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Pain in the sacral region
Last reviewed: 04.07.2025
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Pain in the sacrum can be a sign of quite a variety of pathologies, including diseases of the spine, genitourinary system, and gastrointestinal tract.
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What causes pain in the sacral area?
Pain in the sacrum area may occur in women with endometriosis. With this disease, nodes are formed inside and near the uterus, provoking the formation of adhesions and obstruction of the fallopian tubes. The causes of the disease can be genetic factors, infections, abortions, stress, cesarean section, hormonal imbalance, etc. In addition to pain in the sacrum area, there is pain in the lower abdomen, as well as during bowel movements and urination, bloody discharge from the genitals. Treatment of endometriosis consists of atrophy of the endometrial tissue and elimination of clinical manifestations of the disease. In mild forms of the disease, oral contraceptives, anti-inflammatory, hormonal and homeopathic drugs are prescribed.
Painful sensations that increase with physical exertion are characteristic of the chronic form of parametritis, which causes wrinkling of the ligaments of the uterus and rectum. Parametritis is an inflammatory process of the connective tissue tissue located near the cervix and between its broad ligaments. Most often, parametritis occurs as a result of surgical interventions, abortions, cesarean sections, and can also be a consequence of infectious diseases. Physiotherapy procedures are prescribed for the treatment of this form of the disease.
Thrombophlebitis of the iliac veins and pelvic veins can cause pain to radiate to the sacrum. The main causes of this disease are infections, deterioration of blood flow and increased blood clotting, changes in its composition, as well as damage to the walls of blood vessels. Thrombophlebitis can also be a consequence of difficult childbirth, surgical interventions. Treatment of thrombophlebitis depends on the type and nature of the disease; anticoagulants, antibiotics, or surgical intervention can be prescribed. During the treatment period, physical activity should be minimized.
Pain in the sacral area can occur during pregnancy if the fetus puts pressure on the sacrum bone.
A disease such as osteoporosis, associated with increased fragility of bones, can cause long-term nagging mild pain in the sacrum. The disease most often affects women at the onset of menopause and due to age-related changes. Concomitant diseases of the respiratory, digestive, musculoskeletal system, calcium deficiency in the body, alcohol and nicotine abuse can contribute to the development of the disease. To prevent the disease, it is necessary to eat a balanced diet, consume sufficient amounts of calcium and vitamin D, exercise, and eliminate bad habits.
Chronic prostatitis can cause pain in the sacrum, accompanied by frequent and painful urination, decreased sexual function. The pain is usually aching, may be more pronounced on one side and radiate to the leg.
Painful sensations may occur during an exacerbation of a disease such as colitis - inflammation of the mucous membrane of the colon. The causes of the disease include frequent consumption of poorly digestible food, alcohol, as well as chronic constipation, intestinal infections, nervous disorders, and long-term use of antibacterial drugs. Antispasmodics and anticholinergic drugs are prescribed for the treatment of the disease.
Pain in this anatomical area may occur during menstruation. As a rule, it is slightly expressed, may radiate to the legs and be accompanied by colic.
Sacral injuries can cause muscle spasm in the sacrovertebral region. The pain is usually concentrated in the lower back and goes away on its own if the patient stays in bed.
Pain in the sacrum is a rather vague symptom that can be associated with diseases of various organs. For accurate diagnosis and differentiation of symptoms, you need to seek help from a specialist. If you are concerned about pain in the sacrum, you may need to consult with specialists such as a gynecologist, proctologist, urologist, neurologist, traumatologist.