HONG KONG, Feb. 02, 2022 /24-7PressRelease/ — Sacroiliac joint (SIJ) pain is one of the most common symptoms among athletes. With the 2022 Winter Olympics just a week away, athletes make their final push for glory in the quadrennial winter sports extravaganza. Investigators from the Hong Kong Association of Chiropractic Physicians have launched a 2022 prospective case study on the biomechanical assessment of pelvic incident to SI joint dysfunction (1) that has the potential to improve training management Beijing 2022 Winter Olympics.
The sacroiliac joint is designed to act as a shock absorber for the upper limbs. In most cases of athletes with low back pain, the source of low back pain is sacroiliac pain. The sacroiliac joints are two weight-bearing joints at the base of the spine. These joints support the upper body when standing. The high-impact movements of athletes put excessive pressure on the SI joints. The joints become inflamed, causing pain when standing, numbness and weakness. Research estimates that approximately 40% of athletes suffer from SI pain.
“SIJ dysfunction is a common cause of low back pain in athletes, especially in sports with repetitive and asymmetrical loading. The consideration of SIJ as a pain generator in this population is important because sport can predispose athletes to SIJ pathology,” describes CDAHK member Dr. Li Peng. Dr Li joined the Chinese Olympic Committee in 2018 and began his career providing medical care to national teams. He is currently acting as an instructor for the Beijing 2022 Winter Olympics and the Hangzhou 2022 Asian Games National Team Medical Staff Sports Rehabilitation Skills Training Course.
The diagnosis of sacroiliac joint pain is difficult because of its symptoms mimicking disc or lumbar pain. The preferred diagnostic tool currently used is an invasive tool: an injection with a local anesthetic. Although the treatment can be minimally invasive with a short procedure time, a metal implant and recovery time are sometimes required. However, Olympic athletes are cautious and avoid any injection of chemicals into their bodily systems.
The original study was initiated by Dr. Eric Chun Pu Chu, President of CDAHK, as part of a review of the management of unbalanced gait (2-4), scoliosis (5-8), low back pain and herniated disc (9-12) at New York Medical Group (NYMG). During their studies, the researchers measured pain scores, range of motion and all radiological parameters using an optical tracking system before and after treatments. Pelvic incidence (PI) is a radiographic parameter describing the relative position of the sacral endplate to the pelvis, and the implications of changing PI in pathological conditions have not yet been fully investigated. The results revealed that the non-pharmaceutical treatment significantly changed the pelvic incidence angles and reduced the pain score. Additionally, the original inflammatory sclerosis surrounding the right SIJ in the radiograph had resolved after the treatments.
“The dysfunction begins when your sacroiliac joint becomes inflamed. There are several reasons why this could happen. You could hurt it by playing sports or falling. You could also have this problem from an activity which gives the area a steady pounding, like jogging.You might take uneven steps when exercising with SI joint pain.The new approach may help sports physicians provide a more accurate diagnosis and different treatment options said Dr Li in Beijing.
Dr. Chu suggests biomechanical treatments such as MID® and SpineMT® spinal reshaping technologies, and chiropractic biophysics, many of which can effectively correct spinal misalignment and low back pain. The revolutionary high-tech design of spinal contouring technologies includes computer control of enhanced therapy logic and patient-friendly comfort elements, such as the delivery of mild pneumatic traction. Traditional Gua Sha therapy, or state-of-the-art Strig®, are all beneficial in treating muscle pain (13). Itrac® is also good for neck pathology (14-18). Combined, this system works to improve the modern physical medicine clinic.
As the chiropractic profession booms and creates more impact in the sports medicine industry (19-21), CDAHK is excited to discover the innovative new procedure in diagnosing SIJ pain, so that we can offer even more treatment options to help minimize or eliminate patients’ chronic joint or back pain. The new approach can benefit both athletes and all patients with SIJ pain.
1) Chu EC. Change in pelvic incidence associated with sacroiliac joint dysfunction: a case report. 2022 January; Case J Med. 2022;13(1):31-35
2) Chu ECP, Wong AYL, Lee LYK. Chiropractic care for low back pain, gait and posture in a patient with Parkinson’s disease: about a case and brief review. AME Case Rep. 2021;5:34. doi: 10.21037/acr-21-27. eCollection 2021. PubMed PMID: 34805753; PubMed Central PMCID: PMC8572672.
3) Chu ECP, Lam KKW. Post-poliomyelitis syndrome. Int Med Case Rep J. 2019;12:261-264. doi: 10.2147/IMCRJ.S219481. eCollection 2019. PubMed PMID: 31496835; PubMed Central PMCID: PMC6690913.
