Pain In Sacrum(?)

Bigger Stronger Leaner Injuries and Rehab
1

Hello

Context:
I had a low back injury about a year ago, perhaps a SI-Joint injury but I am not sure. It occured either picking up a peice of furniture or squatting. There was never a moment that I knew I did direct trauama bad enough to notice. I saw physical therapy and it was a waste of time although I kept it up for weeks and continued the exercises.

X-Ray was clear. Awaiting MRI.

Symptoms a 1 year to a few months ago: pain when bending forward from hip or flexing forward from low spine all day. Pain whenever my pelvis tucked under (from sitting on a couch, squatting down with body weight).

Now the pain just prevents me from deadlifting conventionally seriously. However after an extended amount of volume my back does not hurt. Same with deep squatting. First few sets kill me, but after a few It’s much better and I feel I can wiggle my hips without pain, I can sit down in a couch and have no pain.

In the morning when I wake up it hurts like a mother fucker though, and it’s probably a 8-9 on a scale of 10. If I stand on one leg and flex my hip up and back forward to bring my sock up on my ankle my back fucking kills me. However after doing it a few times it doesn’t hurt.

My question is why the hell does it hurt in the morning and get not so bad throughout the day? I don’t understand it feels like I’m tearing some stuff as soon as I wake up and then it doesn’t hurt anymore.

My current therapy is to put a dowel on my spine and tuck my but under so my low back is flat against the dowel. From that position I mimic a Romanian Deadlift without losing that “flat back” and also squatting the same way. These drills hurt too.

Oh yea, the pain is right above my ass crack…

Thanks for reading.

2

It’s not unusual to have low back pain PAIN in the am when you haven’t been moving, yu’ve been on your back for hours and now you stand up. THink about your spine and gravity. Now gravity is acting on more compressed disks.
As you get moving throughout the day and more fluid gets moving around the spine and it desompresses a bit, great. better feeling.

as to what’s causing you to have LONG standing pain, lots of things at play, but often
a) the low back has way more pain receptors than anywhere else in the body and
b) if pain goes chronic, it’s a sensitisation, and potentially hyper.

that means the chronic pain area is set up to amplify stimulus to it.

a few things to note:

Pain takes place in the brain.
in other words, your back may not be the problem particularly.

here’s more info on chronic low back pain,
on a bit about the differences between acute and chronic pain
why it’s often in the low back
and strategies that often help

Let me know if that helps,
and if you want to see someone who can help you get out of that after reading the above and want to give that approach a go, let me know, and i can help you find someone who knows how to guide the neuromuscular reprogramming.

best
mc

3

Could be your piriformis. Any pain down either leg?

4

No pain down the leg. Some therapist assessed me and said I wasn’t able to flex my lumbar spine enough…hence there is PAIN in my back when my hips undergo pelvic tilt and my low back can’t compensate enough so there is pain. I dont no wtf im supposed to do for that.