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Doctor insights on: What Is Sacroiliac Disease

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What is sacroiliac disease?

What is sacroiliac disease?

Not a disease at all: It is a 'disorder' not a 'disease' of the sacroiliac joint.The sacrum (tailbone) sits between the 2 halves of the pelvis in the low back. It has 2 long joints, 1 with each half of the pelvis.If anything interferes with function of these joints: injury, malalignment, short leg syndrome, etc., inflammation can start which is very painful. A good osteopathic doc can often discern the cause & treat it. ...Read more

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Does anyone suffer from sacroiliac dysfunction?

Does anyone suffer from sacroiliac dysfunction?

Many people do: Sacroiliac joint is the most complex joint in the spine. It moves in six planes of motion and is l shaped. Has innervation from the back and in the front. It can become misaligned and cause a lot of pain due to abnormal friction of ilium on sacrum. In someone young like you it is usually due to pelvic imbalance from short leg syndrome or psoas muscle spasm. ...Read more

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What are causes of sacroiliac pain?

What are causes of sacroiliac pain?

Varies: 1) sacroiliitis from seronegative spondyloarthropathy. See a rheumatologist 2) arthritis: a steroid injection into the lower joint by an interventional spine specialist. Radiofrequency ablation can cause much longer relief. 3) lax ligament or pelvic imbalances or uneven leg length. ...Read more

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Sclerosis on sacroiliac xray?

Sclerosis on sacroiliac xray?

Depends: If it is on both sides of the joint and there is joint space narrowing it may represent an inflammatory condition called sacroiliitis. Sclerosis itself is nonspecific and could represent degenerative change, a bone island or metastatic disease. ...Read more

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How can I fix my sacroiliac instability?

SI Instability: Pain at the si joint is an enigma. There is no observable problem on any test in most cases: ct, mri, bone scan, xray are all usually normal. Make sure you don't have an inflammatory condition (rheumatologist can help). Then, manipulative pt can really help (needs doc's rx). Si injections useful for diagnosis and treatment. Failing above, minimally invasive si fusion useful (rarely needed). ...Read more

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Sacroiliac pain - how long does it usually last?

Sacroiliac pain - how long does it usually last?

Varies: Sacroiliac joint pain lasts until it's fixed, and this depends on the cause. Simple arthritic si joint pain can be helped with steroid injections into the joint, and much longer with radiofrequency ablation of the medial and lateral branch nerves. Best to see a physiatrist or other spine specialist, or a rheumatologist. ...Read more

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Sacroiliac pain are any new studies being done?

There are no new : Ones but standard testing after beginning with a complete history and physical exam with appropriate blood work, plain radiographs, mri, ct and possibly bone scan as well as diagnostic blocks for diagnosis and to rule out other possible causes such as hip or spine pathology or intrapelvic issues. ...Read more

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Does someone have a real problem: sacroiliac pain?

Yea: It can be a source of pain in people with certain rheumatologic diseases as this is a synovial lined joint. It can also be affected. In people who have had unstable fractures to their pelvis. It is rare to be a primary source of back pain. Back pain often refers to the sacroiliac regions. ...Read more

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Will lifting weights help decrease sacroiliac pain?

Will lifting weights help decrease sacroiliac pain?

Possibly: General weight training and core strengthening can certainly help with pain in the sacroiliac joint area. On the other hand, it may worsen the pain. Regardless, it likely won't harm the joint. If the pain doesn't get better or worsens, you really need to see a physiatrist or other musculoskeletal/spine specialist. There are certain conditions a rheumatologist can manage for sacroiliac joint pa. ...Read more