Sacrum Pain: Usually sacral pain is caused by improper sacral mechanics which could be either a joint range of motion issue or pelvic muscle imbalance. It can also be caused by ligamentous laxity of the sacroiliac ligaments. If you have negative imaging i would start with pt and manipulation first. If you failed that than si joint injections or prolotherapy would be the next step.
Answered 9/10/2013
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Sacral pain: Degenerative problems, as you listed, can cause sacral pain. However, other things, such as fractures, infections, or tumors can also cause sacral pain, though they typically aren't intermittent like you describe.
Answered 12/11/2015
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