The pain in my butt is

from my Pelvis??!

 

Unfortunately, it can be. Pelvic pain is commonly referred to as sacroiliac joint dysfunction.

In the body there are two sacroiliac joints at the base of the spine. The sacroiliac joint is made up of the tail bone (sacrum) and one of the pelvic bones (ilium). They are important joints for transferring weight and force between the spine and the hips.

Pain and discomfort can occur when one of these joints does not move enough (hypomobility) or moves too much (hypermobility). This then places abnormal stresses on the muscles and ligaments attaching to the pelvis, which may contribute to back, buttock, hamstring or groin pain.pelvis 1

In fact, recent studies have reported that up to 20% of back pain may be related to sacroiliac joint dysfunction.

 

Symptoms of pelvic pain

Pelvic pain diagram

  1. * Pain in the lower back or buttock, commonly on one side, which may refer into the thigh or groin.
  2. * Pain or discomfort when bending forward or lifting up your hip
  3. * Pain rolling over in bed or taking shoes and socks on and off
  4. * Difficulty with stairs
  5. * Tight muscles or trigger points in the hip and glutes

 

Causes of pelvic pain

  1. Muscle strength and flexibility imbalances between the hip muscles, particularly the hip flexors and extensors.
  2. Pregnancy – due to increase in joint laxity from the hormone relaxin
  3. A leg length difference

 

Treatment of pelvic pain

At All Care Physiotherapy, the first step is a full assessment to accurately diagnose the source of the pain, as pelvic pain can present similarly to other conditions such as low back pain and hip pain.

 

Treatment for pelvic pain may include:

  1. + Advice and education on what your condition is and what you can do to get better faster
  2. + Soft tissue massage
  3. + Joint mobilisations
  4. + Use of external devices such as taping and sacroiliac belt/lumbar braces
  5. + Dry needling
  6. + Strengthening program, commonly for the gluteal muscles
  7. + Electrotherapy techniques
  8. + Ergonomic and postural advice

 

Common exercises for pelvic pain:

 

Hip flexor stretch

hip flexor stretch pelivc pain

The hip flexors are often tight in patients with pelvic pain and can limit the movement of the joint.

For comfort, place a towel underneath the knee you are stretching.

Place the other lunge in front of you in a lunge position (see below)
Lean forward into the stretch, which you should feel at the front of your hip
To stretch even further, bend your back leg up to your bottom with your arm

 

Bridge

bridging pelvic pain

Weak gluteal muscles are often a cause of pelvic pain.

To perform the bridge;

Lie on the ground with your knees bent up and your feet hips distance apart
Squeeze your bottom together, push through your heels and lift up off the ground
Hold for 5 seconds and slowly return

 

Transversus Abdominus & Pelvic Floor Activation

transverse abdominus pelvic pain

Tranversus Abdominis (TA) is a deep stabilising muscle of the lower back and pelvis, acting like a brace or corset to protect the spine.

 

To activate this muscle:

Lie on your back with your knees bent up (pictured)
Concentrate on drawing in the area below your belly button towards your spine. Aim for a 20% contraction.
Place your fingers on the inside of your pelvis to feel the muscle
Continue to breathe normally. Your rib cage should not move during the muscle contraction
To activate your pelvic floor in tandem with the TA, activate your muscle as if you are trying to stop the flow of urine.

 

Clams

clams pelvic pain

 

Clams are a simple exercise for strengthening the muscles on the side of the hip.

Lie on your side with your knees on top of one another
Press your ankles together gently and lift your top knee. Hold for 5 seconds.
The movement should be entirely from your hip, so your back and pelvis should not rotate

 

So don’t settle for pelvic pain, call All Care Physiotherapy today on 1300 291 133 and get back to the activities you enjoy!