Dr Himanshu Tyagi, Senior consultant Spine & orthopedic surgeon.
Ph : 9654095717
MCh Orthopaedics (U.K), FNB Spine surgery, DNB Orthopaedics
Sacroiliitis an inflammation of one or both of sacroiliac joints (situated where your lower spine and pelvis connect). Sacroiliitis can cause pain in your buttocks or lower back, and can extend down one or both legs. Prolonged standing or stair climbing can worsen the pain.
Symptoms
The pain associated with sacroiliitis most commonly occurs in the buttocks and lower back. It can also affect the legs, groin and even the feet. Sacroiliitis pain can be aggravated by:
Prolonged standing
Bearing more weight on one leg than the other
Stair climbing
Running
Taking large strides
Causes
Causes for sacroiliac joint dysfunction include:
Traumatic injury. A sudden impact, such as a motor vehicle accident or a fall, can damage your sacroiliac joints.
Arthritis. Wear-and-tear arthritis (osteoarthritis) can occur in sacroiliac joints, as can ankylosing spondylitis — a type of inflammatory arthritis that affects the spine.
Pregnancy. The sacroiliac joints must loosen and stretch to accommodate childbirth. The added weight and altered gait during pregnancy can cause additional stress on these joints and can lead to abnormal wear.
Infection. In rare cases, the sacroiliac joint can become infected.
Treatment
Treatment depends on your signs and symptoms, as well as the cause of your sacroiliitis.
Medications
Depending on the cause of your pain, your doctor might recommend:
Pain relievers. If over-the-counter pain medications don't provide enough relief, your doctor may prescribe stronger versions of these drugs.
Muscle relaxants. Medications such as cyclobenzaprine (Amrix, Fexmid) might help reduce the muscle spasms often associated with sacroiliitis.
TNF inhibitors. Tumor necrosis factor (TNF) inhibitors — such as etanercept (Enbrel), adalimumab (Humira) and infliximab (Remicade) — often help relieve sacroiliitis that's associated with ankylosing spondylitis.
Therapy
Your doctor or physical therapist can help you learn range-of-motion and stretching exercises to maintain joint flexibility, and strengthening exercises to make your muscles more stable.
Surgical and other procedures
If other methods haven't relieved your pain, you doctor might suggest:
Joint injections. Corticosteroids can be injected into the joint to reduce inflammation and pain. You can get only a few joint injections a year because the steroids can weaken your joint's bones and tendons.
Radiofrequency denervation. Radiofrequency energy can damage or destroy the nerve tissue causing your pain.
Electrical stimulation. Implanting an electrical stimulator into the sacrum might help reduce pain caused by sacroiliitis.
Joint fusion. Although surgery is rarely used to treat sacroiliitis, fusing the two bones together with metal hardware can sometimes relieve sacroiliitis pain.
Sacroiliitis का इलाज
Теги
Sacroiliitissacroiliac jointsSacro iliitissacrum painSacroiliitis treatmentSacroiliitis medicinesSacroiliitis injectionsacro iliac joint dysfunctionsacroiliac joint painankylosing spondylitisankylosing spondylitis treatmentankylosing spondylitis surgerysacro iliac joint physiotherapySacroiliitis inflammationhip joint painSacroiliac joint treatmenttail bone painS I JointS I joint painSI joint injectionSI jointSI joint treatment