A range of chiropractic methods can be used to treat individuals with sacroiliac joint pain in the lower back or buttocks and are often the first line of treatment.
Utilizing a procedure that is both patient-friendly and effective is what chiropractors aim for. Because different treatments work better for different patients, the chiropractor may use a variety of manipulations to address the sacroiliac joint pain.
For sacroiliac joint dysfunction, there are two general chiropractic manipulation approaches:
- Traditional chiropractic adjustments are a sort of high-velocity, low-amplitude push, often known as spinal manipulation or HVLA thrust.
- Low-velocity, low-amplitude thrust; gentle/less forceful adjustment, also known as spinal mobilization.
Chiropractors can also treat sacroiliac joint problems with complementary therapy.
The chiropractor treats the sacroiliac joint while the patient is lying down on their side. Specifically:
- The patient's top knee is flexed (bent) and then elevated toward the chest.
- The lower shoulder is pushed forward, causing a strain in the low back and pelvis.
- While the patient's upper shoulder is tractioned (pushed to create tension) backward and the knee is tractioned towards the floor, the chiropractor's contact hand is placed over the sacroiliac joint, and pressure is administered.
- The chiropractor applies high-velocity, low-amplitude thrust onthe lumbar spine once the slack has been reduced and the pre-manipulation position has been determined to be comfortable.
When the joint is pushed past its passive range of motion but well within the tissue boundaries, the thrust frequently results in an audible release called cavitation, which is caused by oxygen, nitrogen, and CO2 escaping from the joint.
This chiropractic maneuver sounds akin to"cracking knuckles"" and produces the customary "crack" associated with joint manipulation. While the "cracking" description of a chiropractic manipulation may conjure up images of discomfort, the experience is usually fairly pleasant, and relief can be felt nearly immediately. Patients who have previously been treated with this method frequently request it when they return to a chiropractic clinic.
Traditional chiropractic adjustments cause some people to be uncomfortable or unable to tolerate the cracking sound or twisting. A milder or less forceful approach may be preferable for these patients.
Slower (low-velocity) techniques are used in less forceful spinal manipulation, allowing the joint to remain within its passive range of motion.
Chiropractic methods that are gentle include:
- Gravity traction using adjusting blocks: Underneath the body is carefully positioned padded "blocks" of various shapes and sizes. The practitioner can gently move the sacroiliac joint and other locations while the patient is resting face down, using gravity from the block rather than force.
- Respiratory-assisted adjusting, long-axis leg traction techniques: While the chiropractor gently pulls one leg at a particular angle, the patient takes deep breathes to assist the adjustment to go more smoothly.
- A "drop" approach using a special chiropractic table: This table features portions that may be lifted and dropped simultaneously with the thrust, allowing gravity to help with the adjustment.
- A specialized adjusting tool or a device called an Activator: During an adjustment, the Activator is a spring-loaded instrument that delivers a low-force impulse to precise places along the spine.
- The "flexion distraction" technique: Flexion-distraction may be a technique that involves employing a customized table to softly distract or extend the spine. While minimally stretching the spine during a pumping rhythm, the chiropractor can localize the situation of the pain.
Gentle Chiropractic Mobilization vs. Adjustment
Gentle chiropractic treatments do not usually entail twisting the body. A chiropractor may propose gentle chiropractic treatments over a standard high-velocity, low-amplitude chiropractic adjustment for a variety of reasons, including:
- Patient preference: Some patients choose an approach that does not include twisting or joint "popping" because they are uncomfortable with standard high-velocity thrust manipulation.
- Contraindications: Some patients, such as those with particular types of spinal instability or advanced osteoporosis, may not be able to endure typical chiropractic manual manipulation.
The chiropractor may offer a variety of adjuvant therapies for sacroiliac joint discomfort in addition to one or more spinal manipulation procedures. Sacroiliac joint pain is no laughing matter. If you're tired of waking up in pain every day, it's time to take action. Give these stretches and tips a shot, and if they don't work, contact Sheets Chiropractic right away. Make an appointment with us today for a free consultation!
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