Pregnancy
During pregnancy, treatment/therapy may only be carried out in consultation with the doctor. During the first 3 months of pregnancy treatment is contraindicated because of the risk of miscarriage. Until the end of the pregnancy, gentle treatment may be used in consultation with the doctor.
However, the therapist only works with mobilization and careful soft tissue techniques. Usually the complaints in the pregnancy develop rather in the later period, since the child needs more place by the growth and the nut/mother stands strengthened in the hollow back. This leads to increased pressure on the ISG and resulting pain. Through appropriate exercises and mobilization the pressure can be reduced and the mother feels much better.
Summary
The sacroiliac joint (ISG) is located at the end of the lumbar spine. Here, the sacrum articulates with the ilium (iliac scoop) via a small joint surface. Movement in this joint is minimal, but can quickly become blocked by an unfavorable movement or a wrong step.
Ligaments around the bony structures of the pelvis provide stability during movement. Muscles originating at the pelvis provide stability of the pelvis when walking and minimal movement in the joint. A step into the void or a wrong move can lead to an ISG blockage, which is usually difficult to release.
An ISG blockage is often caused by a step into the void or by a compression load. The physiotherapist finds out the exact blockage by specific examination and treats it with the appropriate mobilization and soft tissue techniques. To avoid further blockages, the patient should undergo specific abdominal and back training.
In comparison to physiotherapy, osteopathy offers holistic examinations and treatments. Causal chains or organs are included in the treatment. Caution is required in pregnancy. Depending on the stage of pregnancy, mobilization is either not performed at all or only gently.