Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain

@article{Vleeming2002PossibleRO,
  title={Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain},
  author={Andry Vleeming and Haitze J. de Vries and Jan M. A. Mens and Jan-Paul van Wingerden},
  journal={Acta Obstetricia et Gynecologica Scandinavica},
  year={2002},
  volume={81}
}
Background.  To enhance the understanding of the pathophysiology of women with peripartum pelvic pain, it is necessary to couple anatomical insights with relevant clinical research. In this context, the long dorsal sacroiliac ligament is especially of interest because it was noticed that women diagnosed with peripartum pelvic pain frequently experience pain within the boundaries of this ligament. 
Sacroiliac joint pain: Diagnosis and treatment
TLDR
The sacroiliac joint is innervated and thus has the potential to be a source of pain and figures in the differential diagnosis of a patient presenting with low back pain and buttock pain with or without more distant referred pain. Expand
Paradigm for assessment and treatment of SIJ mechanical dysfunction.
  • M. Cusí
  • Medicine
  • Journal of bodywork and movement therapies
  • 2010
TLDR
The mechanical assessment of the sacroiliac joint as a transmitter of load between trunk and lower limbs, and as a means to absorb torsion stresses of the pelvis absorber of torsions is examined. Expand
Lumbopelvic Pain – Sensory and Motor Aspects
TLDR
There is mixed evidence regarding the possible underlying cause of LPP (in pregnant and non-pregnant populations) where several biological and psychological factors have been suggested as the underlying driver of the condition. Expand
Pregnancy-related low back and pelvic girdle pain : with reference to joint hypermobility and treatment
TLDR
To explore if joint mobility, as a measure of connective tissue quality, could be a predictor for pregnancy-related low back pain after pregnancy and to evaluate local corticosteroid in women undergoing pregnancy, a study of women with high mobility during and after pregnancy finds high levels of joint mobility post-pregnancy. Expand
Chronic Pelvic Pain Persisting after Childbirth : Diagnosis and Implications for Treatment
TLDR
This study aims to explore the pain mechanism and the origin of the pain and to evaluate a short-term pain relief treatment in women suffering from CPP persisting after childbirth in order to enable women to have safe and effective childbirth. Expand
Pelvic instability - Painful pelvic girdle in pregnancy.
TLDR
The clinical features, diagnosis and management of pelvic instability in pregnancy are outlined and general practitioners are in an ideal position to diagnose pelvic instability, implement treatment, and refer for further care to a physiotherapist with an interest in women's health. Expand
Pregnancy-related pelvic girdle pain: an update
TLDR
The definition and epidemiology, as well as a proposed diagnostic algorithm and treatment options, are presented. Expand
Pelvic Girdle Pain and Low Back Pain in Pregnancy: A Review
TLDR
This article will focus on the diagnosis and management of PGP and PLBP, with discussion of terminology, epidemiology, risk factors, pathophysiology, and prognosis. Expand
A systematic review of the morphology and function of the sacrotuberous ligament
TLDR
Functionally, the STL may limit sacral nutation but it appears to have a limited contribution to pelvic stability, and some morphological aspects of the STL warrant further investigation, particularly its connections with surrounding structures, innervation pattern and function. Expand
Spinal Mobilization of Postpartum Low Back and Pelvic Girdle Pain: An Evidence‐Based Clinical Rule for Predicting Responders and Nonresponders
To develop a clinical prediction rule (CPR) for identifying postpartum women with low back pain (LBP) and/or pelvic girdle pain (PGP) whose functional disability scores improve with a high‐velocityExpand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 26 REFERENCES
Mechanics and Treatment of the Sacroiliac Joint
TLDR
Details of the anatomy, biomechanics and pathomechanics are presented enabling clinicians to better understand the function of the sacroiliac joint in different postures and during locomotion. Expand
The sacrotuberous ligament: a conceptual approach to its dynamic role in stabilizing the sacroiliac joint
TLDR
Based on studies of embalmed specimens, the sacrotuberous ligaments are considered to be important structures in the kinematic chain between the pelvis and vertebral column and muscles attached to these ligaments may influence movement in the sacroiliac joints. Expand
The Function of the Long Dorsal Sacroiliac Ligament: Its Implication for Understanding Low Back Pain
TLDR
The long dorsal sacroiliac ligament has close anatomical relations with the erector spinae muscle, the posterior layer of the thoracolumbar fascia, and a specific part of the sacrotuberous ligament (tuberoiliac) and is an important link between legs, spine, and arms. Expand
Sacroiliac joint innervation and pain.
TLDR
It is concluded that the joint is predominantly, if not entirely, innervated by sacral dorsal rami, and preliminary data suggesting that the periarticular tissues of the SIJ, like those of other synovial joints, contain mechanoreceptors and nociceptors that function to inform the central nervous system about the state of the joint. Expand
Relation Between Form and Function in the Sacroiliac Joint: Part I: Clinical Anatomical Aspects
TLDR
Observations on sectioned and opened preparations of human sacroiliac joints show the presence of cartilage-covered ridges and depressions, which are complementary on the auricular surfaces, and this type of roughening is viewed as a nonpathologic adaptation to the forces exerted at the SI joints, leading to increased stability. Expand
The Sacroiliac Joint in Chronic Low Back Pain
TLDR
The sacroiliac joint is a significant source of pain in patients with chronic low back pain and warrants further study, and its prevalence, validity, and the validity of pain provocation are established. Expand
Load application to the sacrotuberous ligament influences on sacroiliac joint mechanics
TLDR
It was shown that load application along the direction of hamstring and gluteus maximus muscles significantly diminished ventral rotation of the sacrum, implying that loading the sacrotuberous ligament restricts nutation of thesacrum. Expand
Relation Between Form and Function in the Sacroiliac Joint: Part II: Biomechanical Aspects
TLDR
Results show that articular surfaces with both coarse texture and ridges and depressions have high friction coefficients, compatible with the view that roughening of the SI joint concerns a physiologic process. Expand
Transfer of lumbosacral load to iliac bones and legs Part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise.
TLDR
A biomechanical model for the equilibrium of the sacrum under load is considered, describing a self-bracing effect that protects the sacroiliac joints against shear according to 'the sacroiliarac joint compression theory', which has been demonstrated in vitro. Expand
The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology
TLDR
Five of seven tests employed in this study were reliable, the other two were potentially reliable, and these tests may be used to detect a sacroiliac source of low back pain, although sensitivity and specificity studies are needed to determine their diagnostic power. Expand
...
1
2
3
...