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[Performance Place website low back article excerpt]
Sacroiliac Joint Dysfunction is the most common diagnosis for sacral pain. Poor mobility, stability, or strength causes dysfunctional movement in the pelvic/ lumbar spine hip complex creating stress and compression. Recovery to activity typically occurs in weeks to months.
Yet, we can not blame Sacroiliac Joint Dysfunction for all sacral pain in the world. Sacroiliac Joint Dysfunction tends to localize into the SI joint region and lower back… so what about those who experience aches and pain in the butt crease?
We will cover that here.
In this article, I will cover all you need to know about sacrum pain. Included are causes, other possible diagnoses creating your sacral pain, and some treatments that work!
Watch all of the fantastic videos and resources I have for you in this article before you go so you get all of the information you need to make an informed decision about your treatment.
Let’s start with where your sacrum is.
Your sacrum is the prominent bone at the very bottom of your lower back. Shaped like a triangle, this large bone of the spine forms the cornerstone of your pelvis. On each side of the sacral bone are the ilium bones. Together with the ilium and the sacrum form the sacroiliac joints (SI joints).
Your lumbar spine (lower backbones) sits on top of your sacrum, below the coccyx bone (tailbone) is attached. The S1 intervertebral disc sits on the top of the broad sacral base. On top of the S1 intervertebral disc sits the lowest spinal bone called the L5 vertebral body.
I’m Sebastian. Thanks for reading my article!
Who Gets Sacrum Pain?
Pain in the sacral region starts typically around the age of 20, but you can experience it when you’re older as well. It tends to begin around the lower back/ SI joint region before it travels down the butt crease and sometimes in bony areas of the tailbone.
Note: Numbness into the region between your legs can be from another severe condition known as Cauda Equina Syndrome. You can read more about it here.
Sedentary and deconditioned people experience a deep tailbone and sacral ache more than physically active people. Sitting seems to be the most substantial associated factor to those people who develop it.
Yet, active people are not exempt from having pain in their sacrum, though.
Runners, cyclists, and weightlifters all can suffer from SI joint pain, low back stiffness, tailbone pain, and glute ache.
We will take a deep dive into common symptoms in a later section.
Causes of Sacrum Pain
Sitting seems to be the commonality with people who experience sacral and tailbone pain (aka coccydynia).
Sitting places pressure on the tailbone and lower back, tolerable in small doses, yet when sitting dominates your day, the pressure will build up.
Most of the time, your body can handle tolerant the pressure associated with sitting. Pain is your body telling you that it is being compressed and needs a break.
The most straightforward treatment is removing or modifying the triggering activity: sitting.
There are a few simple ways to modify sitting.
Sitting on the end of your seat
Replacing sitting time (going for a walk)
Adding lumbar support to your chair
Changing the seat completely
You do not need to make these lifestyle change forever, but it may be the most straightforward remedy for a few weeks.
Just like an engine that has overheated after an intense drag race, removing the trigger (redlining the engine) for a short period is enough to allow your engine to function correctly again.
The deep ache in your sacrum and tailbone is no different. The best long-term plan may be to optimize your body so sitting is not triggering (AKA optimizing your engine cooling system).
We can discuss this in later sections.
Symptoms
Symptoms around the sacrum and tailbone vary from person to person, based upon their actual diagnosis/ root cause. Here is a list of what many people experience:
Pain that improves with walking
Symptoms increase with prolonged sitting
Symptoms increase with bike riding in an arrow position, better when upright
Needle-like feeling on the sacrum
Deep ache in the tailbone
Sharp sensation on tailbone with sitting or pressure
Lower back pain or stiffness
Tight hip flexor
Hamstring tightness
Deep discomfort in the sacrum
Tailbone stabbing
TFL muscle ache
Deep glute muscle ache
IT band tension
Pressure in the lower back
Feeling like you need to “pop” your hips or SI joint
