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Sacroiliac Joint Chiropractic Singapore

Sacroiliac Joint Chiropractic Singapore

There is a variety of chiropractic procedures that can be applied for patients that suffer from lower back pain or buttock pain that is caused by/from the sacroiliac joint, and often, chiropractors are considered the first line of treatment.

Chiropractic treatment goal for sacroiliac joint pain is to utilize methods that is best tolerated and suited to the patient and provides the best clinical outcomes for them. Of course, patients respond differently to different approaches, so the chiropractor will have to adopt different manipulation techniques to treat the patient's sacroiliac joint pain.

Generally, there are two chiropractic manipulation approaches for sacroiliac joint dysfunction:

  • The traditional chiropractic adjustment, also known as spinal manipulation or high-velocity, low-amplitude (HVLA) thrust
  • The more gentle, less forceful adjustment, also called spinal mobilization; low-velocity, low-amplitude thrust

Chiropractors may also use supporting, adjunct therapy to treat sacroiliac joint dysfunction.

Sacroiliac Joint Chiropractic Singapore:
Chiropractic Adjustment for Sacroiliac Joint Dysfunction

Chiropractic adjustment (spinal manipulation) of our sacroiliac joint is usually done with the patient lying down on his or her side.

Specifically:

  1. The top knee is flexed (bent) and then brought closer towards the patient's chest
  2. The bottom shoulder is brought forward, producing a stretch in the low back and pelvic region
  3. Then the chiropractor's places his or her hand over the patient's sacroiliac joint and applies pressure while the patient's upper shoulder is tractioned (pushed to create tension) backward and the knee is tractioned towards the floor
  4. When the slack is removed from the lumbar spine, and the pre-manipulation position is determined to be comfortable, high-velocity, low-amplitude thrust is applied by the chiropractor. 

The thrust in this type of adjustment usually results in an audible release (patient's may hear and feel a "pop") called cavitation, which is created by the releasing of oxygen, nitrogen, and carbon dioxide from the joint when the joint is pushed past its passive range of motion but safely and well within the tissue boundaries.

This chiropractic maneuver creates the typical "pop" often associated with joint manipulation and sounds similar to popping and cracking one's knuckles.

While this "popping" or "cracking" description of a chiropractic manipulation may give an impression of something that is uncomfortable, the sensation is usually quite relieving, sometimes almost immediately. In fact, patients who have been treated with this approach in the past often request this procedure again when returning to a chiropractic clinic.

Some patients do not feel comfortable with or cannot tolerate the cracking sound or twisting involved with a traditional chiropractic adjustment. For these patients, a gentle or less forceful approach may be best.

While this article focuses on chiropractic treatment, osteopathic physicians (or other appropriately trained healthcare practitioners) may also use these or similar types of manipulation and adjunctive therapy to treat sacroiliac joint pain.

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