All You need to know about Sacroiliitis
Sacroiliitis is an inflammatory joint disorder that causes pain in lower back or buttock. Here is your pocket guide about this disease: What this disease is all about? As we all know, the joints help to transfer the body weight from spine to legs and pelvis. To accomplish this, the joints are attached together with the help of ligaments. Several years ago, it was believed that the joints are not fixed, but recent research has proved this assertion wrong. A small movement in the joints can lead to medical complications. Causes of Sacroiliitis The major causes of this disorder include:
Abnormal dysfunction- Abnormal dysfunctioning of sacroiliac joints can increase pain and joint inflammation. Pregnancy- During pregnancy the hormones softens the ligaments around the pelvis and this result into the enhanced movement of sacroiliac joints. Combined with added weight, the stress is increased on the joints and thus it results into pain and inflammation. Joint disorders- this disorder may occur in combination with other joint disorder like ankylosing spondylitis, reiter’s disease and arthritis. In some cases, it may further lead to medical complications. Osteoarthritis- It is a natural wear and tear of the joints that causes osteoarthritis. As these are weight bearing joints, it can become worn out and result into this disorder. Trauma- It may happen due to any untoward incidents like car accident Infection- Infection may cause inflammation of the joints and this in turn leads to this disorder, however it is very rare. Symptoms The pain most commonly occurs in lower back and buttocks. It can be further aggravated by:
Climbing stairs Stair climbing Running Taking large strides Standing for long time period
Diagnosis The most common sacroiliitis symptom experienced by a person suffering from this disease is chronic pain. The pain is generally felt in lower back, on a single side or on the both sides. Slowly and gradually the pain affects other body parts also like buttock, groin and thigh. The pain worsens during night and further leads to back stiffness. The doctors can further order for tests like: CT Scans MRI Scans Further, if joint infection is suspected, the doctor may order for blood test. Sacroiliitis treatment The treatment of this disease depends upon underlying cause or factor that leads to this dysfunction. The following treatment options are available for the patients: Abnormal Movement- This dysfunction is caused due to misalignment of sacroiliac joint. And the treatment option includes: Medications that alleviate the pain or reduce inflammation Correction of misaligned joints with assistance of techniques like mobilisation or with the help of surgery It can treated with the help of other techniques like massage around the hip and buttock region Exercise is recommended to improve muscle strength, flexibility and to maintain balance around the hips and lower back. During pregnancy Sacroiliac joint disorder during pregnancy is very common and it can be treated with following options: Soft tissue techniques like massage to the hip and lower back is recommended Gentle manual massage technique like mobilisation done by a physiotherapist is helpful A strapping tape can be used to support lower back and sacroiliac joints Certain exercises are recommended by doctors to treat this condition. It further helps to strengthen the hip and lower back muscles, thus ensuring flexibility of the muscles. Inflammation If the disorder is caused by other inflammatory conditions like ankylosing spondylitis, then the treatment process would be as follows:
It includes intake of anti-inflammatory medicines and in severe cases corticosteroid injection is injected directly into the joints Taking medications that are effective in treating this problem includes disease modifying anti rheumatic drugs also known as DMARDs and TNF inhibitors.
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Physiotherapist will recommend several exercises aimed at maintaining muscle flexibility and improve muscle strength around the lower back and hip joints Postural exercises are suggested
With right diagnosis and treatment, most often this disease is treated within few weeks. The cases related to inflammation like spondylitis and other disorders, takes a long time. For comprehensive care and treatment, it is better to visit a qualified doctor. It will further hasten the recovery process.