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Doctor insights on: Bilateral Sacroiliac Joint Pain

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What causes sacroiliac joint pain?

What causes sacroiliac joint pain?

Sacroiilititis!: Sacroiilitis is the most common cause. This is inflammatory. See a rheumatologist. ...Read more

Dr. Stratos Christianakis
1,189 Doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


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What can be done for sacroiliac joint pain?

What can be done for sacroiliac joint pain?

Multiple things: Lose weight take anti inflammatories and sometimes injectiona. ...Read more

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Common and not common causes of sacroiliac joint pain?

Common and not common causes of sacroiliac joint pain?

Sacroiliitis.: Sacroiliac joint inflammation, which constitute the largest classes of rheumatic diseases, is the most common. Do not by into the idea of sacroiliac joint dysfunction. See a rheumatologist. A simple ap-pelvis x-ray will document this! ...Read more

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Please tell me what can help relieve sacroiliac joint pain?

Please tell me what can help relieve sacroiliac joint pain?

SI pain can be: Difficult to manage. Physical therapy can help. Consider an si belt which will aid in compression. Injections in the joint can help. Anything that can treat pain, from acupuncture to nsaids, if those are right for you, can help. Check leg length discrepancies as this can contribute. Manual manipulation (osteopathic or chiropractic) can help a great deal. Refractory pain can be treated surgically. ...Read more

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Sacroiliac joint pain. Do I need to see a doctor?

Yes: Typically sacroiliac or si joint pain is best diagnosed and treated by a physician. The physician can help determine the cause of the pain which can be secondary to: inflammation, trauma or an imbalance of forces acting on a joint. The physican can then determine the best treatment for the pain. ...Read more

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Could glucosamine chondroitin help with sacroiliac joint pain?

Could glucosamine chondroitin help with sacroiliac joint pain?

Pain: I don't think there is any evidence that these supplements help sacroiliac pain. ...Read more

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Sacroiliac joint pain for past couple days. Should I see a doctor?

Sacroiliac joint pain for past couple days. Should I see a doctor?

Yes: It is difficult even for an experienced clinician to determine whether someone's back pain is coming from the sacroiliac joints, the ligaments, tendons, or overlying muscles. Once a doctor determines what the cause of your pain is, an appropriate treatment can be planned. ...Read more

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I suffer badly from sacroiliac joint pain. I can't manage walking for more than a few steps. The problem has become progressively worse over 11 years. I've already tried a belt and physiotherapy

I suffer badly from sacroiliac joint pain. I can't manage walking for more than a few steps. The problem has become progressively worse over 11 years. I've already tried a belt and physiotherapy

Could be an illness.: Lower back pain is one of the most frequent problems that all of us may experience at some time. The sacroiliac pain may however reflect a systemic illness like arthritis or autoimmune disease. It sounds like local treatments have not been successful thus far. I believe you will need an x-ray, if not already done and suggest a visit with a rheumatologist, to help obtain more targeted care. ...Read more

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I have lumbar hypolordosis, sacroiliac joint pain and sciatic nerve pain and numbness, can these symptoms be linked?

I have lumbar hypolordosis, sacroiliac joint pain and sciatic nerve pain and numbness, can these symptoms be linked?

Yes: Likely the hypolordosis results in bulging disks that can cause the sciatic and numbness symptoms. The sacroiliac joint issues are on top of that causing pain. See spine/pain specialist to discuss your options for relief. ...Read more

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How much does COOLIEF procedure cost for treatment of sacroiliac joint pain?

Don't know: Depends on your insurance, your providence, and if it is approved. It is Cooled Radiofrequency for chronic pain. I do not know if it will help sacroliac pain. ...Read more

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What can I do to help with for sacro-iliac joint pain?

What can I do to help with for sacro-iliac joint pain?

Prolotherapy: Prolotherapy has been shown to be an effective treatment for si pain. Si pain is most frequently due to sprains of the si ligaments, although occasionally it is due to inflmmation of the joint. The latter is effectively treated with fluoroscopically quided injection with cortisone. ...Read more

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Suffering with chronic sacroilliac joint pain in both joints for 5 years. Ankylosis spondylitis was ruled out. What is wrong with me?

Suffering with chronic sacroilliac joint pain in both joints for 5 years. Ankylosis spondylitis was ruled out. What is wrong with me?

Difficult to say: It is difficult to say without knowing more of your tests. You can always seek another opinion from another doctor. ...Read more

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What is sacroiliac joint dysfunction hereditary?

What is sacroiliac joint dysfunction hereditary?

Can be: Sacroiliac joint (SIJ) dysfunction is hereditary; known concurrent with Joint Hypermobility Syndrome (JHS). About 1:7 women have benign JHS, i.e., are limber & "double jointed". Hypermobility is evolution-derived safety of rapid birthing. Relaxin hormone secretion intensifies menses pain, & during childbirth Relaxin-exposed pelvic ligaments often biomechanically injured; with permanent weakness. ...Read more

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What causes sclerosis of the sacroiliac joint?

What causes sclerosis of the sacroiliac joint?

