Can sacroiliac subluxation walk?
summary
Sacroiliac joint is composed of the auricular surface of sacrum and ilium. Its articular surface is uneven, and the combination between them is very close. Sacroiliac articular surface is covered with articular cartilage, and the uneven articular surfaces on both sides crisscross each other to stabilize the joint. Can sacroiliac subluxation walk? Let's talk about it
Can sacroiliac subluxation walk?
Generally take conservative treatment, such as hard bed rest, physical therapy, local massage, plaster application and local closure, most of the symptoms can be alleviated. The patients with lumbar or lumbosacral joint degeneration or disc herniation should be treated accordingly.
1% procaine (hydrocortisone acetate can be added as appropriate) is generally used for local closure. The operator holds a long needle and injects it at the place with the heaviest tenderness, usually at the attachment point of posterior sacroiliac ligament and sacrospinalis muscle. The injection needle should be deep under the periosteum and can penetrate into the sacroiliac joint along the internal surface of the ilium. A few minutes after injection, most of the pain disappeared. At the same time, the elastic pelvic belt can be used for pelvic braking. Strengthen abdominal muscle, back muscle and gluteal muscle exercise. Avoid bending, lifting and other activities. Special attention should be paid to patients with sacroiliac joint degeneration and puerpera after delivery.
Massage the patient prone, the assistant fixed the pelvis, the operator according to the normal massage technique from light to heavy, from the point and face of the sacroiliac joint local and peripheral muscles, ligaments for massage. In the process of operation, patients can feel comfortable and have a sense of sacroiliac joint reduction.
matters needing attention
The patient should rest in bed for 2 to 3 weeks. When lying in bed, a thick cotton pad should be placed in the national fossa to keep the injured limb hip and knee joint in a slight flexion position. One week later, functional exercise and local hot vinegar bath should be gradually started, once a day until recovery.