SACROILIAC JOINT CASE FILESACROILIAC JOINT CASE FILE gives an unusual condition of a woman with a hip arthrodesis. For details about the sacroiliac joint anatomy, click here. I won't repeat them. Sacroiliac Joint Anatomy. Mrs Z, a 60 year old womanFour years ago Mrs Z had a successful right hip replacement for an arthritic hip. The only problem is that her left leg was 10mm shorter than the right after the procedure, and she started suffering from mild low back pain. The first problem: Looking at the X-ray below it appears that she has a short RIGHT leg. The X-ray was taken four years ago, and she couldn't remember if it was taken standing or supine. Six months ago Mrs Z developed acute Low Back Pain, radiating to the back of the right thigh after some vigorous gardening. The only treatment was prescribed naproxen and the pain gradually subsided.
Lower back and leg pain. Naproxen should never be used:
Hip arthritis.
Two months agoThen: two months ago she again developed acute right low back pain, this time without referral to the leg. The typical disc signs were on this occasion absent. This time however the pain didn't go over with the anti inflammatory drugs. It got worse. When she consulted me she was suffering with all the signs of an acute sacro iliac syndrome. Anti inflammatory drugs.Sacroiliac Joint Syndrome. Mrs Z came, of her own admission in fear and trembling (she's no sissy, one very tough Dutch lady!) to an open day. Fearful of her hip. I managed to convince her that I was fairly sure we could help her. What was different in her case, was quite severe pain in the groin, in a large back muscle that inserts into the inner thigh. It's called the Iliopsoas muscle. Treatment of that muscle was very painful - for about 40 seconds. What was also odd, was that on the physical examination she clearly had a short LEFT LEG - in total contradiction with the X-ray. We have specialised treatment tables today for the treatment of the sacroiliac joint, and it's particular useful for the patient who has had a hip replacement - there is no stress on the hip joint.
Sacroiliac Joint Treatment. TREATMENTTreatment in this Sacroiliac Joint Case File consisted of soft-tissue therapy (a glorified name for massage, lasting perhaps 2 minutes, around the Sacro-iliac joints. Then the drops using the specialised treatment table on her SI joints. She had a sacral subluxation, required a specialised thrust on the sacrum. Finally we finished with the painful treatment of the Iliopsoas in the groin. Sore. And three very basic exercises.Oh, yes, and a 5mm heel lift in her LEFT shoe. That's permanent. We may increase it. Within 2weeks she had 50% pain, and today (7 weeks) she said she has virtually no pain. We are busy with more difficult rehab exercises. 8 treatments in total. A happy lady. Miracles we do at once, the impossible takes a little longer! So said my mother, also a Chiropractor. ANECDOTESacroiliac Joint Case File is merely an anecdote and has no scientific value. I include it mainly to indicate to you that having a hip prothesis does no disqualify you from having chiropractic care. We treatment patients on a daily basis who have had hip replacements.LINKSFrom Sacroiliac Joint Case File to SACROILIAC JOINT.Go from Sacroiliac Joint Case File to CHIROPRACTIC HELP home page … Interesting facts about STRAWBERRIES Glucosamine Chondroitin sulphate, do they help?
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