Sacroiliac joint (SI) pain is felt in the lower back and buttocks. The pain is caused by damage or injury to the joint between the spine and the hip. Sacroiliac pain may look like other conditions, such as a herniated disc or a hip problem. Accurate diagnosis is important in determining the source of pain.
Physical therapy, stretching exercises, pain relievers, and joint injections are first used to control symptoms. Surgery may be recommended to fuse the joint and stop painful movement. One of my interesting observations is that when I ski like this several times, I tend to feel the lower part of my abs all day as I walk. I also feel that my instability in the pubic symphysis improves for a while (it's only mild) after skiing.
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. However, just because arthritis is detected on images doesn't mean you'll experience sacroiliac joint pain. Other less common causes include certain genetic diseases, such as ankylosing spondylitis, in which the sacroiliac joint fuses automatically. Therefore, the only way to know if you have sacroiliac joint instability is to ask a doctor or a highly trained manual therapist for a physical exam, but even that presents a problem.
In addition, once this path is followed, there is no turning back, as the procedure destroys the natural sacroiliac joint. Severe pain can return without warning, but the good news is that the affected joint often heals on its own in about a week. There are many different causes of pain related to the sacroiliac joint, which generally include trauma, pregnancy, lumbar disease, or lumbar fusion surgery. This means that many doctors will inject steroids into the joint itself (which can damage the joint's cartilage), but will never touch the ligaments.
The relationship between the transverse muscles of the abdomen, the mechanics of the sacroiliac joint and low back pain. The source of pain often originates from nerve irritation, fluid accumulation, joint misalignment, or microtears in the ligaments responsible for providing stability. We've been treating patients with sacroiliac instability for decades and have only had a few patients who believed they needed a sacroiliac joint fusion after treatment.