Description
Sacroiliitis is an inflammation of one or both sacroiliac joints that connect the lower spine to the pelvis. Sacroiliitis can cause pain in the buttocks or lower back, it can even spread to one or both legs.
The pain of sacroiliitis is often compounded by prolonged standing or when climbing stairs.
Sacroiliitis associated with a group of diseases called spondyloarthropathies, cause spinal joints causing inflammation. Sacroiliitis can be difficult to diagnose because they mistakenly thought to cause mild back pain.
Sacroiliitis treatment involves a combination of rest, physical therapy and medications.
Symptom
The pain of sacroiliitis most often occurs on the buttocks and lower back. The pain may also affect the groin and the whole leg. The pain can be exacerbated by:
1. Long standing
2. Bearing weight on one leg
3. Take the stairs
4. Walk
5. Doing a long step
6. Extreme posture
Cause
Various factors can cause sacroiliac joint dysfunction, including:
1. Traumatic injury. Sudden accidents such as motor vehicle accidents or falls can damage the sacroiliac joints.
2. Arthritis. Arthritis or arthritis may occur in the sacroiliac joints.
3. Pregnancy. Sacroiliac joints become loose and stretch to accommodate the body when giving birth. Weight gain and changes in gait during pregnancy can cause additional stress on joints and can cause abnormal wear and tear.
4. Of infection. In rare cases, sacroiliac joint can become infected.
Treatments and drugs
This type of treatment recommended depends on the physician signs and symptoms and underlying causes of sacroiliitis.
Drugs
1. Pain relievers.
If the drug without a prescription is not enough to overcome the pain, the doctor can prescribe non-narcotic pain reliever such as tramadol. Sometimes, the use of narcotic drugs in brief may be prescribed. Because these drugs are addictive, then it should not be used for long periods of time.
2. Muscle relaxants.
Drugs such as cyclobenzaprine may help reduce muscle spasms are often caused by sacroiliitis.
3. Corticosteroids.
Drugs such as betamethasone or triamcinolone can be injected into the joint to reduce inflammation and pain. But patients may only get a few shots of the year because steroids can weaken the joints and tendons.
4. Disease modifying antirheumatic drug or disease-modifying antirheumatic drugs (DMARDs).
If sacroiliitis caused by ankylosing spondylitis, may be helped by drugs such as sulfasalazine and methotrexate.
5. TNF inhibitors.
Tumor necrosis factor (TNF) inhibitors such as etanercept, adalimumab, and infliximab often help relieve sacroiliitis associated with ankylosing spondylitis.
Therapy
Your doctor or physical therapist can help teach movement and stretching exercises to maintain joint flexibility and muscle strengthening exercises to provide additional stability of the joint.
Surgical and other procedures
If other methods do not relieve pain, doctors may recommend:
1. Radiofrequency denervation.
This procedure will damage or destroy nerve tissue that causes pain.
2. Electrical stimulation.
Embedding an electrical stimulator to the sacrum (the bone at the base of the spine and at the top of the back of the pelvic cavity) can help reduce the pain caused by sacroiliitis.
3. Merger joints.
Although surgery is rarely used to treat sacroiliitis, combining the two bones together with metal can sometimes relieve the pain sacroiliitis.
Sources: MayoClinic
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