also shrunken. Due to strained muscles, pain is felt in the affected area.
Due to infections, intrusions of pyogenic microorganisms happens, infectious lesions may form in the bone. If these infectious organisms invade sacral bone, severe sacral pain occurs.
Metabolic Diseases of the Bone
Osteoporosis is a degenerative bone disease which is mostly found in the old age persons due to wear and tear changes. In osteomalacia, bones become weakened. Both of these diseases result in significant bone loss which can lead to injuries and chronic pain.
It is a very common cause of chronic lower back pain involving the lumbosacral area. This condition can be differentiated with other bone diseases by the presence o urinary symptoms (urgency of urine, burning micturition and increased the frequency of urination).
Diagnosis of Sacral Bone Pain
When you go to your doctor for sacral bone pain, he takes a complete history from you and performs a thorough physical examination to look for any abnormality in your posture, gait, shape of vertebral column and range of movements. If the doctor suspects any injury or any pathological process in the bones or joints of the vertebral column, a radiological investigation may be ordered (i.e. X-Ray, CT scan or MRI) . if there is any mild injury to the sacrum, urgent medical intervention is not needed for the healing of bone but it can prevent further complications like nerve damage or disc slip.
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Sacrum Pain Relieving Tips
Fortunately, the treatment for sacral pain does not need surgical intervention. You can relieve sacral bone pain by taking adequate rest, using over the counter pain-relieving medications and staying yourself moderately active. You may wear a medical back brace or corset with the advice of your doctor in order to provide some extra support to your backbone. Moderate intensity exercises also help in maintaining the flexibility of your vertebral column and thus tension from your back is relieved.
If the underlying cause of sacral bone pain is a bone weakness, calcium and vitamin D supplements are good to use because calcium act to strengthen the bones and vitamin D enhances the absorption of calcium from gut and kidneys.
If the sacral bone pain is of mild intensity, you can relieve your back pain by carrying out some home remedies like applying hot and cold packs. You can apply an either a hot or cold pack to your aching area for 15-20 minutes and you will feel a significant reduction in your pain. According to a study, the effect of applying a cold pain for pain relief is equal to the effect of NSAIDs medication.
Many types of stretching activities are also very helpful for relieving lower back pain. You must address your hip flexors, hamstrings and glutes muscles. Performing exercises for these muscles may result in a healthy outcome for your back.
Recovery and Prevention for Sacral Bone Pain
A physically active lifestyle and positive behavior to work are all important factors for recovery. If job duties for full time cannot be carried out in the start, modified work duty may be suggested for a short time. Following steps must be followed in order to prevent sacral bone pain:
- Good lifting techniques must be adopted. Heavy weight lifting workers must be kept in mind that flexing at the hip joint to pick up a thing is not a healthy activity. Always bend at your knees to pick something from the ground.
- Good posture must be adopted while prolonged periods of continuous sitting, standing, driving, sleeping, and other routine works.
- Apply proper ergonomics at your workplace. If you are an office worker, adjust your chair and table in such a way that the screen of your computer and laptop is in front of your eyes and your feet are comfortably placed on the floor.
- Take proper nutrition. Any deficiency of micro or macronutrient can lead to chronic aches in the body including in the sacral area.
- Maintain your weight in the normal range of body mass index. Obesity leads to extra pressure exertion to the sacral area which results in chronic lower back pain.
- Do not overstress yourself. If you are feeling stress, perform some relaxation techniques.
- Quit smoking because smoking practice lessens the blood supply to body tissues. Since intervertebral discs have already compromised blood supply, chronic back pain is likely to happen in chronic smokers.