Hidden Cause of Spine Pain

Specialist Physiotherapist Mirsad Alkan, who stated that the correct sitting habits are lost with working from home and that the person also engages in unhealthy behaviors such as lying down, said that this situation causes neglected sacroiliac joint pain and said, “Sacroiliac joint pain. zamIt causes bad posture. If it is not treated by neglect, it disrupts the biomechanics of the hip joint and spine, causing various problems such as short leg length and the development of scoliosis.

While working from home is common during the pandemic period, working in the same position for a long time also causes serious damage to the musculoskeletal system structures. Experts say that sacroiliac joint pain, which is not known to the public; he warns that he causes damage to the skeletal structure from short legs to poor posture, and to skeletal structure in later years. Making important statements on the subject, Bahçeşehir University (BAU) Physiotherapy Program Instructor, Expert Physiotherapist Mirsad Alkan underlines that sacroiliac joint pain should not be neglected. Alkan, “Spine influence; It can cause many problems such as hernia, disc diseases, distortion of the spine bone shapes, muscle spasms, trigger points and tight band formation, as well as causing deformities in the spine (scoliosis) ”.

Working in bed is dangerous

Providing information about sacroiliac joint pain, Expert Physiotherapist Mirsad Alkan said; “One of the most important components in maintaining the health of the spine is the protection of the sacrum (large, triangular bone in the lower part of the spine) bone known to the society as the coccyx. The angular changes that the sacrum makes with the pelvis, known as the pelvis, in the sacroiliac joint can cause many health problems, especially pain. This condition is defined as sacroiliac joint dysfunction. The sacroiliac joint is under pressure especially in positions such as sitting by sliding forward and working while lying down, and the natural angle of the sacrum is distorted, causing serious biomechanical problems and mechanical pain complaints. This complaint, which is quite common even in the pre-pandemic period, is increasing due to long-term work in non-ergonomic home environments and decrease in physical activity levels in pandemic conditions. It is thought that the risk increases with the use of non-ergonomic equipment and the choice of wrong sitting positions during the working from home. The same is true for recreational activities such as watching movies, playing games, etc., in addition to work activities such as sitting on extremely soft or extremely hard surfaces, sitting by sliding forward, and working lying down, ”he said.

Incorrect posture and even limping can cause walking

Change in position of the sacrum bone zamPhysiotherapist Mirsad Alkan, who stated that it also affects other joints, said that especially the spine and hip joints play a key role at this point. Alkan, "ZamIncorrect posture habits make the balanced strength of the muscle structures unbalanced and as a result of the pain that occurs with the decrease of muscle strength; patients resort to erroneous movement behaviors such as antalgic posture, antalgic gait, which means acting in a way that feels less pain. Antalgic position preferences sometimes occur with the body's direction without the patient being aware of it and make the existing mechanical disorders chronic. In such a case, with the decrease in muscle strength support, it causes disorders such as limping, sickening, and bouncing, which affect the whole leg starting from the hip.

Hernia causes deterioration of bone shapes and short leg length

Stating that spinal involvement invites many serious diseases, Mirsad Alkan said, “This situation can cause many problems such as hernia, disc diseases, deterioration of spinal bone shapes, muscle spasms, trigger points and tight band formations, as well as cause deformities in the spine (scoliosis). Although scoliosis is initially seen as a functional scoliosis due to muscle imbalance, if left untreated. zamBy adapting to this situation, the bone structures can become structural scoliosis and the treatment process becomes difficult. Functional scoliosis may develop as a result of apparent short leg length in some hip involvements without spine involvement. Especially in adolescence, children who grow significantly in a short time need to be more careful in this regard, and it is recommended to be monitored in terms of risk in health institutions at regular intervals, if possible.

Uncontrolled use of painkillers is dangerous

Specialist Physiotherapist Mirsad Alkan, who underlined that well-planned exercise programs that cover all affected structures play a critical role in correcting muscle strength imbalances during the treatment phase, gave information about the treatment process. Alkan said, “In the treatment of this condition, single-session treatments make daily life easier with the temporary relief they provide, but in the long run, they make the problem a chronic disease. It is a very common and erroneous behavior for patients who think that they have recovered after one-session treatments, to turn to pain relievers instead of applying to health institutions in order to relieve their pain that occurs in the ongoing process. Changes in the pain threshold of individuals as a result of incorrect use of painkillers may result in chronic pain complaints in the long term. For this reason, the use of drugs must be at the dose recommended by the physician and for the final solution, the expert physiotherapists should plan. zamTreatment should be continued with mainstream manual therapy and exercise programs.