The value of a quantitative sacroiliac joint scan in detecting sacroiliac joint is controversial. The sacroiliac joint is a joint between the sacrum and the ilium, or pelvic bone. The two sides of the sacroiliac joint normally work together. If one side stiffens, they won't move together and this will cause muscle pain or stiffness in the area.
The pain is often worse when walking and bending down. It is also possible for one side to become too loose (loose), which will cause SIJ dysfunction. This can occur during the menstrual cycle or pregnancy due to hormonal changes that cause the ligaments to become looser. SIJ dysfunction can occur with an injury, such as when a person falls and lands on one side of the body and alters the position of the joint, or when an athlete overtrains.
Muscle imbalances and hip problems, such as hypermobility or dysplasia, can also cause SIJ dysfunction. Sacroiliac pain is also related to some types of arthritis, such as ankylosing spondylitis, an inflammatory process that most commonly affects the lower back and can cause the vertebrae to fuse. In 20 patients who did not approve non-surgical treatment, multiple etiologies of sacroiliac symptoms were found, 13 of whom had sacroiliac joint dysfunction. Ankylosing spondylitis is a form of inflammatory arthritis that affects the spine and its joints and ligaments.
The sacroiliac joint in pregnant and postpartum women is susceptible to dysfunction due to the multiple biomechanical changes that occur throughout pregnancy. One of the easiest steps to treat pain caused by sacroiliac joint dysfunction is to use a sacroiliac belt designed for pregnant women. Currently, there are few published results that investigate the occurrence of sacroiliac joint dysfunction (SI) in postpartum women. While these changes may be necessary to give birth, they also increase the risk of pelvic pain.
A retrospective review of the literature was conducted in the PubMed database using the search term “pregnancy-related sacroiliac joint pain”. It has been discovered that the above-mentioned biomechanical changes, together with hormonal fluctuations throughout each trimester, especially with the increase in estrogen and relaxin levels, decrease joint stability and cause sustained postpartum back pain that may require surgical intervention if conservative treatment fails. Your physical therapist can work with you to strengthen and stretch your joints and muscles to prevent conditions such as SIJ dysfunction. We concluded that studies that examine these treatments in the context of sacroiliac joint dysfunction in a controlled manner are needed to provide sufficient data to justify clinical efficacy.
The symptoms usually occur on one side of the back and affect between 10 and 25% of patients with complaints of low back pain. Other risk factors for sacroiliac joint pain during pregnancy include a higher body mass index before pregnancy (find out if your BMI is healthy), pre-existing back pain, or multiple babies being pregnant. Some causes include being overweight, infections, joint injuries, or working specific jobs that require bending over or squatting for a long time.