WEBVTT

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In almost all cases of lower back pain

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it is impossible to determine clearly
what is actually causing the pain.

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In most cases doctors will already have
asked the patient some detailed questions

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and performed a physical examination

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to rule out a serious health problem.

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This is why doctors refer to

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“non-specific” sacroiliac joint pain.

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The pain almost never has
just one single cause.

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For instance,
it may be influenced or triggered

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by the following factors:

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• lack of exercise
and weak muscles in the torso,

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• muscle tension,

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possibly due
to abnormal biomechanical stress,

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• biomechanical stress
after long periods sitting immobile,

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• asymmetrical or strenuous physical work,

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• mental strain
such as stress at the workplace,

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financial or family worries,

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severe anxiety or self-doubt,

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and conditions such as depression,

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• changes in perception of pain
in the central nervous system,

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• and family history.

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Important:

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“non-specific” sacroiliac joint pain
is not dangerous.

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The pain does not mean

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that the back is injured.

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The same applies to persistent or
recurring (chronic) sacroiliac joint pain.

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But there are also some types of back pain
with physical causes

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that can be detected.

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The causes of this “specific” form
of sacroiliac joint pain

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may be:

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• an acute slipped (herniated) disc
(the most common cause)

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• a broken vertebra

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- for example caused by an accident

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or osteoporosis,

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• lumbar spinal stenosis,

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• infected spinal column,

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• spinal cancer,

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• ankylosing spondylitis,

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an inflammatory rheumatic disease.

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Potential signs
that the sacroiliac joint pain

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may have one
of the more serious causes include:

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• pain that radiates down the leg

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or into the foot

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and is associated with numbness,
pins and needles

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or paralysis,

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• painful urination or bowel movement.

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These symptoms
require immediate medical assistance

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since they indicate potential nerve damage.

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• high temperature or chills,

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• unexplained weight loss,

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physical weakness and pain that increases
when lying on one’s back,

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• sacroiliac joint pain
following an accident,

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• and certain pre-existing conditions
such as osteoporosis.

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People with sacroiliac joint pain

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and one or more of these symptoms

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should be examined more closely
by a doctor.

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They will utilize scans

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such as X-ray, computer tomography (CT)

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or magnetic resonance imaging (MRI)

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to determine the cause.

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In short:

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Sacroiliac joint pain
is only rarely an indication

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of serious damage or disease.

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Most people suffer from
“non-specific” sacroiliac joint pain,

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which may be caused

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by a number of lifestyle-related
and psychological factors.

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However there are certain indications

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of more serious physical causes,

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i.e. “specific” sacroiliac joint pain.

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In these cases scans are used
for diagnostic purposes.