Fibromyalgia Pain Can Be — Sacroiliac Joint Dysfunction

The SI joints support the entire weight of the upper body   sacroiliacjoint

Pain can be a condition known as SacroIliac Joint Dysfunction, known also as Sacroiliitis, SI joint inflammation, SI joint syndrome and SI joint strain.

Though the main symptom is low back pain, pain can be felt also in your hips, buttocks, thighs or groin.

The SI joints are formed by the connection of the sacrum, (which is the triangular-shaped bone in the lower portion of the spine, below the lumbar spine), and the right and the left iliac bones, which make up the pelvis. (Look for the two dimples in your low back).

While most of the vertebrae of the spine are mobile, the sacrum is made up of five vertebrae that are fused together and do not allow much movement. The sacrum and the iliac bones (ileum) are held together by a collection of strong ligaments with relatively little motion at the SI joints.  While there are a few causes of SI joint dysfunction, they usually involve damage to the ligaments surrounding the joint.

The SI joints support the entire weight of the upper body when we are standing upright, which places a large amount of stress across them.  

Conditions Contributing to Pain 

Some of the most common conditions that can cause pain with SI Joint Dysfunction are:

    • Arthritis:  Spondylosis (spinal osteoarthritis)—when your cartilage around your SI joints wear away, your bones can start to rub against each other.
    • Ankylosing Spondylitis:  Inflammatory arthritis that affects your spine and can also cause SI Joint Dysfunction.
    • Trauma:  A sudden impact like a car accident or bad fall could damage your SI joints.

As a child, I was in a car that was involved in an accident with a truck, twice in my lifetime I had injured my tailbone, plus the many trips to the emergency room from childhood antics probably contributed to my SI Joint dysfunction.

Hypermobility is common with Fibromyalgia

Pain can be a result of Sacroiliac Joint Hypermobility (JHS), a condition that features joints that move beyond the normal range and a common cause of chronic back pain and sciatica.  Joint Hypermobility is seen often in people living with Fibromyalgia.

The ligaments that provide joint stability are loose and weak, which increases the risk of ligament injury or strain and can cause discomfort.

*****The leg  pain can be particularly difficult, and may feel similar to sciatica or pain caused by a lumbar disc herniation.

In some cases, doctors simply monitor the patient’s condition to see if symptoms improve. Anti-inflammatory medications, such as ibuprofen and naproxen, are commonly used to treat the pain and inflammation in the joint.  You may be asked to rest your back by limiting your activities to help decrease inflammation and calm the muscle spasm.

Pain can also be exacerbated by forward flexion in standing, which leads to Forward Head Posture, seen often in people living with Fibromyalgia.

An easy natural solution.

If  you would like to explore natural pain relief for your symptoms, the Omega 3 fish oils, which are plentiful in the afa blue-green algae, have been shown to assist with pain relief.  What do krill eat? Algae! and krill are high in the omega 3 fatty acids!


Blue-Green Algae

I am eating the algae throughout the day…easy to do, because it comes in liquid, powder and tablets.  I am not one to stick to a regimen and being the algae is a whole-food, I can eat all I want when I want!

The blue-green algae is a whole food so the body recognizes it as such, so I know my body is absorbing the nutrients in the algae.

Strengthen the core muscles.

While doctors often recommend physical therapy for their patients, few muscles actually connect to both the sacrum and the pelvis. Key muscles to engage are the gluteus maximus, as well as the abdominal and low back muscles.  These muscles can be strengthened in a chair yoga class. In the class I attend, we perform different upper body postures.  I find it decreases the pain as I straighten my neck and shoulder area, as poor posture tends to increase the pain.

****Having hypermobile joints, we need to be careful not to over-stretch.  I did injure myself during “gentle” yoga in the past, but wasn’t aware of it until the following day!

Pain can be treated by a Chiropractor, as they are very familiar with treating SI Joint Dysfunction. I always soak in a warm bath of Epsom salts at the end of my busy day to absorb more of that important nutrient, magnesium.

***Photo credit:  This is a file from the Wikimedia Commons.


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