Re: Difficulty to SIT DOWN.

[Guest guest]

Murillo,

Are you taking Neurontin or Lyrica for this? These drugs have been known to help

with this kind of pain. I am sorry you are suffering this way.

[Guest guest]

Murillo,

I am wondering if your lower spine is causing the pain of not being able to sit

down. I had this happen to me when I had a ruptured disc along with burning

pain. Shocks were explained to me as overstimulation of the electrics of the

nervous system.

Gretchen

[Guest guest]

Please consider getting help from a old fashion OSTEOPATH OR DO - THIS IS NOT A

CHIROPRACTOR!  A CHIROPRACTOR WILL IN ALL PROBABILTY MAKE THINGS WORSE!  ONLY

SUBSTITUE FOR DO IS A PHYSICAL THERAPSIST WHO HAS BEEN TRAINED BY A DO!

i just did a quick search for  UNSTABLE SACROILIAL DYSFUNCTION.

HOPE THIS HELPS-

tHERE’s a Strange Click-Clack in the Back of My Sacroiliac

(Who Gets the Pain When They Do the Mambo?)

Bachrach, DO FAOASM

Hey, Doc! I’ve got this pain in my lower back. It changes from right to left

and back again. It’s really bad when I stand still or walk for too long, then

it feels better when I sit. Sometimes I have to walk to ease it. Sometimes the

pain goes into my butt and the back of my thigh, but never past my knee. Every

once in a while, my leg will buckle and I’ll stumble and occasionally almost

fall. If I sit, stand or stay in any one position for too long, my back aches

like crazy. What’s the matter with me? "  

Way back when and probably even before, low back pain complaints were registered

as: " My back hurts, it must be lumbago. " Or " My butt hurts, I’ve got

sciatica " . Or " My sacroiliac is out. " Well, it sounds like this guy has the

latter problem. Maybe this sounds familiar. So, a few words of explanation:

Through the years, depending on what's been “in†at the time, back pain has

been attributed to problems with the intervertebral discs, spinal muscles,

joints, ligaments, sacroiliac joints and/or with the emotions. In truth, except

in relatively rare cases, we are unable to pinpoint the exact cause of any one

episode of back pain. This is primarily a consequence of its multifactorial

nature: back pain may be caused by the interaction of any or all the above

factors, plus a few others. One of those is dysfunction of the joints connecting

the pelvis to the spine: the sacroiliac articulations. (See prolotherapy.) This

concept has been in and out of favor

for years, but extensive new scientific research indicates strongly that a

significant proportion of back pain relates to those joints. Many in the

orthopedic surgical and neurosurgical communities still have great difficulty

with that idea. They maintain that there is no movement between the sacrum and

the pelvic bones. However, if that were true, why would these be synovial

joints, (the same types of joints found in your fingers, ankles, knees,

shoulders, etc.)? The fact is that they do move, however minimally. Excessive,

abnormal, reduced or absent motion of the sacroiliac articulations is an

extremely common source of low back and lower extremity pain. According to some

researchers, the incidence of sacroiliac joint involvement in back pain episodes

may be as high as 35%.

All (well, almost all) pain is caused by stimulation of nerve endings called

nociceptors. These are present in many joint structures, as well as in and

around the spine and the vertebrae themselves, the joints between them, the

ligaments connecting them, the discs between them, the muscles that move them,

the blood vessels that supply the muscles that move them, and the sheaths around

the spinal nerves. Twisting, stretching, crushing or tearing may stimulate these

pain receptors. They may be fired by chemical factors such as the accumulated

waste products of muscle metabolism, other toxic substances, lack of oxygen,

etc. Any number or all of these conditions may be operative in the spinal,

pelvic, or sacroiliac areas at any one time. Small wonder there are so many

different, often conflicting, diagnoses and treatments for low back pain.