Strain on the: Lumbosacral area and wearing away of the articulating cartilages between the vertebra. ...Read more

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Who performs a sacroiliac joint fusion surgery?

Who performs a sacroiliac joint fusion surgery?

No one should!: For what reason? I can't think of one in todays world. ...Read more

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How much does a sacroiliac joint injection hurt?

How much does a sacroiliac joint injection hurt?

Generally tolerated: It is generally tolerated by the overwhelming majority of patients under local anesthetic. Sometimes, if patients are more nervous, oral or IV sedation can be used. ...Read more

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Is sacroiliac joint fusion surgery a major surgery?

Is sacroiliac joint fusion surgery a major surgery?

Safe but yes: The si joint fusion is only indicated for patients that have failed extensive conservative care and have been symptomatic for at least 6 months. It is a viable option but most patients will get better with appropriate therapy. ...Read more

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How common is osteoarthritis of the sacroiliac joint?

How common is osteoarthritis of the sacroiliac joint?

Not Common: Oa of the sij is uncommon, but has been seen. Xray or MRI might reveal pathology in detail. Sij dysfunction or pain is common and generally treated with stretching/strengthening the joint. If this does not help, consider further evaluation by a specialist. ...Read more

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Is sacroiliac joint injection a very common procedure?

Is sacroiliac joint injection a very common procedure?

Yes: Sacroiliac joint injections are commonly performed to achieve either diagnostic (evaluate the source of low back pain) or therapeutic (treat pain related to sacroiliac arthritis) goals. ...Read more

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What could be the cause of my sacroiliac joint problems?

What could be the cause of my sacroiliac joint problems?

Injury: If you are male, I vote for mechanical injury, & extreme sports are a veritable breeding ground for sacroiliac joint (sij) injury, i.e., ligament injury, ligment laxity, and sij subluxation (a partial & self-reducing type of dislocation). In my clinical experience skateboarding is greatest cause of sij injury. In females multiple childbirths and joint hypermobility syndrome are primary causes. ...Read more

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When do you need facet joint and s-i (sacroiliac) joint injections?

When do you need facet joint and s-i (sacroiliac) joint injections?

When you have done: All conservative care like exercise/physical therapy and medications are not helping. Also you may want to consider this especially if you have to use narcotic pain medications to get relief. ...Read more

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If left sacroiliac joint has been inflamed for several months following partial removal of mesh from tvt bladder sling, what is the best way to address this inflamed joint?

See details: I am not sure why that procedure should cause si joint inflammation unless infection is involved. Consider an MRI of the si joints and joint aspiration if the MRI suggests it is indicated. ...Read more

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What are the treatments for sacroiliac joint dysfunction?

Stabilizing treatmen: Dr. Visotsky is incorrect. Sacroiliac joint (sij) dysfunction is an aseptic and non-inflammatory process. Medical literature reports this disorder is not able to be detected by blood studies, imaging studies, or even nuclear scans. Up to 30% of peope with chronic low back pain experience pain generation from the sij. Treatment includes yoga, sij belts, pain control &, in resistant cases, fusion. ...Read more

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What are sacroiliac joint injections used to treat?

What are sacroiliac joint injections used to treat?

Sacroiliac inflamed: The sacroiliac (SI) joint can be the site of inflammation due to arthritis, from autoimmune disorders, from trauma. Injections into the SI joint, usually with corticosteroids, can reduce inflammation and is used in conjunction with other treatments, such as anti-inflammatory agents and physical therapy. ...Read more

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How can I fix sacroiliac joint instability?

How can I fix sacroiliac joint instability?

Prolotherapy/fusion: Sacroiliac joint (SIJ) instability causes 13-30% of chronic low back pain & is a joint hypermobility disorder; due to damaged & weakened ligaments. SIJ belts, yoga, cannabis & massage might provide intermittent relief. Prolotherapy is best natural non-toxic long-term solution to reestablishing pelvic girdle stability. Failing Prolotherapy, SIJ fusion provides a low risk definitive solution. ...Read more

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Could my sacroiliac joint heal without surgery?

Could my sacroiliac joint heal without surgery?

Very slowly: Because of the poor blood flow in that area it can take awhile for it to heal. Prolotherapy can help this condition. ...Read more

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How long can it take for a ligament in your sacroiliac joint to heal?

How long can it take for a ligament in your sacroiliac joint to heal?

Within several weeks: Ligaments can heal depending on their location and function as well as degree of injury but the time is up to 6 weeks. A ligament injury in this area is rare as an isolated injury unless there has been significant injury or trauma to the pelvis. When the sacroiliac joint is involved, there can be development of arthritis which can lead to pain or eventual fusion of that joint. ...Read more

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Is sacroiliac joint dysfunction chronic, or will I recover completely?

Depends: Si joint dysfunction can be chronic or acute, depending on the cause and length of time one has had symptoms. In general, si joint dysfunction is due to inflammation of the si joint; prolonged inflammation can result in arthritic changes to the joint surface. Inflammation can be reversed (thus tends to be acute) but arthritic changes can not be reversed. See your doctor if in prolonged pain. ...Read more