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Question
A little over three months ago I fell going down my hill on ice three times on the same side, one right after the other on the same day. I hit my lower part of my back and my butt. For about 3 weeks I had a sharp pain in my lower back/butt area it hurt when i walked, bent over, or turned too quickly. It went away after awhile and now it's back again. It randomly comes and will usually go away after a few hours. But it seems like whatever I do it irritates it. When I have the pain I stop what I'm doing becuase the pain is so bad I don't want to move. What could this be ?
Dear Ashley,
Simply put this is most likely joint irritation. Falling on the hip or buttocks creates increased stress and compression on the cartilage which lines the joint spaces. Additionally, the joint capsule which surrounds the joint spaces can easily become stretched and torn. Now the lower joints of the lumbar spine (facet joints) could be affected or the sacroilliac (SI) joints in the pelvis.
The best way to determine which joints are the problematic ones is with a functional examination. This would include active and passive range of motion of the joints and stressing them with orthopedic tests designed to pinpoint pressure in those joints and see if they result in characteristic pain patterns. I would opine that there is also some associated muscle spasm or myofascial strain as well. All of this results in improper motion of the joint space or actual fixation of the joint space, and this should be addressed not only to eliminate the pain but to re-establish correct spinal motion.
I would recommend that you have the low back and pelvis examined by a good local chiropractic physician so that it can be addressed appropriately with a functional examination, spinal adjustments and that you can be given specific rehab exercises to correct any improper movement patterns or imbalances which are found after injury!
Respectfully,
Dr. J. Shawn Leatherman
www.suncoasthealthcare.net
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Answers by Expert:
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- Dr. Timothy K. Durnin
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Dr. J. Shawn Leatherman
Expertise
I can answer questions on general chiropractic care, sports injury, whiplash and auto crash, mild traumatic brain injury, structural and functional rehabilitation of the spine, nutrition for inflammation and repair, fitness training, nutrition for sports performance and other general health and nutrition related inquiries. I currently lecture on automobile trauma, occupant kinematics, and forensic risk analysis to local EMS, Fire and Police, as well as nutrition and sports injury to community groups. Rest assured all answers are generated from my clinical experience, and scientific research.
Experience
I have accumulated over 1100 hours of post-doctoral training to include; Certifications in Spinal Trauma and Mild Traumatic Brain Injury from the Spine Research Institute of San Diego, Certification in Chiropractic Spinal Trauma from the International Chiropractic Association, Certification in Low Speed Auto Crash Reconstruction and Certification in Forensic Risk Analysis from The Center for Research Into Automotive Safety and Health, Certified Proficiency in spinal and extremity diagnostic procedures from The Motion Palpation Institute, Certified in Sports Injury and Rehabilitation from the National University of Health Sciences and The American Chiropractic Board of Sports Physicians, Nationally Certified Fellow of Structural Rehabilitation from The Chiropractic Biophysics Organization, and I have advanced training in manipulation under anesthesia and nutrition. Feel free to check out my website for course listings: www.suncoasthealthcare.net
Organizations
International Chiropractic Association, Florida Chiropractic Association, American Chiropractic Board of Sports Physicians, American Academy of Pain Management, Chiropractic Biophysics, Spine Research Institute of San Diego, Center for Research Into Automotive Safety and Health, Motion Palpation Organization, American Academy of Manual and Physical Medicine, Fort Walton Beach Chamber of Commerce
Education/Credentials
B.A. (Psychology)The University of Cincinnati
B.S. (Human Biology)Cleveland Chiropractic College
D.C. (Doctor of Chiropractic) Cleveland Chiropractic College
C.C.S.T. (Certification in Chiropractic Spinal Trauma)The International Chiropractic Association
C.C.S.P. (Certified Chiropractic Sports Physician)The American Chiropractic Board of Sports Physicians.
*CCST and CCSP 120 hour certification courses are not recognized by the Florida Chiropractic Board due to the fact that they are not 300 hour diplomate level courses*
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