Back Sprain Sacroiliac Region - Treatment, symptoms and causes for Sacroiliac Region Back Sprain

Violent overstretching of one or more ligaments in the sacroiliac region of the spine. When the ligament is overstretched, it becomes tense and gives way at its weakest point, either where it attaches to bone or within the ligament itself.

There are generally 3 types of sprains - Mild which is tearing of some ligament fibers and associated muscle spasm. There is no loss of function. Moderate which is rupture of a portion of the ligament, resulting in some loss of function. Severe which is complete rupture of the ligament or complete separation of ligament from bone. There is total loss of function. A severe sprain requires surgical repair.

Signs and Symptoms

Severe back pain at the time of injury.Tenderness and swelling at the injury site. Bruising (sometimes) that appears soon after injury. A feeling of popping or tearing in the sacroiliac area.

The Risk factor is increased because of:

Contact sports such as football or wrestling. Weight-lifting. Sudden movement while one leg is in front and the other is behind. Previous back injury. Obesity. Poor muscle conditioning. Inadequate protection from equipment.

Probable outcome of Back Strain

If this is a first-time injury, proper care and sufficient healing time before resuming activity should prevent permanent disability. Ligaments have a poor blood supply, and torn ligaments require as much healing time as fractures. Average healing times for different sprain types are as follows:

• Mild sprains--2 to 6 weeks.
• Moderate sprains--6 to 8 weeks.
• Severe sprains--8 to 10 weeks.

Treatment of Strains

• Use instructions for R.I.C.E., the first letters of REST, ICE, COMPRESSION and ELEVATION (if possible). See Appendix 1 for details.
• Don't move the person until a litter or spineboard can be obtained for safe transport.
• Don't allow the person to walk until the diagnosis is confirmed. The spinal cord may be injured with movement.
• Use an ice pack 3 or 4 times a day. Place ice chips or cubes in a plastic bag. Wrap the bag in a moist towel, and place it over the injured area. Use for 20 minutes at a time.
• Wrap the lower abdomen and hips with an elasticized bandage between ice treatments.
• After 72 hours, apply heat instead of ice, if it feels better. Use heat lamps, hot soaks, hot showers or heating pads.
• Your doctor may prescribe: Stronger pain relievers. Injection of a long-acting local anesthetic to reduce pain. Injection of a corticosteroid, such as triamcinolone, to reduce inflammation.

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