TreatmentTherapy
The therapy of pain in the sacrum depends strongly on the diagnosis made. Relatively harmless causes can be easily treated. Muscle problems such as hardening, pulled muscles or tears often heal by themselves and only need time to regenerate.
This time can be bridged with the help of painkillers such as ibuprofen, heat treatments and massages. Both hernias and herniated discs have to be treated differently depending on their severity and, if necessary, operated on. Decisive are the involvement of nerves and the neurological limitation resulting from this.
In the case of a fracture, the stability of the spinal column must also be taken into account. In the case of a fracture of the sacrum, surgery must be performed if the ends of the fracture are not in line with each other and therefore cannot grow together. This is called a dislocated fracture. A conservative, non-operative therapy usually consists of an initial immobilization with slowly increasing weight load.
Duration
The duration depends strongly on the cause of the pain in the sacrum. Muscular problems can take different amounts of time.Smaller muscle fiber tears, strains, sore muscles and overstrain often heal within a few days to a few weeks even without therapy. The healing of larger muscle injuries can take several months.
The fracture and contusion of the sacrum also take a few weeks to heal. The decisive factor here is whether or not an operation is performed. After 4 weeks of absolute bed rest, conservative therapy requires a further healing period of several months.
After an operation, the strain and healing can begin again earlier. Herniated discs can vary greatly in duration. Often the affected persons have no more pain after only a few weeks.
In some cases, however, the pain can become chronic and last for several months. Also complaints of the lumbar spine or the sacroiliac joint can take on chronic progressions and persist over long periods of time.
