The pelvic ring is one of the most important bone structures in the entire human body. The pelvis is a cavity in which organs important for the normal functioning of the body are located. In addition, the pelvic ring is a kind of center of gravity. A displaced pelvis indicates a serious problem that requires immediate action.
Reasons
There are quite a few factors that can lead to a misaligned pelvis. The most likely ones are as follows:
1. Leading a sedentary lifestyle. A static body position for a long time can weaken some muscle groups and keep others in good shape. As a result of this dissonance, a displacement of the pelvic bones occurs.
2. Weight lifting. This applies to those who violate the technique of performing exercises, as well as uncontrolled weightlifting.
3. Violation of bone structures. Occur as a result of injury against the background of blows, falls, bruises. Besides,ruptures of its ring, as well as open fractures of the pelvis with displacement, negatively affect the bones of the pelvis.
4. The period of bearing a child and childbirth. During the passage of the child through the birth canal of a woman, the probability of displacement of the pelvic bones is especially high.
5. Damage to the pelvic muscles. Against the background of tissue injury, there is a loss of elasticity of the muscles, which are in a constant state of tension. The axis of the pelvic displacement directly depends on the muscle that was injured. If the muscle in the lumbar spine was damaged, then the displacement will occur forward.
6. Disc herniation in the intervertebral space. As a result of this pathology, muscle spasm occurs, which leads to deformation of the pelvic bones.
7. Leg length difference. It can be the result of both congenital pathology and an acquired defect.
8. Scoliosis of congenital or acquired type.
9. Surgery.
Symptoms and Diagnosis
Symptoms of pelvic displacement are clearly visible even in the early stages of the development of the pathological process. The most common signs of pathology are:
- Soreness, especially when moving.
- Loss of balance and unsteadiness while walking indicates moderate displacement of the pelvic bones.
- Stiff movement.
- Pain syndrome localized in the back, shoulders and neck. In this case, the pain in the lower back radiates to the leg.
- Tenderness in thighs.
- Pain in the sacrum andilium.
- Shortening one leg.
- Pain in the groin.
- Bad posture.
- Dysfunctional disorders of the bladder, genitals and intestines.
- Pain in the ankle, knee and foot.
If you find these symptoms, you should consult a doctor. The specialist will conduct an examination and collect a detailed history. The doctor will ask about the first signs of the pathology and when it manifested itself, and will also try to find out the cause of the displacement (a fracture of the pelvis, for example).
Next, the patient is assigned an X-ray examination. Its result will show the condition of the bone structures of the pelvis and thigh. In some cases, a CT scan or magnetic resonance imaging may be required to confirm the deformity.
Treatment
After a thorough diagnosis and confirmation of the diagnosis, the specialist decides which therapeutic methods are applicable to a particular patient. This takes into account the age, gender and general he alth of the person.
The first thing the doctor pays attention to is the exclusion of factors provoking further displacement of the pelvis. If the deformation resulted from an injury, then physical activity is contraindicated for the patient.
The second stage of therapeutic measures is the selection of drugs for drug treatment. With pelvic displacement, drugs from the following groups are prescribed:
- Nonsteroidal anti-inflammatory drugs.
- Medicines with analgesic effect.
- Topical ointments and gels to relieve pain and reduce inflammation.
When the pelvis is displaced, treatment is carried out not only with medicines, but also with other methods. They include:
- Therapeutic physical culture, providing for the implementation of special exercises.
- Manual therapy involving massage of the affected area.
- Physiotherapy treatments.
Treatment is effective only at the initial stage of the development of the pathological process. However, the above methods of therapy do not guarantee that the displacement will not occur again. It should be borne in mind that an integrated approach, when different methods are combined, is especially effective in the treatment of pelvic displacement.
Therapy for a displaced pelvic fracture
In case of strong displacement, the bones are repositioned under general anesthesia. Uncomplicated destruction in the postoperative period requires adhesive stretching, flexion and abduction of the limbs as indicated. If the reposition of the bone area does not occur, the fragmented fragment is not compared with the base, and tissue regeneration is not observed, then surgical intervention is performed with manual matching of the fragments and screw fixation of the bone tissues.
exercise therapy
Performing a set of exercises has a pronounced positive effect on the displacement of the pelvic bones. The most commonly recommended exercises are:
- Lying on a horizontal surface face down, arms along the body, a pillow under the feet. ATin a relaxed state, it is necessary to do rolls to the right and left, leaving the hips pressed tightly to the floor surface. Exercise is performed no more than 10 minutes three times a day.
- Lying on the floor, you need to bend your right knee at an angle of 90 degrees. The left leg is placed with the outer edge of the foot on the bent knee. The buttocks should be tense. Next, a pelvic lift is performed.
- In the supine position, arms along the body, palms down. The buttocks are in a tense state, the heels make sliding movements towards the pelvis.
It should be remembered that during the exercise there should be no pain or discomfort, as well as other unpleasant sensations. Exercises, as well as the sequence of their implementation, are selected by a specialist.
What else does pelvic displacement treatment involve?
Massage
Manual therapy is as effective as exercise therapy in the treatment of pelvic displacement. A special massage affects not only the bone structures of the pelvis, but also the patient's spine. Manual therapy allows you to stretch the ligaments, muscles and fascia adjacent to the pelvic bones and vertebrae.
During the massage, it is possible to eliminate the shift in the center of gravity of the spine, to involve all the axial sections. In addition, massage helps to remove subluxations, pinching, stiffness of movements and the so-called radicular syndromes.
In addition, aesthetic defects are corrected and motor stereotypes are formed. Thus, chiropractors in the processthe course of massage not only corrects the resulting displacement, but also corrects the patient's posture.
Physiotherapy
The following are most often prescribed for patients with displacement of the pelvic bones:
- Electrical stimulation of the oblique and rectus muscles of the back and peritoneum.
- Treatment with healing mud.
- Hydrotherapy involving water massage and mineral baths.
If the displacement of the pubic bone of the pelvis is old and neglected, and conservative therapy does not give a positive result, the patient is scheduled for surgery.
Complications
Displacement of the pelvic bones can lead to a number of unpleasant consequences:
- Curvature of the spinal column and loss of their functions. Displacement of elements of bone structures can lead to deformation changes in the spine. This process can provoke osteochondrosis, sciatica, intervertebral hernia, etc.
- Tenderness, localized in different areas of the body, including the neck, shoulders, back and lower limbs.
- Dysfunctional disorder in the legs.
- Carpal tunnel syndrome, when fingers become numb and sore.
- Excessive load on the supporting leg.
Prevention
Complications are the result of the lack of timely treatment. Preventive measures in the case of pelvic displacement come down to the fact that it is necessary to protect the bone structures from injury, as well as to lead an active lifestyle with moderate physical activity.
This involves regular walks,playing sports, developing muscles that can easily hold the skeleton. Swimming and equestrian sports are excellent for developing muscles, while eliminating the likelihood of overload. You can also work out in the gym, but you need to do this under the supervision of an experienced trainer. Sports loads help prevent overstressing of the bones, bringing the muscles into a certain tone and giving them elasticity.
The stretching of the muscles required in the treatment of pelvic displacement is a lengthy and meticulous process. Sometimes positive dynamics is not observed due to the fact that the pathology is old. The patient has formed an incorrect pattern of movements, which is very difficult to correct.
In addition, muscle tissue often creates a block due to bone misalignment, which also greatly complicates the treatment. If a person is diagnosed with a pelvic misalignment, you need to be prepared to put in a lot of effort to correct it.
