What is Sacroiliitis?


Sacroiliitis is sometimes knowned as or termed with sacroiliac joint dysfunction and also SI joint pain because both terms are very closely relates to sacroiliac pain, leg pain and low back pain.  But then, the two conditions have their own differences.  Sacroiliac joint dysfunction refers to the condition where the joints are locked, and with high mobility could dislocate partially or hypomobility which means very minimal movements. While sacroiliitis refers to inflammation in sacroiliac joint that could or maybe not caused by SI joint pain.

Sacroiliitis is normally an inflammation on both or one sacroiliac joints that are located on either side of the lower spine or sacrum that connects to the iliac bone in the hip.  It is normally characterized by severe pain and stiffness in the shoulders, buttocks or lower back, especially in the morning or when seated for a very long  period of time, and this pain may even extend down to the groin, to one or both legs, and even to the feet. Other signs and symptoms include pain that worsens with walking, and inflammation in one or both eyes (uveitis or iritis). Because of the high severity pain caused by sacroiliitis, range of motion becomes restricted.  Sacroiliitis makes it very difficult for the patient to sit, walk, stand, sleep, or bending over. This can be brought on by several factors, which includes trauma or acute injury to the area due to an accident or act of violence, pregnancy, osteomyelitis, skin infections, urinary tract infections, arthritis, endocarditis and also intravenous drug misuse or abuse.

Sacroiliitis, which may be accompanied by other symptoms like fever, skin conditions, and diarrhea, is often linked as part of characterized inflammatory conditions and diseases of the spinal column called spondyloarthropathy. These conditions includepsoriatic arthritis, ankylosing spondylitis, arthritis or reactive arthritis and which can be related to bowel inflammation diseases, which includes ulcerative colitis, Crohn’s disease, or osteoarthritis among others and which is often aggravated by prolonged standing, stair climbing, bearing weight more on one leg than the other, running, large strides, and extreme postures.  Diagnosis of sacroiliitis is difficult because it may be confused for other general lower back pain and conditions, and diagnostic tests to eliminate other conditions are oftentimes costly, although they are well worth the expense.  Complications of sacroiliitis can also be very serious, like difficulty in breathing, spine deformities, lung infections, and heart problems.

Treatment of this disease may involve a combination of rest, physical therapy, and medications. Perhaps rest is one of the simplest and best remedy for a sufferer of sacroiliitis.  Maintaining good posture and refraining from activities that aggravate pain can considerably reduce the inflammation in sacroiliac joint.

In therapy, a physician usually guides his patient learn range of motion and stretching exercises to maintain joint flexibility, and strengthening exercises to enhance stability of the patient’s muscles.  In addition, the type of treatment a physician recommends depends largely on the signs and symptoms that occur in the patient, as well as on the basic cause of his sacroiliitis.  Medications typically include pain relievers, muscle relaxants, corticosteroids, disease-modifying anti-rheumatic drugs (DMARDs), and TNF (or tumor necrosis factor) inhibitors.

However, should other methods cannot relieve the pain, the physician may suggest surgical and other procedures, such as radiofrequency denervation, electrical stimulation, and joint fusion.