Sacroiliac pain can be aggravated by sitting or standing for a long time, standing on one leg, climbing stairs, going from one sitting position to another, and running. Possible causes of sacroiliac pain include arthritis, traumatic injuries, pregnancy and postpartum, systemic inflammatory conditions, and infections. Sometimes it starts to hurt when the ligaments that hold the sacroiliac joint together are damaged, which can cause the joint to move abnormally. The source of pain often originates from nerve irritation, fluid accumulation, joint misalignment, or microtears in the ligaments responsible for providing stability.
If steroid injections only temporarily relieve pain, radiofrequency ablation of the sacroiliac joint may also be used. If you get up from the chair and feel pain in your lower back, it could be that the sacroiliac joint is acting poorly. The doctor can use a needle to permanently damage the nerve that sends pain signals from the sacroiliac joint to the brain. These two joints are formed by the bone structure above the coccyx, known as the sacrum, and the upper part of the pelvis, known as the ilium.
There are many different causes of pain related to the sacroiliac joint, which generally include trauma, pregnancy, lumbar disease, or lumbar fusion surgery. Sacroiliac joint (SI) dysfunction or inflammation may resemble pain similar to that of degenerative hip disease, hip bursitis, lumbar disc herniation, or nerve pinching. They can also perform joint mobilization, manual massage, and dry needling to help mobilize soft tissue and relax tense muscles. Your doctor may also inject a solution of natural ingredients, such as saline, and anesthetics into your joint.
Other less common causes include certain genetic diseases, such as ankylosing spondylitis, in which the sacroiliac joint fuses automatically. Diagnosing pain related to sacroiliac joint dysfunction (SI) involves obtaining a detailed medical history and performing a complete physical exam. The body releases hormones that cause joints to relax and move more, causing changes in the way joints move. Initial treatment options for pain related to sacroiliac joint dysfunction (SI) include specialized spinal physical therapy, anti-inflammatory medications, and steroid injections.
The sacroiliac joint can also degenerate over time and cause the formation of bone spurs, also known as osteoarthritis.