Sacroiliitis

Sacroiliitis

Sacroiliitis

0

The sacroiliac joint is the joint which connects the hip bone with the iliac bone on either side of the lumbar spine. When there is inflammation of this joint it is called Sacroiliitis. Pain is usually worse after staying in one position for any length of time. Moderate movement is actually helpful.

Diseases that can cause sacroiliitis are psoriatic arthritis, spondylitis and reactive arthritis. A change in gait, trauma, post-operative fusions of the lower lumbar spine, laxity in the ligaments and muscles around the joint, obesity, and other inflammatory diseases in the body can also affect the sacroiliac joint. Sacroiliitis is often referred to as “low back pain” and is mistaken for spine pain because of its proximity to the spine.

Most people with sacroiliitis present with low back pain, usually worse on one side than the other, which often radiates into the buttock/leg on the affected side. This is when actually examining your patients is diagnostic, as most people suffering with sacroiliitis have exquisite tenderness over the joint and you can often reproduce the reported buttock and leg pain by pressing on the joint. Sacroiliitis is often mistaken for “failed back syndrome” or pain from the joints (facets) in the spine. This can be prevented by a physical exam and some diagnostic injections (lidocaine) around the joint or a spinal facet, in order to find the actual pain producer.

Treatment

The treatment of sacroiliitis is very dependent on the cause, the basic health of the patient and the severity of the pain. Sometimes rest is enough, often physical therapy is valuable to strengthen the muscles and ligaments around the joint, making it more stable.

Treating the underlying cause is always the most important thing but ice and over the counter medicines like Ibuprofen and other anti-inflammatory drugs can be helpful. You can also use muscle relaxants like Flexeril for reducing muscle spasms at the affected area. Many physicians will also try a steroid injection in the sacroiliac joint under fluoroscopy (x-ray). This is to decrease the inflammatory effect on the joint and can often give relief fairly quickly.

If the cause of the pain is laxity in the ligaments and muscles, prolotherapy may be effective with some patients. This consists of injections of an irritant (usually Dextrose) into the area thereby increasing the inflammation and bringing healing cells to the area. The theory behind this is to increase the strength of the muscles and ligaments around the joint and thereby making it more stable. Surgery (fusion of the joint) remains controversial.

No matter how you treat it, sacroiliitis is a pain, for both you and your physician. Proper diagnosis, the most minimal effective treatment, and followup care such as physical therapy, including stretching and strengthening, can make it a temporary problem instead of something you have to tolerate for years to come.

For more on prolotherapy please see www.PRPProlotherapyTampa.com

Citations

  • Fleurent D, Garant M, Sarazin L, Stein L. [What is it? Bilateral sacroilitis and avascular necrosis of the left hip in Crohn's disease treated with corticoids]. J Radiol. 1998 Apr;79(4):351-2. PubMed PMID: 9757264
  • Buchanan BK, Dulebohn SC. Sacroiliitis . 2017 Jun; PubMed PMID: 28846269

No comments

Leave a Reply

Your email address will not be published. Required fields are marked *

*
*

Disclosure Statement

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.

Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
Please note all articles, blogs and Q&A’s on this site are general information and are not to be used as medical advice for individuals. No specific diagnosis or treatment should be made based on this information. Only a physician can provide you with advice specific to your situation. Please followup with your physician if you would like to discuss your individual condition.

If you are having a medical emergency,  contact your Doctor immediately,  or go to the Emergency Room.
ShimSpine and ShimSpine.com is committed to honoring and respecting the privacy and anonymity of the individuals using its website(s) and/or services. The purpose of this Privacy Policy is to inform the individuals about the collection, processing and protection of information done by ShimSpine what information we collect, why we collect this information and how we use this information.

This Privacy Policy will be reviewed regularly to reflect the up-to-date practices of ShimSpine.