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Doctor insights on: Unilateral Sacroiliitis Causes

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What causes bilateral sacroiliitis?

What causes bilateral sacroiliitis?

Varies: That term describes an inflammatory process that involves both your sacroiliac joints. There are many potential causes, probably the most common is known as ankylosing spondylitis, which can be tested for using a blood test looking for the marker known as HLA B-27. Don't hesitate to see a rheumatologist.

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Can sacroiliitis or bursitis cause hip to lock?

Can sacroiliitis or bursitis cause hip to lock?

Not usually: Depends on what you mean by locking. In can be from an internal hip problem (like a labral tear or osteoarthritis) or from an external hip problem like "snapping hip syndrome" or something completely different depending on what you mean by "hip locking". Sacroilitis usually causes very focal pain over the sacroiliac joint and can sometimes cause radiation into the buttocks, groin, hip, or leg.

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Can vitamin D deficiency cause sacroiliitis?

Can vitamin D deficiency cause sacroiliitis?

D Deficiency: Very unlikely to cause sacroiliitis. More importantly do not underdo or overdo vitamin D dosing. 500 mg a day is OK. London's weather won't bother your vitamin D.

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Can you hike with sacroiliitis?

Can you hike with sacroiliitis?

Depends on severity: If you are comfortable doing ot and can take anti-inflammatory OTC meds to deal with the symptoms. It tends to be chronic, but staying fit probably helps more than hurts. Take a warm bath after hiking. Sometimes topical analgesics help as well. Don't put them on after the warm bath-let the skin cool down first. They can be painful when the pores are wide open.

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I have been diagnosed with sacroiliitis. What are some ways to manage pain?

I have been diagnosed with sacroiliitis. What are some ways to manage pain?

See details: Are you seeing a rheumatologist? Has a blood test been done to check if the HLA-B27 antigen is positive? There are several extremely effective therapies for this issue. With a history of diarrhea the sacroiliitis may be related to inflammatory bowel disease. I strongly urge a rheumatologic consultation if one has not already been done.

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How to differentiate between symptoms of sacroiliitis and piriformis syndrome?

How to differentiate between symptoms of sacroiliitis and piriformis syndrome?

Skilled Examiner: Piriformis Synd often causes pain in the buttock region & can also cause sciatica-type symptoms with pain down the back of the thigh to just above the knee. Sacroilitis is not known to cause pain down the back of the thigh. A skilled examiner, such as an osteopath trained in hands-on diagnosis & manipulation can easily tell the diff: tenderness over the piriformis vs. Tenderness along the SI jt.

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Is anti tnf effective for sacroiliitis?

Is anti tnf effective for sacroiliitis?

Yes: In the setting of an inflammatory process like ankylosing spondylitis the use of tnf drugs can greatly limit the advancement of disease.

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35yr m, 26yrs soccer, major fall on back/head last year. Diagnosed with sacroiliitis and not ruled out for as, prescribed rest for 3 months and re-eval. 1.5 months and feeling 1-2 pain with inactivity?

See a rheumatologist: You should really be fully evaluated to be sure that this is not just transient, and does not represent more severe issues like chronic subdural hematoma, spinal injury and so on and so on. Either that or somebody in sports medicine.

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Is it possible have sacroiliitis even my blood test and x-ray and mri normal? What is the preferable test to confirm it?

Is it possible have sacroiliitis even my blood test and x-ray and mri normal? What is the preferable test to confirm it?

Steroid Injection: The easiest way to confirm is both diagnostic and therapeutic. I typically start with a simple exam. With patient bending forward, I press with my thumbs to find the specific pain areas of the SI ligament/joint. Then a shot of lidocaine/marcaine/Kenalog mixture is angled into each spot marked. Each spot should get an estimated 3 cc of medicine. Examine both sides.

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I have two disc bulgings and bilateral sacroiliitis, can I do exercises like playing football or work at the gym without hurting my self?

I have two disc bulgings and bilateral sacroiliitis, can I do exercises like playing football or work at the gym without hurting my self?

Yes.: Yes, if your bulging disc is not symptomatic you can exercise. Supervised exercise by an experienced individual or therapist in this type of rehab is advised. If you would like to play football, and would be injured, you would risk becoming symptomatic with this condition leading to bigger medical consequences.

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Can steroid injections in sacroiliac joints treat sacroiliitis?

Can steroid injections in sacroiliac joints treat sacroiliitis?

SI joint: Hi, it depends what is causing the sacroiliitis, there are many different causes for SI joint inflammation like trauma, infection, arthritis, inflammatory diseases like ankylosing spondylitis. The treatment plan for all these are different. Steroid injection can work for simple osteoarhtritis of the SI joint.

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I think I Keep getting sacroiliitis, (sharp pain over left SI joint only, lasts 1week) last 8 months had 5 flare up would X-ray show something now?

Not needed: Xray of your SI joint will not add to diagnosis or treatment. Exercise, physical therapy or chiropractic treatment can help SI pain. Weight loss if overweight and exercise can help prevent it from coming back. Thanks for trusting HealthTap!

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Dr says have trigger finger & sacroiliitis. I'm on inflammation med and muscle relaxer. Exercise for back and ice for finger. What's next step?

Dr says have trigger finger & sacroiliitis. I'm on inflammation med and muscle relaxer. Exercise for back and ice for finger. What's next step?

Second opinion?: 36yo female with chronic low back pain was told "sacroiliitis", which indicates inflammation, requires SPECT scan to diagnose & which is uncommon. More likely: sacroiliac joint hypermobility disorder & pain generated by injured ligaments, cause of 15-30% cases of chronic low back pain &, as med lit. Reports, not detected by any imaging studies. See an Osteopath for proper differential diagnosis.

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I have sclerosis at si joints especially lower borders, is it a sign of healing from sacroiliitis, and how to treat such condition if pain still exist?

I have sclerosis at si joints especially lower borders, is it a sign of healing from sacroiliitis, and how to treat such condition if pain still exist?

Spondyloarthropathy?: At your age the most likely cause is a seronegative spondyloarthropathy. I would recommend you see a rheumatologist and get a definitive diagnosis. Treatment will depend on your diagnosis. The prognosis also depends on the cause. Good luck to you.

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Can a pain management doctor diagnose ankylo spondylitis? I am a 22 year old female. I went to a pain management doctor last week and he diagnosed me with sacroiliitis. I received two injections, one in each joint, and the pain went away. The pain retu

First,: First, any good pain management specialist would not just do injections without recommending physical therapy and/or adjunctive medications that treat the problem, not the symptoms of sacroillitis. Secondly, the diagnosis of ankylosing spondylitis is a complex one, based not only on symptoms, but on accompanying medical problems, and blood work. Getting a second opinion from a rheumatologist is an excellent idea.

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Sacroiliitis or muscle spasms, pain left Si joint sharp pain when moving sometimes but when doing the same movement later on no pain On and off 4 week?

It could be both: Pain in the joint and sometimes even near it can be seen in Sacroilitis. A good physical exam by a Sports medicine MD or Spine Specialist can help decide. Sometimes they can do an injection right in the office & get you to therapy. Muscle spasm seems to result in many patients with spine problems & diagnoses including sciatica which I see you have. PT and pilates can help build core to improve this.