Your spine (back bone) sits on your sacrum so pressures in your low back are transferred into your pelvis, often causing strain.
Common Signs & Symptoms
- Intermittent sharp or shooting pain and/or dull constant ache in your low back or legs
- Pain can spread into the low back, hip, groin, buttock or back of the thigh, but rarely below the knee
- Numbness and weakness in your legs
- Worse with bending forwards, backwards and standing up from a seated position
- When pain is severe, moving your leg out sideways, such as when getting out of a car, or turning over in bed makes it worse
- You may feel stiff and have spasm in the back, buttock, groin and thigh
Your pelvis is made up of a circle of bones with your sacrum bone at the back, just above your buttock cheeks. Your spine (back bone) sits on your sacrum so pressures in your low back are transferred into your pelvis, often causing strain. Your pelvis is held together by the snug fit of your bones and supported by the muscles which surround your pelvis but dysfunction in this area happens with:
- An increase in stresses between your low back and pelvis
- Problems with the muscles surrounding your pelvis such as a weak 'core' or malalignment
- Stiff joints
- Ligament damage
- Hypermobility (too much flexibility)
These increases the stresses and strains going through your lumbopelvic joints, causing pain and muscle spasm.
Stiff joints which don’t move enough become squashed and squeezed causing the surrounding soft tissue to become tight, which in turn makes the joint even stiffer. Pain comes from a constant lack of movement in your joints and soft tissues. Weakness of your 'core' muscles or muscle imbalance can cause malalignment, tightness and pain which can make your joint move abnormally during activities such as standing, walking, running, squatting and sitting.
Advice & Treatment
Because there can be a range of issues which cause lumbopelvic problems, you may need to see your Physio for a full assessment.
Treatment depends on why you have developed your symptoms. Developing your 'core' muscles and assessing your alignment will help to reduce the stresses and reduce your pain.