The sacroiliac joint or the SI joint, is a joint located within the pelvis, that works as part of the support system for the spine. The SI joint is connected to the sacrum and ilium bones, in the pelvis. As one of the stronger joints in the lower body, the SI joints are located on either side of the body and, by supporting the spine, are able to carry the entire weight of the human body.
What is Sacroiliitis?
Sacroiliitis is the inflammation of the sacroiliac joint – including either both joints, on either side of the body, or just one. These joints are found at the lower area of the spine that connects to your pelvic area, near the hip area. This condition is known to cause pain in the lower body.
Causes of Sacroiliitis
While it is a condition on its own, sacroiliitis is a main component ofankylosing spondylitis – a rheumatic condition that is known to cause joint inflammation and stiffness in both the hips and spine. Sacroiliitis is also a progressive form of arthritis. The main causes of this condition include:
- Accident or Trauma – A fall or collision may cause damage to one or both of the sacroiliac joints.
- Pregnancy Complication – As a woman’s body gets ready to give birth, the joints may naturally loosen and become inflamed.
- Osteoarthritis or Inflammatory Arthritis
- Sacroiliac Infection
- Preexisting Spinal Condition
Symptoms of sacroiliitis are very similar to a number of other spinal issues. The most common symptoms include:
- Pain – In the lower back, hips, buttocks, and radiating down the legs. Especially when standing, walking or going up or down stairs.
- Occasional Fever
Once your physician has concluded a thorough physical examination of your hips, and performed a number of imaging tests like X-Rays and MRIs they can determine if you have an issue in your sacroiliac joint. There are a few different treatment options available to you.
Non-Surgical Options include:
- Physical Therapy
- Medication – Anti-Inflammatory drugs, pain relivers, and muscle relaxants.
- TNH Inhibitors – Tumor necrosis factor inhibitors; meds that can help to relieve sacroiliitis.
- Spinal Injections – Corticosteroid injections
- Electrical Stimulation – Implanting an electrical stimulator into the sacrum area can help alleviate pain symptoms.
- Radiofrequency Denervation – RF energy that can help destroy nerve tissue to prevent pain signals in the area.
- Joint Fusion – Surgery is rare for this condition, however, in some instances fusing the two bones that connect to the sacroiliac joint together with the assistance of metal hardware, can help to relive pain and stifle the issue.
For more information about sacroiliitis, other spinal conditions, or to schedule a consultation contact Dr. Arutyunyantoday.