Sacrum

The sacrum represents the uniform bone formed by five bodies of sacral vertebrae which grew together among themselves. Thanks to this union the sacrum is capable to bear the big loadings which are dropping out on it in connection with vertical position of a body of the person. It has the form of a triangle which basis is turned up, and top - down. The basis of a sacrum connects to a body of the last vertebra of lumbar department and the speaker forms the cape (ledge) forward.

Скелет человека: крестец

Pelvic (front) surface of a sacrum smooth and concave. On it four parallel cross lines formed owing to an union of bodies of vertebrae are noticeable. Back surface convex and rough. On it there are five bone longitudinal crests which are the place of merge joint, cross and acanthas of sacral vertebrae.

Pain in a sacrum

Among all pains arising in a backbone the strongest are pains in a sacrum. In medicine they are designated by the term a sacrodynia. Pain in a sacrum arises at women more often. It is connected with the fact that bodies of female vertebrae not such strong as at men and, therefore, they transfer exercise stresses much worse. In addition on a sacrum of women considerable loadings during pregnancy and childbirth drop out. Can be origins of pains in a sacrum:

Traumatic damages;
Anomalies of development of sacral department of a backbone;
Thrombophlebitis of pelvic and/or ileal veins;
Osteochondrosis;
Spondylolisthesis;
Tumors;
Infectious diseases;
Expansions of a sigmoid gut;
Disbolism.

In addition pain in a sacrum at women can arise during periods, at the wrong position of a uterus and at a number of gynecologic diseases. Pain in a sacrum can be caused in men by chronic prostatitis or adenoma of a prostate.

Pains in a sacrum: treatment

At emergence of painful feelings in the field of a sacrum it is necessary to see the neurologist. If necessary he will appoint carrying out consultations of adjacent specialists: traumatologist, gynecologist, urologist.

Treatment of pain in a sacrum first of all has to be directed to elimination of the reason which caused emergence of this symptom. Purpose of the anesthetizing medicines, massage is in addition shown, to manual therapy. If necessary the doctor can appoint a number of physiotherapeutic procedures. Treatment of pain provides in a sacrum also regular trainings of patients physiotherapy exercises.

Sacrum change

The sacrum change usually arises when falling on buttocks or at direct stroke and is much more rare when squeezing pelvic bones in the perednezadny direction. Victims complain of pains in a sacrum. At survey the swelling in the field of an injury is noticeable. Heavy changes of a sacrum can be followed by plentiful hemorrhage. At the same time the arising pains in a sacrum irradiate in lumbar department of a backbone and inguinal area.

At suspicion on a change of a sacrum it is necessary to execute a X-ray analysis in two projections. If necessary do roentgenograms in slanting and sagittal projections.

At a sacrum change treatment in most cases conservative. Appoint a high bed rest (lying on a stomach) for a period of three – four weeks. Surgical treatment is carried out according to very limited indications (massive bleeding from the damaged vessels, unstable changes). During operation make a stop of bleeding (hemostasis) then carry out an osteosynthesis by means of special screws. Victims should not pass to the active mode to a full union of a change since non-compliance with this condition can lead to development of secondary neurologic disturbances.

After cancellation of a bed rest begin gradual activation of the injured patient, appoint physical therapy, massage. Occupations are shown by physiotherapy exercises.

Whether you know that:

In Great Britain there is a law according to which the surgeon can refuse to do to the patient operation if he smokes or has excess weight. The person has to refuse addictions, and then, perhaps, he will not need an operative measure.

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