Pain in the sacrum

Congenital disorders of the bone structure, improperly fused pelvic bones after fractures or congenital malformations, various pathologies in the small pelvis - all these causes can provoke pain in the sacrum. The sacrum is a transit territory for large blood vessels and anterior branches of the sacral spinal nerves. As can be seen from this short description, in order to understand the causes that can cause painful sensations in the sacrum, you need, at least approximately, to know that there can generally be sick.

[1]

Causes of pain in the sacrum

[2]

Displacements of the sacrum and their consequences

Due to some injuries, in the case of congenital malformations, all kinds of displacement of the pelvic bones occur, which leads to deformation of the sacrum. All this, in turn, complicates the work of vessels and nerves passing through the sacrum - pelvic region.

There are two types of this pathology:

• displacement of the right pelvic bones;
• displacement of the left pelvic bones.

The displacement of the right pelvic bones in the medical language sounds like "a violation of the function of the right sacroiliac joint." Such a shift gives pain in the sacrum, quite intense, in addition, leads to a disruption of normal blood circulation in the right leg. In women, the displacement of the right pelvic bones causes many gynecological diseases. In addition to these symptoms, in many cases, general poor health, disorders of the gastrointestinal tract, manifested in the form of frequent diarrhea, as a consequence, a constant thinness rights.

Displacement of the left pelvic bones (a violation of the function of the left sacroiliac joint) is also accompanied by pain in the sacral region and leads to problems in the left lower limb. That's only people suffering from this type of pathology, on the contrary, are obese enough, are prone to frequent colds, constipation, suffer from cardiac and pulmonary disorders.

[3], [4], [5], [6], [7],

Sacrodonia

In medicine, there is a "collective image" that characterizes the pain in the sacrum, caused by pathological processes taking place in the small pelvis, and not related to the structure or shape of the sacral bone itself. This symptom complex is called "sakrodinia" (from the Latin name - os sacrum - sacrum).

Diseases that cause pain in the sacrum

Sacral pains are probably the most intense and unbearable that a person can only experience. In general, when people talk about pain in the sacrum, very few people just have in mind exactly the sacrum. Only people close to medicine can "separate" the sacrum from the coccyx. For the common man, the whole lower part of the spine is either a coccyx or a sacrum, and where the border between them is, and what ends the spine, coccyx or sacrum, alas, very few people know. Therefore, pain in the sacrum is not a disease and not a symptom, but a whole complex of symptoms, indicating a multiplicity of causes. Here are the most common of them:

• osteochondrosis of the lumbosacral spine;
• instability and displacement of the vertebrae along the entire length of the spine - spondylolisthesis;
• congenital anomalies of development of the lumbosacral spine - lumbolization, not the possibility of inflicting vertebral arches and so on;
• inflammatory processes of the pelvic organs (eg, ovaries, uterus and tube and uterine apparatus in women);
• consequences after surgery in the pelvic area;
• suffered pelvic bone injuries;

Types of pain in the sacrum for certain diseases

In a number of diseases, pain in the sacrum, varying degrees of intensity and diverse in character, is an important indicator of the severity of the inflammatory process:

• Endometriosis, in one of its varieties, gives permanent cyclic pain in the sacrum region, which are aggravated during the menstrual cycle, having a aching or aches and pinching character;
• when women have such a disease as parametritis (inflammation of the ligamentous apparatus of the fallopian tubes), painful sensations in the sacral region are present constantly, and intensify during physical exertion;
• problems with the lumbosacral vertebra lead to a sudden appearance of pain when the steep slope or lifting weights, when falling on your feet from a great height or awkward sharp movements. Sacral pain will continue even after the vertebra is "pushed" into place, but with a lesser intensity and will pass after a set of treatment procedures;
• pain in the sacrum of a receding character appears with thrombophlebitis of pelvic and iliac veins;
• in pregnant women, strong pain in the sacrum region occurs when the fetus presses the head against the sacrum itself or a strong tension of the sacral muscles appears due to the position of the child;
• acute and chronic forms of prostatitis in men give significant pain in the region of the sacrum;
• many malignant tumors with localization in different organs and tissues are able to manifest themselves in the form of pronounced and not very pronounced pains in the sacrum, for example, cancer of the lacteal, prostate and pancreas, lung, kidneys, etc .;
• non-vanishing, even in a calm state, pain in the sacrum can be a sign of tuberculosis damage to the body or the introduction of another strong bacterial infection;
• diseases of the sigmoid region of the rectum, associated with its expansion, for example, due to the obstruction of stool in chronic colitis, cause blunt pulling pain in the sacrum, with acute periods.

What is the sacrum made of?

The sacrum is a large triangular bone located at the base of the spine and consists of five fused vertebrae. The lower part, the sacrum, connects with the coccyx, the upper part is attached to the last lumbar vertebra, the "body" of the sacrum forms the posterior wall of the pelvis. The vertebrae forming the sacrum coalesce step by step: by the age of 15, the three upper vertebrae, and only then the remaining two begin to grow together. By the age of 25, the sacrum is a single bone. The sacrum has a base - the upper and broadest part of the bone, and the top - the lower and narrower part, the two lateral edges. Through the sacrum, through special holes in it, into the pelvic cavity and further to the lower limbs, pass the sacral spinal nerves and vessels accompanying them. Any changes in the position of the bones or jamming of the nervous branches form pain in the sacrum and nearby areas.

Diagnosis of pain in the sacrum

When addressing a doctor, complaining of pain in the sacrum, you need to know that to establish an accurate diagnosis, you need to determine whether to confirm or exclude, the presence of the actual diseases associated with the structure of the sacrum and its surroundings or pain are the result of diseases of other organs.

For this, it is necessary to take into account a variety of factors that are clarified by talking with the doctor and supported by instrumental diagnostic methods. The most effective, in this case, are:

• computed tomography - allows to examine in detail the bones of the lumbosacral and pelvic bones, to exclude or confirm the presence of tumor processes;
• MRI is excellent for identifying problems in the female body associated with pelvic organs;
• Radiography - with diseases of the spine.

[8]

Pain in the sacrum

After identifying the root causes, therapy will be aimed at their elimination. Since there are many reasons, treatment also has multiple options. Pain in the sacrum will be removed as a symptom, only after applying a special course of pain medication, anti-inflammatory or surgical intervention. With all the abovementioned diseases, there is no unambiguous treatment option for only one type of medication, there is always a comprehensive approach, which includes basic treatment, concomitant medications, hardware treatment and recovery period. In difficult situations, surgical intervention is indicated. Theoretically, it is difficult to guess on which path the treatment of a given disease will go. Each organism has its own "medical history", having combined all the symptoms, problems and peculiarities into a single picture, it is only professional diagnostician who can make the correct conclusions, establish the reasons and assign ways to solve them.