A member asked:

Am 45. sharp back pain develops in right sacroiliac joint and around, after long walk (10km). reason? solution?

4 doctors weighed in across 3 answers
Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Sacroiliac inflamed: C an orthopedic surgeon 4 evaluation ; x-rays ; perhaps some lab work ; get a firm DX ; follow the treatment plan.

Answered 6/20/2016

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Dr. Stratos Christianakis answered

Specializes in Rheumatology

Concern: Would definitely recommend visit to rheumatologist. Need to tease out a good history and physical exam. Concern I have would be ankylosing spondylitis, which is an inflammatory arthritis that can affect the sacroiliac joint.

Answered 11/21/2013

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Dr. Chris Faubel answered

Specializes in Pain Management

Many possibilities: Possible ankylosing spondylitis (as), but what's much more common is just simply pain in the sacroiliac joint from arthritic changes. An injection of corticosteroid into the si joint can help. Radiofrequency ablation of the si joint can help way longer. But b4 that, i give patients oral anti-inflammatories. Others: cluneal neuroma, local muscle pain, bertolotti's syndrome, iliolumbar, etc.

Answered 6/20/2016

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