Dr. Hossein Arjamand, sacroiliac joint, back pain, rheumatism, ankylosing spondylitis, physical medicine and rehabilitation specialist, pain specialist, sacroiliac joint dysfunction, back pain.
sacroiliac dysfunction or sacroiliac syndrome: The most common cause of wear and tear in this joint is caused by factors such as: overweight, lack of symmetrical distribution of forces between the two legs in those who do not walk normally, for example in those who suffer from wear and tear in the hip or knee joints or have short limbs. They are lower (leg length discrepancy). Also, due to hormonal changes and laxity in the ligaments around the joint, pregnancy exposes it to high pressures and abrasions..
There are many other diseases that can cause inflammation in this joint, such as: Gout, rheumatism (RA), psoriasis, ankylosing spondylitis and...
Symptoms: The most common symptom of involvement is pain that may be felt in the lower back, over the joint itself, hip, groin or thigh. The way to diagnose the source of pain is through special physical examination tests. The pain caused by this disease is usually aggravated by standing and walking or sitting for a long time and gets better by lying down.
Diagnosis: After the physical examination and the history of the disease, simple radiology is the first step of the examination. In the next steps, it is possible to benefit from CT-scan or MRI and sometimes even bone scan.
Treatment:1. Investigating the possible underlying cause such as osteoarthritis of the knee or hip joint or inflammatory diseases and focusing on eliminating the possible underlying cause
2. Anti-inflammatory drugs (NSAIDs) and sometimes steroids
3. Using different modalities of physiotherapy
4. The use of manipulation methods can be helpful in certain cases.
5. Carrying out special exercises of the sacroiliac joint
6. Intra-articular injection of steroid can also be considered as a part of diagnosis and treatment, of course, to perform this injection we need a device as a guide such as ultrasound or fluoroscopy.
7. Finally, in some cases, it may be necessary to perform surgery.
Author: Dr. Hossein Arjamand