Iliac Apophysitis

with Rehab

ExitCare ImageIliac apophysitis is a condition that causes pain and inflammation over bony prominence of the pelvis (iliac crest). The iliac crest is the attachment site for the abdominal muscles. Repetitive strenuous exercises often cause weakness in the growth plate of the ileum (one of the bones of the pelvis), near where these muscles attach. Iliac apophysitis is a temporary condition in which the growth plate becomes inflamed. Occasionally the stress placed on the iliac crest will cause a bone to pull away from the growth plate (avulsion fracture). This injury is uncommon after the body becomes skeletally mature (approximately 14 years in girls and 16 years in boys).

SYMPTOMS

CAUSES

Iliac apophysitis is caused by repetitive stress placed on the iliac crest and the associated growth plate.

RISK INCREASES WITH:

PREVENTION

PROGNOSIS

The prognosis for iliac apophysitis depends on the severity of injury. Mild cases can be expected to resolve with only a slight reduction in training intensity, duration, and frequency. Moderate and severe cases may require significantly reduced activity for 4 to 6 weeks.

RELATED COMPLICATIONS

TREATMENT

Treatment initially involves ice and medication to help reduce pain and inflammation. Strengthening and stretching exercises of the abdominal muscles may help reduce pain, as well as modifying activities so they do not include any motions that cause increased pain. For moderate or severe cases it is important to rest and allow the body to heal. It is recommended that you have a gradual return to sport after recovery. For cases of iliac apophysitis that become chronic, one may be referred to a therapist for further evaluation and treatment.

MEDICATION

HEAT AND COLD

SEEK MEDICAL CARE IF:

EXERCISES

RANGE OF MOTION (ROM) AND STRETCHING EXERCISES - Apophysitis, Iliac

These exercises may help you when beginning to rehabilitate your injury. Your symptoms may resolve with or without further involvement from your physician, physical therapist or athletic trainer. While completing these exercises remember:

ExitCare Image STRETCH - Quadriceps, Prone

ExitCare Image STRETCH – Extension, Prone on Elbows

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image RANGE OF MOTION – Extension, Prone Press Ups

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRETCH – Low Trunk Rotation

Repeat __________ times. Complete this exercise __________ times per day

STRENGTHENING EXERCISES - Apophysitis, Iliac

These exercises may help you when beginning to rehabilitate your injury. They may resolve your symptoms with or without further involvement from your physician, physical therapist or athletic trainer. While completing these exercises remember:

ExitCare Image STRENGTHENING – Deep Abdominals, Pelvic Tilt

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTHENING – Abdominals, Crunches

Repeat __________ times. Complete this exercise __________ times per day.

ExitCare Image STRENGTHENING – Lower Abdominals, Double Knee Lift

Repeat __________ times. Complete this exercise __________ times per day.