Pain with an ISG – blockage
The ISG blockade can occur suddenly or become chronic. In either case it manifests itself by a pain in the lower back. This pain can be diffuse over the entire lumbar spine.
However, it is often limited to the area of the ISG blockage. In addition, the pain can radiate and pull along certain lines into the leg, cause knee pain or cause the feet to tingling or numbness. Especially the movement of the pelvis is painful, but tilting the pelvis backwards often relieves the pain.
Long periods of immobility while sitting, standing or lying down also lead to pain and muscle stiffness. Lying down, especially with stretched legs, is usually accompanied by severe pain. Depending on the cause of the ISG blockage, pain may also occur in the groin or pubic bone.
The nights were a torture for many people affected by ISG blockage. Lying on the back with outstretched legs is a particular strain on the lumbar spine. The complaints of an ISG blockage are also aggravated by little movement.
After a night lying down, as well as after long sitting or standing in the same position, the pain is particularly strong and the surrounding muscles are stiff. If it is not too uncomfortable for the patient, the legs can be bent and raised at a 90 degree angle lying on the back. This relieves the ISG blockage and relaxes the joint.
The ISG blockage cannot always be completely cured by a one-time treatment success of the orthopedist. Some patients suffer from chronic complaints, which can only be improved with difficulty. In many cases an ISG blockage must be counteracted by active muscle building and physiotherapy. Until a significant improvement is achieved, many therapy sessions may have passed and even then pain may reappear after long periods of inactivity or with strenuous posture.
From symptom to diagnosis
The prerequisite for the diagnosis of an ISG blockage is first of all a good anamnesis, which gives important information about the correct body region and functional disorder. After the inspection with the changes in the attitude pattern are recognized and documented the physical examination follows. There are a number of tests that allow the doctor to identify a functional disorder. There is a basic distinction between orienting tests, which give the doctor indications of a functional disorder, and joint play tests, which confirm the diagnosis of a blockage. It is always important to take into account important differential diagnoses such as inflammation and tumorous diseases.Once the ISG blockage has been diagnosed and structural causes have been ruled out, the doctor has a number of treatment techniques at his disposal.
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