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. Pelvic displacement indicates a serious violation that requires immediate action.
Causes
There are quite a few factors that can lead to displacement of the pelvis. The most likely of them are as follows:
1. Maintaining a sedentary lifestyle. 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 uncontrollably engaged in weightlifting.
3. Violation of bone structures. They occur as a result of trauma against the background of bumps, falls, bruises. In addition, tears of his ring, as well as open pelvic fractures with displacement, negatively affect the pelvic bones.
4. The period of gestation and childbirth. During the passage of the child through the birth canal of a woman, the displacement of the pelvic bones is especially likely.
5. Damage to the pelvic muscles. Against the background of tissue injury, there is a loss of elasticity of muscles that are in a constant state of tension. The axis of the displacement of the pelvis 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. The difference in the length of the legs. It can be a consequence of both a 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 shakiness while walking indicates a moderate displacement of the pelvic bones.
- Stiffness in the movements.
- Pain syndrome located in the back, shoulders and neck. In this case, lower back pain radiates to the leg.
- Sore thigh bones.
- Pain in the sacrum and ilium.
- Shortening one leg.
- Groin pain.
- Violation of 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. A specialist will conduct an examination and collect a detailed medical history. The doctor will ask about the first signs of the pathology and when it appeared, and 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 state of the bone structures of the pelvis and thigh. In some cases, computed tomography 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 state of human health.
The first thing the doctor pays attention to is the exclusion of factors that provoke a further displacement of the pelvis. If the deformation occurred as a result of an injury, then the patient is contraindicated in physical activity.
The second stage of therapeutic measures is the selection of drugs for medical treatment. With pelvic displacement, drugs from the following groups are prescribed:
- Nonsteroidal anti-inflammatory drugs.
- Preparations with analgesic effect.
- Ointments and gels for topical use to relieve pain and eliminate inflammation.
With a displacement of the pelvis, treatment is carried out not only with medicines, but also with other methods. They include:
- Therapeutic physical education, involving the implementation of special exercises.
- Manual therapy involving massage of the affected area.
- Physiotherapeutic procedures.
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 happen again. It should be borne in mind that an integrated approach is especially effective in the treatment of pelvic displacement, when different methods are combined.
Pelvic fracture therapy with displacement
In the case of a strong displacement, the bone reduction is performed under general anesthesia. Uncomplicated destruction in the postoperative period requires glue stretching, flexion and abduction of limbs according to indications. If reposition of the bone site 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 fragments and screw fixation of bone tissue.
Exercise therapy
Performing a set of exercises has a pronounced positive effect with displacement of the pelvic bones. Most often, the following exercises are recommended:
- Lying on a horizontal surface, face down, arms along the torso, under the feet a small pillow. In a relaxed state, it is necessary to make rolls to the right and left, leaving the hips pressed tightly to the floor surface. The exercise is performed no more than 10 minutes three times a day.
- Lying on the floor, it is necessary to bend the right knee at an angle of 90 degrees. The left leg is placed with the outer edge of the foot on the bent knee. Buttocks must be tight. Then the pelvis is lifted.
- In the supine position, hands along the body, palms down. The buttocks are in tension, the heels make sliding movements in the direction of the pelvis.
It should be remembered that when performing exercises there should not be 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 treatment for pelvic bone displacement suggest?
Massage
Manual therapy is not inferior in effectiveness to exercise therapy in the treatment of pelvic displacement. Special massage affects not only the bony 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 displacement of the center of gravity of the spine, to use all axial sections. In addition, massage helps to remove subluxations, pinching, stiffness of movements and so-called radicular syndromes.
In addition, aesthetic defects are corrected and motor stereotypes are formed. Thus, manual therapists during the course of the massage course not only correct the resulting displacement, but also correct the patient’s posture.
Physiotherapy
Most often, patients with displacement of the pelvic bones are assigned the following:
- Electrical stimulation of the oblique and rectus muscles of the back and peritoneum.
- Healing mud treatment.
- Hydrotherapy, which involves water massage and mineral baths.
If the displacement of the pelvic bone is old and advanced, and conservative therapy does not give a positive result, the patient is prescribed surgery.
Complications
Displacement of the pelvic bones can lead to a number of unpleasant consequences:
- Curvature of the spinal column and the loss of its functions. The displacement of the elements of bone structures can lead to deformational changes in the spine. This process can provoke osteochondrosis, radiculitis, intervertebral hernia, etc.
- Soreness localized in different areas of the body, including the neck, shoulders, back and lower limbs.
- Dysfunctional disturbance in the legs.
- Wrist channel syndrome when fingers are numb and sore.
- Excessive load on the supporting leg.
Prevention
Complications result from a lack of timely treatment. Preventive measures in the case of pelvic displacement are reduced to the fact that it is necessary to protect bone structures from injuries, as well as lead an active lifestyle with moderate physical exertion.
This implies regular walks, sports, muscle development, which can easily hold the skeleton. Swimming and equestrian sports have an excellent effect on muscle development, while eliminating the possibility 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 can prevent overstrain of bones, leading muscles to a certain tone and giving them elasticity.
Stretching the muscles, which is necessary in the treatment of pelvic displacement, is a long and scrupulous process. Sometimes positive dynamics are not observed due to the fact that the pathology is old. The patient has formed an incorrect stereotype of movements, which is very difficult to correct.
In addition, often muscle tissue creates a block due to skewed bones, which also greatly complicates the treatment. If a person is diagnosed with pelvic displacement, you must be prepared to make a lot of efforts to eliminate it.