Hip and Sacroiliac
Sacroiliac joint dysfunction and low back
pain in school aged children. Mierau DR Cassidy, J.D. et
al. Journal of Manipulative and Physiological Therapeutics
1984; 7(2):81-84.
SI joint dysfunction has been implicated as
a common cause of back pain in more than 30% of children.
Low
force method of spinal correction and fixation of the sacroiliac
joint. Gemmell HA, Heng BJ. The Amer Chiro 1987; Nov:28-32.
Sacroiliac
joint dysfunction was found in 57% of patients presenting to
a chiropractic center.
Primary SI dysfunction arises from trauma
such as blows, falls on the buttock, or from attempts to save
oneself from falling. Knocking the SI joints out of place can
affect the structural integrity of the entire spine. The SI
joints themselves are held in place by small ligaments, which
can be stretched out of position if there is a traumatic dislocation.
Secondary
SI dysfunction comes on slowly, producing a chronic misalignment.
Muscle atrophy on one side and overdevelopment on the other
may be associated with a scoliosis, pelvic tilt or an actual
shortening of one leg. Over time the entire spine can be affected,
and one shoulder blade or one side of the ribcage may appear
more pronounced than the other. Eventually, uneven pressure
on the spine damage discs. The goal of care is to restore a
normal relationship between the sacrum and ilium and to maintain
it with suitable support.
Copyright 2004 Koren Publications, Inc. & Tedd Koren,
D.C.