Sacral stress fractures are small breaks in the sacrum, the triangular bone at the base of the spine that forms part of the pelvis. These fractures are often the result of overuse, repetitive impact activities, or conditions that weaken the bones. In this guide, we will discuss the symptoms, diagnosis, and treatment options for sacral stress fractures, with a focus on how physical therapy can help you recover and regain function.
Sacral stress fractures can be caused by:
- Repetitive impact activities such as running, jumping, or dancing
- Osteoporosis or other conditions that weaken the bones
- Sudden increases in physical activity without adequate conditioning
- Trauma or injury to the lower back or pelvis
Symptoms to Watch Out For
Common symptoms of sacral stress fractures include:
- Pain in the lower back, buttocks, or pelvic area
- Pain that worsens with weight-bearing activities and improves with rest
- Tenderness or swelling over the sacrum
- Difficulty walking or standing for long periods
How are Sacral Stress Fractures Diagnosed?
Sacral stress fractures are typically diagnosed based on:
- A physical examination to assess pain and tenderness in the sacral area
- The patient's history of activities and symptoms
- Imaging tests such as X-rays, MRI, or bone scans to visualize the fracture and assess its severity
The Treatment for Sacral Stress Fractures
Treatment for sacral stress fractures may include:
- Rest and activity modification to allow the fracture to heal
- Pain management with medications
- Physical therapy to restore strength, flexibility, and function
- In severe cases, bracing or other interventions to stabilize the fracture
Physical Therapy for Sacral Stress Fractures
A physical therapist may employ the following during a session:
- Exercises: Gradual strengthening and range-of-motion exercises for the lower back, hips, and core muscles to improve stability and support the healing sacrum. Examples include gentle pelvic tilts, leg lifts, and core stabilization exercises.
- Manual Techniques: Hands-on techniques such as soft tissue massage and gentle joint mobilizations to improve mobility and reduce pain.
- Gait Training: Assistance with walking and using assistive devices, such as crutches or a walker, to ensure safe mobility.
- Education: Guidance on activity modifications, pain management strategies, and techniques to protect the healing sacrum during daily activities.
To prevent sacral stress fractures:
- Gradually increase the intensity and duration of physical activities to avoid overuse
- Maintain good bone health through a balanced diet rich in calcium and vitamin D, and regular weight-bearing exercise
- Use proper footwear and equipment to reduce impact on the lower back and pelvis
- Strengthen the core and hip muscles to provide better support for the pelvis
Conclusion
Sacral stress fractures can be a painful and limiting injury, but with the right treatment, including physical therapy, you can recover and regain function in your lower back and pelvis. By working closely with a physical therapist and following a personalized rehabilitation plan, you can restore strength, mobility, and stability to your pelvic region and return to your daily activities with confidence.
Comments