The sacral joint is located between the iliac bone and the sacrum. A common cause of sacroiliac joint injury includes trauma. The trauma can be repetitive and cause a series of small injuries that accumulate over time, as in the case of an athlete, or it can be a major trauma, such as a pelvic fracture caused by a car accident. Sacroiliitis is often the first symptom of ankylosing spondylitis (AS).
Ankylosing spondylitis originates in the sacroiliac joints before progressing further up the spine through a cycle of inflammation, erosion and calcification. See Causes and Risk Factors of Ankylosing Spondylitis, see Diagnosis of Ankylosing Spondylitis. The main purpose of the SIJ is to connect the spine and the pelvis. As a result, there is very little movement in this joint.
Effective treatment of sacroiliitis begins by treating the underlying cause of sacroiliac joint inflammation. A health professional can diagnose the root cause of sacroiliac joint pain and help design a treatment plan. Degenerative arthritis, or osteoarthritis, of the sacroiliac joints is the result of cartilage degradation due to wear and tear or injury. Psoriatic arthritis (PsA) is an inflammatory condition that causes joint pain and swelling, as well as scaly patches on the skin, called psoriasis.
The accurate diagnosis of ankylosing spondylitis requires that the sacroiliac joints be visibly affected by this cycle of inflammation. Most causes of back pain related to sacrophagus dysfunction can be treated with the rest of the joint, anti-inflammatory medications, and physical therapy. If typical treatments for gout are ineffective against sacroiliac joint symptoms (and the doctor cannot identify additional inflammatory conditions), direct treatment of the sacroiliac joints may be necessary. The sacroiliac joint (SIJ), located at the transition between the vertebral column and the lower extremities, is subject to great shear forces.
Occasionally, the irritated sacroiliac joint is slightly out of place and a physical therapist can realign the joint through exercise and manipulation. When sacroilitic joint pain and sacroiliitis are caused by a type of arthritis, the underlying condition must be diagnosed and treated. While SIJ pain can be caused by trauma, this type of injury most commonly develops over a long period of time. The SIJ is a diarthrodial joint that connects two variably wavy cartilage surfaces, contains synovial fluid and is enclosed within a capsule reinforced by several ligaments.
The treatment of sacroiliac joint inflammation related to gout includes a diagnostic injection of anesthetic to confirm the source of the pain and a steroid compound to treat the gout outbreak. Gout, the most common form of inflammatory arthritis, usually affects one joint at a time, most often the big toe. These findings may be the result of focal post-traumatic joint inflammation, which produces mechanical rather than inflammatory symptoms.
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