San Diego Chiropractic Blog

The patients in my San Diego Chiropractic clinic often complain of “hip pain”. When I ask them to point to the pain they almost always point to the area right next to the spine just below their beltline.

That is the difference between a medical definition of the hip and that of a patient. From a medical standpoint, the “hip” is the joint where the femur articulates with the acetabulum. While I do see and provide care for those with pain in this joint, it is much less common to see pain in this “hip” joint versus the “hip” joints that most often trouble my patients.

The joint that my patients point to when they complain of hip pain is usually the sacroiliac joint. The sacroiliac joint is formed from the ileum aka, hip bone and the sacrum which is a triangular shaped fusion of the bottom five vertebra in the spine. The spine (and the weight of your upper body) sit directly on top of the sacroiliac joints making the stability of these joints extremely important.

There is a network of ligaments and muscles that act to stabilize and move the sacroiliac joints. Since the sacroiliac joints have to support some of the greatest forces that our bodies are subjected to, the muscles that act on these joints are some of the strongest in the body. Because of the sacroiliac joints close approximation to the spine and the hip proper, the larger muscles that act on the sacroiliac joint are also movers of the hip and the lower lumbar spine.

Since the sacroiliac joints are large joints that are supported by big muscles and strong ligaments, they are able to withstand much of the stresses that we ask of them. However, they do break down with the constant postural stresses (sitting), poor lifting habits, falls and other injuries leading to pain and stiffness in the lower back.

Because of its size, once the sacroiliac joint is irritated, it can be difficult to treat. Treatment always involves reducing inflammation, mobilizing the joint (restoring normal motion) then stabilizing the joint with stretches and exercises. This is the course of care that I have followed with great results in my chiropractic office in San Diego.

Your’s In Good Health

Dr. Jones

San Diego Chiropractic Care
Chiropractor San Diego Blog

Chronic pain is defined as pain that persists longer than 90 days beyond the course of the natural expected healing time. As a chiropractor in San Diego, I get calls from both new and established patients on a regular basis who complain of back pain, neck pain, etc. One of the factors that comes into play when planning a chiropractic treatment program is the duration of the patients pain. In general, the longer that a patient suffers with a painful condition, the longer / more intense the treatment is needed in order to fix it. Acute or recent episodes of pain respond much quicker than do chronic conditions.

Pain is very difficult to quantify by any practitioner. Pain is subjective in nature and completely defined by the person experiencing the symptoms, the fact that chronic pain can exist without an obvious cause makes it much more difficult to treat.

I see the difficulties that my chronic pain patients have with their conditions on a daily basis. Aside from the actual pain that they experience, those who suffer with chronic pain often limit their activities for fear of exacerbating their conditions. They also have a much harder time focussing on mental tasks as the pain is a constant source of distraction. The more severe the pain, the more difficulties these people have with attention demanding tasks.

While we strive to avoid pain, pain is a wonderful tool of the nervous system. Pain lets us know of actual or potential tissue damage with an unpleasant sensation that directs our attention to the affected area so that we can either immediately take action to stop the process or focus on healing the injured body parts. Chronic pain sensations are a bit more insideous.

Chronic pain often involves a decrease in the sensativity of the nerve fibers that send messages of pain from the damaged area. With a decreased sensativity (threshold), the nerve is much more likely to transmit painful sensations to the brain then a healthy nerve / tissue combination. This activity within the nervous system is know as a wind up phenomenon and it is very difficult to stop once it has been established. In some other cases, nerve fibers that normally don’t carry painful sensations not only begin to transmit pain signals but it is thought that they may actually generate the signals themselves.

In my office, chronic pain is often the result of untreated sprain / strain type injuries of the joints. In untreated or under-treated sprain / strain injuries, the joint or the muscles that move the joint are laden with scar tisuue that acts to either limit or alter motion of that joint. With time, the awkward, unnatural biomechanics of the scar tissue laden joint results in irritation, inflammation and finally pain and spasm. While chiropractic care is often successful at re-establishing “clean” biomechanics of a joint, it is always better to get the care in the beginning of an injury versus waiting for that injury to become chronic, with a requiring more care with a decreasing chance of complete recovery.

Because of the possibility of an acute painful condition becoming a chronic one, I always encourage my patients to take care of themselves immediately when they first start to experience pain. I have practiced chiropractic care for almost two decades now and I can say that chronic painful conditions of the spine are devastating. Not only do they make you expereince pain, but in most instances they limit your physical activities creating a situation that can easily degrade from inactivity secondary to pain, to deconditioning and eventually to obesity and ill health in general leading to a dissatisying lifestyle.

The bottom line on chronic pain is this - avoid it if you can. Don’t ignore your pain. Painful acute conditions that are left untreated can easily spiral into a chronic condition that has the potential to alter your lifestyle in a negative way.

Your’s In Good Health

Dr. Jones San Diego Chiropractor

www.JonesPainRelief.com