Sacralisation

[neuron]

Hi My 29 year client who works in Mechanical and air conditioning field having radiating pain in his S2 dermatome level and the pain is intermittent which is burning in nature . On examination i found that client pain perceived movement is between flexion-extension of lumbar segments .
He tried to control with home conservative treatment such as hot pack and pain relieving rub which did not worked out apparently he went specialist and found that it's sacralisation .
He attended 5 sessions (alternative day session) and found 60% relief in pain but remaining 40% intermittently comes and goes ..can anyone tell me what is the prognosis rate in this case with conservative physio??
I advise him to do pelvic tilt ex's, core strengthening ex's , reduce his body weight( i guess his body weight contributes the pain - 168 c.mbody height - 80 k.g body weight) and also swiming ex's . Is there anything i can advise him??

[emad]

Hi N.

What is the new with the patient,s (sacralesed area )Sacralisation caused that pain ? Was the the sacralisation process new to cause that pain ? Were not the bones already sacralised before the pain ?

Just advise him the move gently ,avoid agression !

Best Wishes
Emad

[neuron]

Hai emad,
thanks for the reply. this pain is new just started recently and i don't have any idea how the pain started nor the patient knows. all he knows is the pain just started and it became worse that's confusing me. He has no accidents or any injuries ......

Best Regards
Neuron

[emad]

Neuron ,

I tried to denote that that assumed sacralisation by physicians and x-rays is not the real cause of the current pain ,because sacralisation existed long since bone growth complete.
I agree, may be gentle electrical stimulation or any type of physiotherapy could work ,beside to patient,s advising and educating regarding pain , assuring , taping , gentle neural mobilisation and breathing .

I know in some circumstances doing the above and other science-based methods with no progress.

Best Wishes
Emad

[nari]

I agree with Emad that it is not necessarily anything to do with sacralisation; treat him as you would any patient presenting with pain. He has already experienced less pain (60%), and you might expect that to continue. Often it takes time.
Just continue for a while; there is poor predicatibility when dealing with pain, but it looks positive so far!

Can't add to Emad's suggestions.

Nari

[neuron]

Thank you Emad & nari for your suggestions BTW how does the neural tissue mob's helps ? you mean like other low back pain and radiculopathy??
Best Wishes
neuron

[nari]

Neuron,

Yes. Pain is pain, regardless...

Nari

[emad]

Neuron;

I think peripheral /localised diagnoses are not the real factor.

Emad