iliac crest pain location

Championisme authors

3 min read

·

11-10-2024

38

0

Share

Iliac Crest Pain: Understanding the Location and Causes

The iliac crest is a prominent bony ridge located at the top of your hip bone. Pain in this area can be a common occurrence, ranging from mild discomfort to debilitating agony. Understanding the location and potential causes of iliac crest pain is crucial for seeking appropriate medical attention and finding relief.

Where is the Iliac Crest?

The iliac crest is easily identifiable as the bony prominence you can feel along the top of your hips, just below your waistline. You can trace it laterally (sideways) from the front of your hip towards your back, forming a curved ridge on each side of your pelvis.

What Causes Iliac Crest Pain?

Iliac crest pain can arise from various factors, ranging from muscle strains to serious underlying conditions. Here are some common culprits:

1. Muscle Strain or Spasm:

As explained by a study published in the "Journal of Athletic Training" [1], iliac crest pain can result from overuse or strain of muscles that attach to this area, such as the iliopsoas, gluteus medius, tensor fasciae latae, and erector spinae.

2. Ligament Injury:

The iliac crest is also the attachment point for several ligaments, such as the inguinal ligament and iliolumbar ligament. Injuries to these ligaments, often caused by a sudden forceful movement or trauma, can lead to pain and instability in the hip region.

3. Bone Injury or Stress Fracture:

While less common, a direct impact or repetitive stress can cause a fracture of the iliac crest. "The American Journal of Sports Medicine" [2] highlights that stress fractures in this area can be particularly challenging to diagnose initially.

4. Referred Pain from Other Conditions:

Iliac crest pain can also be a symptom of other conditions, including:

• Kidney stones: Pain from kidney stones can radiate to the lower back and flanks, potentially mimicking iliac crest pain.
• Appendicitis: While less common, pain from appendicitis can occasionally be felt in the lower right abdomen, including the iliac crest area.
• Scoliosis: Curvature of the spine, known as scoliosis, can put strain on the iliac crest and lead to pain.

5. Other Causes:

Other factors contributing to iliac crest pain include:

• Osteitis Pubis: Inflammation of the joint where the two pubic bones meet, often associated with athletic activities.
• Herniated Disc: A slipped disc in the lower back can sometimes radiate pain to the hips, including the iliac crest.
• Arthritis: While less common, osteoarthritis in the hip joint can cause pain and stiffness that might radiate to the iliac crest.

Diagnosis and Treatment

To diagnose the cause of your iliac crest pain, your doctor will likely conduct a physical examination, ask about your symptoms, and may order imaging tests such as X-rays or an MRI. Treatment options will vary depending on the underlying cause and may include:

• Rest and Ice: Applying ice packs to the area for 15-20 minutes at a time can help reduce inflammation.
• Over-the-Counter Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can alleviate pain and inflammation.
• Physical Therapy: A physical therapist can guide you through exercises to strengthen muscles and improve mobility.
• Steroid Injections: In some cases, injections of corticosteroids into the affected area can provide temporary relief.
• Surgery: Surgery may be necessary for severe fractures or in cases where other treatments are ineffective.

Prevention Tips

While not always possible, you can take steps to minimize your risk of iliac crest pain:

• Proper Warm-up and Cool-Down: Engage in a warm-up routine before exercise and a proper cool-down afterwards to prevent muscle strain.
• Maintain Good Posture: Practice good posture throughout the day to avoid putting excessive strain on your back and hips.
• Avoid Overexertion: Listen to your body and avoid activities that cause pain or discomfort.
• Stretch Regularly: Stretching regularly can help improve flexibility and prevent muscle imbalances.

Conclusion:

Iliac crest pain can be a frustrating and debilitating experience. By understanding the potential causes and seeking proper medical advice, you can get the right diagnosis and treatment to manage your pain and improve your quality of life. Remember to always consult with a healthcare professional for any persistent or severe pain.

References:

[1]: Snyder, C. J., & Clemente, F. A. (2013). Iliopsoas muscle strain and the treatment of low back and pelvic girdle pain: a case report. Journal of Athletic Training, 48(1), 104–107. [2]: McAtee, G. K., & Smith, T. L. (2002). Stress fracture of the iliac crest in a long-distance runner. The American Journal of Sports Medicine, 30(6), 926–928.