Sacroiliac joint dysfunction can cause sciatica-like symptoms that rarely extend below the knee. Stiffness and reduced range of motion in the lower back, hips, pelvis and groin, which can cause difficulties with movements such as climbing stairs or bending the waist. Sacroiliitis can be difficult to diagnose. It can be confused with other causes of low back pain.
It has been linked to a group of diseases that cause inflammatory arthritis of the spine. Treatment may include physical therapy and medications. Arthritis can cause this problem. A type that affects the spine, called ankylosing spondylitis, can damage the sacroiliac joint.
It will also hurt when the cartilage above the sacroiliac joint slowly wears out as you age. Chronic sacroiliac joint pain persists for more than three months; it may be felt all the time or it may worsen with certain activities. This type of joint has free nerve endings that can cause chronic pain if the joint degenerates or doesn't move properly. If your pain level doesn't change after the injection, it's unlikely that the sacroiliac joint is the cause of your low back pain.
The initial step in treating sacroiliac joint syndrome is similar to treating any axial low back pain. Physical therapy, stretching exercises, pain relievers, and joint injections are first used to control symptoms. Joint injections are a minimally invasive procedure that involves the injection of a corticosteroid and an anesthetic agent into the sore joint (fig. Facetogenic or discogenic pain tends to have an insidious onset, while patients with sacroiliac joint dysfunction may identify a precipitating event.
The body releases hormones that cause joints to relax and move more, causing changes in the way joints move. Sacroiliac joint pain can be caused by trauma, pregnancy, repetitive stress, sports, and after spinal surgery. The identification of trigger events or a history of unilateral pain below the superior posterior iliac spine should alert the doctor to pain that originates in the sacroiliac joint. Patients with isolated sacroiliac joint dysfunction usually locate their pain in the lower and medial parts of the PSIS.
Sometimes it starts to hurt when the ligaments that hold the sacroiliac joint together are damaged, which can cause the joint to move abnormally. Sacroiliac joints are generally considered synovial joints, but they can also be classified as diarthrosis-amphiarthrosis joints. A complete history of clinical symptoms and previous medical conditions should be a routine part of the comprehensive evaluation of a patient with sacroiliac joint disorders. Localized pain is not always a reliable presentation, since a 2000 study reported 18 different patterns of pain referral from the sacroiliac joint.