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Sacroiliac Dysfunction May Worsen Cystitis.
HILTON HEAD, S.C. -- Sacroiliac dysfunction, a malalignment of the sacrum and innominate bones of the hip and pelvis, may be an underrecognized component in some cases of interstitial cystitis.
In a pilot study, 16 women with interstitial cystitis (IC) were diagnosed with and treated for sacroiliac dysfunction, resulting in a significant improvement in bladder symptoms, Dr. James Lukban said at the annual meeting of the American Urogynecologic Society.
"We know that a malalignment of the sacrum and ilium can cause pelvic muscle spasm, such that the normal shape of the pelvis can be distorted. We speculated that restoring the normal tension to these muscles might take away some of the pain and urinary symptoms of their IC," said Dr. Lukban, director of urodynamics at the Pelvic Floor Center, Graduate Hospital, Philadelphia.
In his study, patients were evaluated for urinary frequency urgency nocturia, suprapubic pain, and dyspareunia with both the Modified Owestry Disability Scale and the O'Leary-Sant Interstitial Cystitis Symptom Questionnaire.
They also were evaluated for sacroiliac dysfunction by a manual physical therapist. This included a structural assessment of pelvic alignment in the sitting, standing, supine and prone positions; an evaluation of the heights of the iliac crests, the posterior and anterior superior iliac spine, pubic tubercles, ischial ...
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Source: HighBeam Research, Sacroiliac Dysfunction May Worsen Cystitis.