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Very often people will come into my practice and indicate they are having lower back pain. At that point I have to ask exactly where the pain is coming from. More often than not if my client is female, the pain will be in the sacral pelvis area. Women are 6 times more likely to have sacral pelvis issues. Men are more likely to have lumbar spine issues. L1 to L5
The pelvis is a simple, yet complex structure. On the one hand it is simple in that there are no muscles that comprise the pelvis. It is held together exclusively with a web ligaments. Remember ligaments connect bone to bone. Tendons connect muscles to bone.. On the other hand it can be complex because it is surrounded by muscles.. Muscles that are constantly introducing forced on the pelvis and sacrum.
The human body in many ways operates in a lever and pulley system. Your bicep pulls you arm up. Your opposing tricep pulls your arm down. We have to keep this in mind when thinking about what might be the source in the pain or irritation.
The hamstrings and adducters are pulling down on the ischium. What if one side is tighter than the other. This can shift the pelvis. It can be tilted. This can even make one leg appear shorter than the other.
Not only do you have to consider the muscles but also the nerves that innervate the structures. A nerve can be pinched or even run through the muscle tendon that be irritated when it is flexed.
Add in the Sacrum. Attached to the base of the spine. Just like the tip of a whip , it can take exaggerates the of the forces of the spine. Even in a very mild scoliosis, where the spine is curved. When the spine is curved, it is also rotated. Causing strain and torsions in the sacral joints.
Luckily there are ways to address each of these conditions.. Loosening tight muscles, separating fascial bags between the muscles, working to strengthen weak or stretched muscles, introducing blood flow to ischemic muscles and tendons are some ways we work with patients to increase mobility and reduce pain.
I hope this helps in understanding how the myoskeletal system works a little better.
Greensboro Neuromuscular Therapy