Low back & sacro-iliac joint pain
Pain in the lower back or around the pelvis is very common and can present in a number of different ways. Symptoms may be localised to the low back or buttock, or may refer into the hip, groin or leg. These patterns can have overlapping causes and it is important to understand which structures may be contributing.
Low back pain can arise due to a combination of factors including posture, load, movement patterns, muscle tension and previous injury. Pain may sometimes be accompanied by leg symptoms, often described as sciatica, which can have different contributing mechanisms.
The sacro-iliac joints sit on either side of the sacrum and connect the pelvis to the spine. These joints play an important role in transferring load between the upper and lower body. Symptoms associated with the sacro-iliac joints may include pain in the low back, buttock or hip and, in some cases, pain that travels down the leg. Symptoms may be influenced by reduced movement, excessive movement or altered control of the joints.
Because pain from the sacro-iliac joints can feel similar to pain arising from the lower back or nerve irritation, careful assessment is needed to distinguish between different contributors.
Changes related to pregnancy can also influence the sacro-iliac joints. Hormonal changes, altered posture and increasing load through the pelvis may contribute to discomfort in this area for some people. For more information, you may find this article helpful:
Pain in pregnancy.
Osteopathic assessment and care
Osteopathic assessment for low back and sacro-iliac joint pain considers how the spine, pelvis and hips are moving and working together. Posture, movement patterns, muscle tone and relevant lifestyle factors are also explored.
Treatment may involve hands-on techniques to ease muscle tension, support joint mobility and improve movement patterns. Advice is often given on activity modification, pacing, posture and appropriate exercises to support recovery and reduce ongoing strain.
Care is tailored to the individual and based on findings from assessment.
Patient experience
“As a keen fell runner, avoiding injury is a priority. I started seeing Fiona following a lower back injury. Her approach has helped me recover well and continue running, and regular treatment has proved invaluable in addressing issues early before they develop into injuries. I have no hesitation in recommending Fiona.”
Helen, Hydrogeologist and fell runner
Appointments can be booked via my online diary.
