Top
20
Doctor insights on: What Is Sacroiliac Disease

Share
1

1
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

2

2
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

4

4
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

See 1 more doctor answer
5

5
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

See 1 more doctor answer
6

6
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

See 2 more doctor answers
7

7
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

8

8
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

9

9
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

10

10
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

11

11
What's the best treatment for sacroiliac pain?

The best treatment: Is the one that fixes the underlying cause. In the case of sacroiliac joint dysfunction the underlying cause is pelvic imbalance due to either unequal spasm of psoas muscle, short leg syndrome, bad chair at work or car seat. Arthritis in this joint can cause pain, but usually not in your age group. See a good osteopathic physician or a physical therapist. ...Read more

See 1 more doctor answer
12

12
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

13

13
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

See 2 more doctor answers
14

14
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

16

16
What do I do for extreme hip and sacroiliac pain?

What do I do for extreme hip and sacroiliac pain?

Depends: Depends what you mean by "hip". Posterior hip pain can be from the musculature in the buttock or may be the hip joint itself. Sacroiliac joint pain can respond very well to a steroid injection or even radiofrequency ablation. A spine specialist can determine where the pain is coming from; a rheumatologist may be needed too. ...Read more

17

17
Please advise what is the best remedy for sacroiliac pain (lower back)?

Please advise what is the best remedy for sacroiliac pain (lower back)?

Exercise: Stretching/strengthening this joint and its ligaments is the best options currently. However if it still persists you may need to be seen by a spine specialist. In our experience, the si joint is typically not the first problem that needs to be addressed. Often the facet joints and herniated disks tend to be a primary issue first that can help this pain issue. ...Read more

See 1 more doctor answer
18

18
I have a large lump over the sacroiliac and it is very painful. No idea how I got it. Weird?

I have a large lump over the sacroiliac and it is very painful. No idea how I got it. Weird?

NOT WEIRD: Subcutaneous lumps(under the skin, close to muscle) in that area are not weird nor unusual. The question you should think about is... What's the cause. Please have a check up. ...Read more

19

19
I have had problems with my sacroiliac ligament for 18 months. Nothing seems to make it better and am considering prolotherapy. Any thoughts?

I have had problems with my sacroiliac ligament for 18 months. Nothing seems to make it better and am considering prolotherapy. Any thoughts?

Try it: I would recommend a formal course of physical therapy along with anti-inflammatory medications. A subsequent pain management consultation is warranted. Possibly an si joint injection may help. Try prolotherapy and see if it works that could be another option for you. ...Read more

See 1 more doctor answer
20

20
I thought I had a problem with my back. My doctor examined me and said it's not my back, but that I have a sacroiliac dysfunction. What is a sac

Sacroiliac pain: Sacroiliac dysfunction : where your spine end , that is sacroiliac area, s1-2-3.....The joint abnormalities produce pain lower back similar to sciatica, pinch nerve, radiculopathy, or disc hernia. That is related with abnormal motion and fixation, and the diagnosis is at examination and mri. ...Read more

See 1 more doctor answer