4) Chu C. Collapse of dependent edema after chiropractic adjustment for discogenic sciatica. European Journal of Molecular and Clinical Medicine. March 2018; 5(1):1-4. doi: 10.5334/ejmcm.250
5) Pu Chu CE, Chakkaravarthy DM. Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: a retrospective chart review. Convenient Wink. 2020 Sep 4;10(3):1258. doi: 10.4081/cp.2020.1258. eCollection 2020 September 4.
6) Pu Chu CE, Kai Huang KH. Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis. J Family Med Prim Care. 2017 April-June;6(2):447-449.
7) Chu ECP. Lumbosacral transitional vertebra as a potential contributing factor to scoliosis: about two cases. Asia-Pac Chiropr J. 2020;1.1.
8) Leung K, Huang K, Chu EC. Chiropractic management as conservative care for adolescent idiopathic scoliosis: case report. Asia-Pac Chiropr J. 2021 September; 2(2).
9) Chu E. Thoraco-lumbar disc herniation: a hidden cause of monosymptomatic nocturnal enuresis. European Journal of Molecular and Clinical Medicine. April 2021; 8(3):2834-2840.
10) Chu ECP. Taming testicular pain complicating lumbar disc herniation with spinal manipulation. Am J Mens Health. 2020 Jul-Aug;14(4):1557988320949358.
11) Chu ECP, Chan AKC, Lin AFC. Pitting edema in a poliomyelitis survivor with lumbar radiculopathy complicated by herniated disc. J Family Med Prim Care. 2019 May;8(5):1765-1768. doi: 10.4103/jfmpc.jfmpc_254_19. PubMed PMID: 31198752; PubMed Central PMCID: PMC6559111.
12) Chu C. Chiropractic care for postlaminectomy syndrome. International Journal of Medical and Health Sciences. July 2017; 6(3):185-187.
13) Chu ECP, Wong AYL, Sim P, Krüger F. Exploring Scratch Therapy: Contemporary Views of Ancient Healing – A Review. J Family Med Prim Care. 2021 Aug;10(8):2757-2762. doi: 10.4103/jfmpc.jfmpc_360_21. Published online August 27, 2021.
14) Chu CE. Prevention of text neck progression in a young man: about a case. Radiology case reports. 2022 January; 17(3):978-982. do I: https://doi.org/10.1016/j.radcr.2021.12.053.
15) Chu EC, Wong AY. Cervicogenic dizziness in an 11-year-old girl: case report. Adolesc Health Med Ther. 2021;12:111-116. doi: 10.2147/AHMT.S341069. eCollection 2021. PubMed PMID: 34866956; PubMed Central PMCID: PMC8636150.
16) Chu EC, Zoubi FA, Yang J. Cervicogenic vertigo associated with craniocervical instability: case report. Case J Med. 2021 Nov;12(11):451-454. doi: 10.14740/jmc3792. Published online 2021 Nov 5. PubMed PMID: 34804305; PubMed Central PMCID: PMC8577610.
17) Chu ECP, Lo FS, Bhaumik A. Plausible impact of forward head posture on upper cervical spine stability. J Family Med Prim Care. 2020 May;9(5):2517-2520. doi: 10.4103/jfmpc.jfmpc_95_20. eCollection 2020 May. PubMed PM ID: 32754534; PubMed Central PMCID: PMC7380784.
18) Chu EC, Chu V, Lin AF. Cervicogenic headache relieved by adjustment of the spine in combination with extension-compression traction. Arch Clin Med Case Rep 2019; 3 (5): 269-273. 2019; 3(5):269-273. do I: https://doi.org/10.26502/accmr.96550090.
19) Chu EC. Chiropractic and the future of health care in Asia. J Contemp Chiropr. November 2021; 4(1):138-141.URL https://journal.parker.edu/index.php/jcc/article/view/174.
20) Chu EC. Hong Kong is on the verge of rapid change in healthcare. Asia-Pac Chiropr J. 2021 September; 2(2). do: https:// www.apcj.net/papers-issue-2-2/#ChuHongKong.
21) Leung K, Chu EC. Hong Kong Chiropractic Survey: Data Analysis. Asia-Pac Chiropr J. 2021 November; 2(3). URL: https://www.apcj.net/papers-issue-2-3/#LeungChuHongKong.
About the Hong Kong Association of Chiropractic Physicians
The Chiropractic Physicians Association of Hong Kong (CDAHK) is the largest professional chiropractic organization in Hong Kong and China. CDAHK is the globally awarded association and has recruited the most principled and accomplished chiropractors, and provided superior chiropractic care. CDAHK has pioneered the healthcare industry in collaborating with other healthcare professionals, influencing pro-chiropractic legislation, supporting clinical research, and using this clinical experience to inform rehabilitation practices. To learn more, visit www.cda.org.hk Where [email protected]
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