FAQ’s on SI JOINT (Sacroiliac Joint) Pain
What is SI (Sacroiliac Joint) Pain?
The sacroiliac (SI) joint is located where the sacrum (tail end of the spine) meets the left and right iliac bones of the legs, and connects the spine to the pelviswith the help of muscle, tendons, and ligaments to form the SI joint, housed in a protective layer of cartilage. Gradual use of this jointcan wear down the cartilage and causepain.
What causes of SI Joint Pain?
The torso is supported by the iliac bones and sacrum. The SI joints carry the entire body weight. The resulting stress can cause irritation, degradation and pain in the joints. Often arthritis is caused, creating pain for the person. In women, a common, gender-specific, cause of SI joint pain is pregnancy. During pregnancy, an excess of hormones are released into the blood to make ligaments relax in preparation for childbirth. Relaxation of the ligaments increases the range of motion for SI joint but an accelerated rate of wear and tear on the joint. Increased weight and body size may also produce an awkward gait causing excess stress on the joints.
SI joints are also affected by rheumatoid arthritis, gout, psoriasis, and ankylosing spondylitis (which directly affects the SI joints leading to stiffness and severe pain).
What are the symptoms?
Common symptoms include pain in the lower back,the hips or the groin. Inmany cases, the exact cause of pain can be difficult to determine. Standing or movement may produce more severe pain.
How is SI Joint Pain diagnosed?
The first step is to rule out any other conditions that may
have similar symptoms for the patient. This is achieved through a complete examination of the symptoms and the events leading up to the presence of symptoms are looked into. Hip and legs movement may be investigated to determine that the SI joints are the likely cause instead of a separate secondary condition. Then imaging is used to examine the SI joints for damage, including inflammation and area of the joint which have become malformed causing pain.
Numbing the assumed area of pain and checking for pain is a more reliable diagnostic method.
What are the treatment options?
Once the SI joints are confirmed as the root cause, anti-inflammatory medicines and physical therapy may be advised.Patients who do not obtain adequate relief through these methods may be able to pursue surgical correction of the joint.