Lower Right Back Pain

Lower right back pain, or also known as Sacro-Iliac pain, is a common form of lower back pain. The joint is commonly used and hence commonly abused, which is why pain occurs here often.

There are other causes of pain in this region too. The Quadratus Lumborum muscle which runs from the base of your ribs to the top of your pelvis can develop trigger points. These trigger points can refer pain to the lower right area of your back.

But, it is the Sacro-Iliac joint which is the main source of pain.

What makes up the lower back?

The lower spine is a mixture of both spinal and pelvic bones. There are five Lumbar vertebrae, the Sacrum (the wedge shaped bone) and the Pelvis (two winged shaped bones).

why lower right back pain occurs Most back pain is centered around the Lumbar spine, however in right lower back pain it is the connection between the Sacrum and the Pelvis that allows this pain to develop.

The Sacro-Iliac joint (the connection between the Sacrum and Pelvis) is a flat bone joint and has no disc for protection. If this joint moves poorly pain will occur.

The muscles in the lower back are there to help support your spine and posture, and give strength to your ability to lift and move.

The Quadratus Lumborum muscle (which runs from the base of the rib cage to the top of the pelvis) and the Erector Spinae (the muscles either side of the spine) are the common muscles that tire and tighten in the lower back. These muscles can also form what is called Trigger Points (tight knotted muscle fibers) that can refer pain away from the spine.

The muscles around the buttocks are also important for lower back function. The Gluteals, Piriformis and even Hamstrings all give strength to lower back and thigh movement. Hence are essential to evaluate in any lower back pain situation.

You also have small intrinsic muscles that attach from one vertebra to the next. These muscles help support joint movement and are classed as postural muscles. Due to their location and size, they are hard to stretch.

It is these small muscles that can create the sharper types of back pain and can create joint stiffness. Pain with these muscles tends to stay around the joint itself and doesn't radiate away from the spine, as in lower right back pain.

What is lower right back pain?

quadratus picture for back painRight lower back pain is a combination of a tight Sacro-Iliac joint, a few spinal joints that may tighten, the pelvis being out of balance and Trigger points in the Quadratus Lumborum.

It may be all of these or a combination of some. Why?

The Sacro-Iliac joint has no disc. The joint is called a flat bone joint, so the protection around the joint is less than your spinal joints. When this joint tightens, the muscles and ligaments around the area tighten as well. This is why the pain can sometime radiate up your lower back or down into your buttock area.

The radiations are nothing to worry about. Trigger points commonly refer pain to remote locations. The tight knotted muscle fibers are irritated when you move, when they are irritated the pain pattern occurs for that particular Trigger point.

It may sound a complex or complicated process...

But all back pain, whether it is your right lower back pain now, or any back pain issue, comes from 4 main factors - tight muscles, weak muscles, joint movement and pelvic balance.

With right lower back pain both the link between the Sacrum and the Pelvis is the most likely cause. The imbalances in the pelvis create tension on the Sacro-Iliac joint and hence pain occurs. To ease this pain and build strength ion the area you need to use technqiues that work well and quickly.

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Can lower right back pain be serious?

All back pain is serious if you leave it untreated. This doesn't mean there are major issues, but if left untreated chronic pain will develop.

Most pain that is not centered around the spine itself is commonly a minor situation. The Sacro-Iliac joint is a large joint and has no disc, so the threat of disc issues creating your pain is minimal.

At times you can sprain the Sacro-Iliac joint and your lower right back pain will therefore feel severe. In these situations it is still usually a matter of minor causes and the threat of major issues such as disc injuries is non-existent.

However, the same rules apply...

If pain doesn't ease quickly, is getting steadily worse, if there is a change in your bowel or urinary habits, or even if you are just worried it is serious - then seek professional advice.

It is better to be cautious and find out it is only a few minor joint issues, than to leave a serious problem untreated.

What are the most common types of treatment?

Traditional treatments for lower right back pain tend to be more symptomatic. Anti-inflammatories, pain relievers, cortisone injections, electronic stimulation and ultrasound are commonly used by the medical profession. Chiropractors, Osteopaths and Physiotherapist will also adjust the joint with manual therapies.

These are all symptomatic treatments as they forget to address the underlying cause of the joint tension, which is spinal imbalances.

Why do traditional treatments treatments fail?

All back pain whether it is Sacro-Iliac pain, or not is the result of spinal imbalances. These develop as tension is placed on your muscles and joints from your daily activities. This tension causes your spine to be pulled out of alignment and hence spinal imbalances develop.

If all you do is release joint tension, or use other symptomatic measures, you will only ever have temporary relief. Pills, potions and even spinal adjustments will not rebalance the entire spine and therefore not remove the underlying cause.

What is the best approach to ease your lower right back pain?

To get long lasting results you must both remove the symptoms and the cause. First you must identify which spinal imbalances are present, then attack the symptomatic processes. This can be achieved by using many techniques from ice/heat, Acupressure and anti-inflammatory measures. Then you must perform corrective techniques that target the spinal imbalances.

The principles of Spinal Balancing address the both the pain and the root cause of the condition that is responsible for your lower right back pain. Through self assessments, your individual spinal imbalances can be identified, and a targeted corrective program can be developed for your specific needs.

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