After nearly 30 years of practice I know that when people say “My hip hurts” they may very well mean their sacroiliac joint. The hip is actually what many refer to as “the ball in socket” joint. Most people are familiar with the femur bone, which is the bone at the top of the leg. It is known as “the ball in socket” because the top part of the femur is nearly perfectly round and joins the acetabulum a.k.a. socket, of the ilium.

The right and left sides of the pelvis are made up of three bones that join together, (the ilium, ischium, and pubic bones). The right and left sides of the pelvis are joined in the posterior, or back, to the sacrum via ligaments. The joint where the ilium and sacrum join is known as the sacroiliac joint which is better known as the SI joint.

Sciatica is pain down the back of the leg. Although it has its own diagnostic code, it is not a specific “disease”. It is actually a description of a specific pain pattern. It also has degrees of pain known as “grades”. Grade 1 sciatica is from the lumbar spine or SI joint into the buttocks. Grade 2 sciatica extends down the back of the leg to the knee. Grade 3 sciatica extends down the back of the leg to the ankle or foot.

Hip, leg and sacroiliac problems can come from several different causes. It can originate from the lumbar spine, SI joint or the hip joint. Many times the pain comes from a subluxation. A subluxation is when one bone is out of position in relation to the adjacent bone. Most commonly this is in the spine and is known as a Vertebral Subluxation, but can also come from a subluxation of the SI joint or hip.
Rarely, the pain can come from an organic problem (a problem originating from an organ) which may not be chiropractic issue. A Doctor of Chiropractic is trained to differential diagnose to determine if you will benefit from chiropractic care. If yours is not a chiropractic case he/she can refer you to the proper discipline for concurrent care.

Only a Doctor of Chiropractic can tell you if chiropractic can help you! Medical doctors are not trained to diagnose chiropractic issues. Many times a patient is referred for surgery when chiropractic was the best, most cost effective, safest and permanent solution.

I always offer a free consultation to see if chiropractic is your best choice. Call my office for an appointment, 843-552-0000.

Dr. Marlon Fox