What about the sacroiliac joints? The sacroiliac joints form the connection

between the spine and pelvis. Like all such joints, cartilage lines the adjacent

joint surfaces. In this case, the cartilage of one side is rough, the other

smooth. Strong ligaments connect the sacrum to the pelvic bones in the back of

the sacroiliac joints, with weaker ligaments in the front. Just above the

sacrum, iliolumbar ligaments on either side tether the lower two lumbar

vertebra, and indirectly, the sacrum to the pelvic bones. The ligaments behind

the sacroiliac joints also restrain downward movement of the top of the sacrum

and connect to the hamstring muscles in the back of the thighs. The net effect

is to stabilize the sacroiliac and lumbosacral joints. This prevents excessive

forward or backward tilting of the sacrum and pelvis and provides a self-locking

mechanism which allows us to walk, bracing the sacroiliac joint on one side as

weight is transferred from one

leg to the other. 

What can go wrong? Under ideal conditions the sacrum is positioned somewhat

diagonally between the pelvic bones. With this relationship in place there is

maximum stability. With a swayback posture (hyperlordosis) the sacrum tilts

downward and forward and becomes more horizontal. The ligaments described above

are stretched and the sacroiliac joints become unstable and the self-locking

mechanism is impaired. The ligaments undergo further stretching, firing the pain

receptors. Alternatively, the unstable sacroiliac joints may become locked in an

abnormal alignment, maintained that way by resultant muscle spasm producing

pain.

The individual with pain caused by sacroiliac instability and/or low back

instability will tell us that he is unable to sustain any one position.

Standing, sitting, walking, or often even lying down (morning stiffness is

common) for prolonged periods may produce back and/or lower extremity pain. Pain

is often relieved by changing position (after some difficulty initiating the

move). The pain may involve either or both sides, radiate into either or both

legs, usually not past the knee, at the same or different times. 

The spine and pelvis require stability. With failed ligaments, the job falls to

the muscles around the pelvis and spine. They are ill suited to that task,

designed to move rather than support. As the muscles become tighter, their

circulation is impaired. Waste products and inflammatory pain producing

substances are accumulated exciting the pain receptors. Normal movement is

limited and the cycle of pain, muscle spasm, motion restriction is initiated and

perpetuated, establishing (myofascial pain syndromes with trigger points)

(q.v.). 

These conditions are amenable to correction by non-surgical procedures including

osteopathic manipulation in acute cases, exercises to stabilize the lower back

and pelvis, postural retraining, injection of trigger points. In the event these

don’t do the job, prolotherapy (q.v.) is the logical alternative. Only rarely

is surgery necessary.

 

The information contained in this website is for educational and informational

purposes only and should not be regarded or interpreted as anything else.

Diagnosis and treatment of disease, injury, pain or disability is the province

of your health professional who should be consulted in regard to any medical

symptoms or conditions before adopting any course suggested in this website. By

proceeding to the table of contents page, you agree to accept the provisions of

this disclaimer.

     

From: murilolion <murilolion@...>

Subject: Difficulty to SIT DOWN.

Date: Wednesday, December 16, 2009, 1:33 PM

 

Hello! I have CMT.

Since I was 45 y/o I come with and today I am with 56.

I already tried several physiotherapeutic treatments, etc. Today I know that

should make exercises to keep my body but without any exaggeration. I already

lost force and muscular mass, sensibility in the legs, feet, arms and hands.

I have difficulty also to sit down. That is what I would like to know about if

it is common in CMT. A lot of times it burns and the buttocks burns as I sit

down. I take shocks in the body.

It exists chance of some cure or medicine to improve CMT.

Very thankful to all, everything of good,

Murilo

[Guest guest]

Murillo,

I sent you the email on Osteopaths(DO).  I am reviewing my other emails and just

read Gretchen's response to you regarding her ruptured disc.  I reacted too

quickly to your posting that you had pain sitting. You should have xrays or mri

of your back to see what is the problem!

Like Gretchen something could be wrong like a raptured disc - or like me (I am

10 yrs younger) normal aging showed on my MRI and my conditidon of extreme pain

was corrected with Osteopaths and Prolotherapy.

Not to scare you but there could be more serous conditions wrong with you that

require immediate medical care.  That gives you the same nerve pain in butt.

Gretchen sparked me to update my original email.  I took pain relievers which

only allowed me to get worst and more out of shape.  So pain relievers are

certainly not the answer only proper information.

Good luck

Kim