
Is It Safe To Have Chiropractic Adjustments To Address Misaligned Pelvic Area?

I am writing to see if I am approaching the right treatment through chiropractic adjustments to address an xray finding on my pelvic region.
I’ve had some large fibroids (equivalent of 12 weeks pregnancy) that were believed to have caused tailbone pain (inverted uterus) along with other complications. This has been going on for over a year and I have a surgery scheduled late 2015. It seems like the fibroids given my shape are pushing on that region. I had xrays (which I didn’t see) from my MD and an MRI of my lumbar area (but not to the bottom sacrum area) due to diagnosing CIDP (my immune system attacking my nerves), a separate issue that started last year. Nothing came up because the sacrum area wasn't included in the MRI.
Because I started to compensate with my walk and was getting some mid-back pain, I was prompted see a recommended chiropractor for the first time.
The new xrays the chiropractor conducted last week displayed a misaligned pelvic area where my left hip is turned somewhat in and is noticeably higher than my right hip. I don’t understand how I am not walking misaligned by the films she showed me.
I had completed a 3 day walk (20 miles day) 8 years ago and by Day 2, I came into “camp” with a very painful left knee. The event athletic therapist asked me to walk and when he saw my posture, noted that my left foot turned inward a bit. He suggested I intentionally turn my left foot out the next day to “walk it out” and this helped. I didn’t pursue further evaluation & my level of walking has decreased significantly. Would this issue be connected?
My chiropractor has a series of adjustments planned for the next 3 weeks, several times a week. Is chiropractic care the right specialty to address this and/or is it common?
Coccydynia, Intorsion
Detailed Answer:
Hi there.
Welcome to Healthcare Magic.
Thanks for the query.
According to the history provided, it appears that your lower back region is being subjected to stress due to an inverted uterus made bulkier with fibroids. This could apply pressure on the posterior structures and can cause pain in the lower back.
The tailbone pain is called coccydynia. It is due to undue stretching of the ligament or damage to the joint between the sacrum and the tailbone coccyx. This could be due to a variety of causes like Constipation, previous difficult vaginal delivery, excessive sitting on hard chair etc.
I advise you to sit gently into a tub filled with warm water with some table or epsom salt added. This will reduce the inflammation and pain and bring you great relief. Eat a diet rich in fresh fruits and green leafy vegetables to provide roughage and drink 2 litres of water, to avoid constipation. Take pain killer like Tablet Ibuprofen 400mg twice a day for relief of pain. Avoid lifting weights. Apply hot water bottle to the painful areas.
Regarding the hip problem, you seem to be having an intoeing gait which can be commonly seen in persons with bulkier thighs. If you are overweight, this could be stressing your knee joints as well which is causing pain. If you have any hip problems, it should show on an X-ray or an MRI scan.
I request you to upload the reports of the Xray and other investigations if possible, for me to be in a better position to help you.
A chiropractor does certain manipulations to correct malalignment problems in the skeleton but we Doctors personally do not recommend such things as there could be undue complications which the chiropractor will not be able to manage, should anything go wrong.
Once you get the surgery done to remove the fibroids and correct the uterine inversion, you will find considerable relief in the low back pain.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu

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