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Home :: Back Sprain, Sacroiliac Region

Back Sprain, Sacroiliac Region

Violent overstretching of one or more ligaments in the sacroiliac region of the spine. When the ligament is overstretched, it becomes tense and gives way at its weakest point, either where it attaches to bone or within the ligament itself. There are 3 types of sprains:

  • Mild (Grade I)-Tearing of some ligament fibers and associated muscle spasm. There is no loss of function.
  • Moderate (Grade II)-Rupture of a portion of the ligament, resulting in some loss of function.
  • Severe (Grade III)-Complete rupture of the ligament or complete separation of ligament from bone. There is total loss of function. A severe sprain requires surgical repair.

BODY PARTS INVOLVED

  • Ligaments of the sacroiliac region.
  • Sacrum (spinal region) and ilium (bones of the pelvis).
  • Tissue surrounding the sprain, including blood vessels, tendons, bone, periosteum (covering of bone) and muscles.

Causes

Direct blow or stress on ligament that temporarily focus or pries the sacroilloc joint out of its normal configuration.

Signs & Symptoms

  • Severe back pain at the time of injury.
  • A feeling of popping or tearing in the sacroiliac area.
  • Tenderness and swelling at the injury site.
  • Bruising (sometimes) that appears soon after injury.

Treatment

Follow your doctor's instructions. These instructions are supplemental.

If the doctor does not apply tape or an elastic bandage:.

  • Use an ice pack 3 or 4 times a day. Place ice or cubes in a plastic bag. Wrap the bag in moist towel, and place it over the injured area. Use for 20 minutes at a time.
  • Wrap the lower abdomen and hips with an elasticized bandage between ice treatments.
  • After 72 hours, apply heat instead of ice, if it feels better. Use heat lamps, hot soaks, hot showers or heating pads.
  • Take whirlpool treatments, if available

Home Diet

During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity
Prevention
  • Build your strength with a conditioning program appropriate for your sport.
  • Warm up before practice or competition.
  • Tape vulnerable joints before practice or competition if you have been previously injured.

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