This is a reply messages left on the previous post, “How to Diagnose a sacral fracture?”
Disclaimer: I am not a Medical doctor. I am a licensed physical therapist. Please consult your doctor for all matters concerning your health. The following is my opinions based on the limited information presented to me.
lmhj: My immediate reaction to Janice’s initial inquiry was one of caution. Generally speaking, a fractured sacrum is given time to heal (with limited activity restrictions). Radiation treatment could render body structures weaker than prior to treatment. Things could be in a bit more fragile state; because of that, I would err on the side of caution when it comes to physical activity (definitely no impact movements like jogging…or walking depending on how severe the structures are damaged). I’ll talk about walking a little later.
The sacrum acts as a wedge between the two prominent pelvic (iliac) bones. It helps connect them to make the bowl shape seen on the skeleton. This joint is called the SI-joint (sacro-iliac). There is VERY tiny bit of movement at the SI joint, but that little bit is necessary for typical pelvic movement. In a sense, they are “weight bearing” bones that gives just a little bit as we walk. Every time we stand, pressure is put through the sacrum by body weight. After all the radiation treatment, I am concerned about the integrity of the sacrum.
Walking: My wife has worked with ladies who have SI joint pain (sacrum) and those who have separated their pubic bone in front. In either case, she has had much success using the “Serola Belt”. It is a type of SI belt that is worn over (or under) the clothes to help cinch the pelvic bones together to make it sturdier. ***Caution*** If the integrity of the sacrum is compromised, then this WOULD NOT be a good idea. Consult your doctor/ surgeon first. Don’t be surprised if they do not know what an SI belt is.
Surgery: Ask the doctors to be specific. What type of surgery are you getting?…removal of tissues?…fusion of the sacrum?…recovery time?..weight bearing status? Also ask if there is any other less invasive treatments.
Carolyn: See the above information.