Sacroiliac Joint Dysfunction
What is the Sacroiliac Joint Dysfunction?
The sacroiliac joint (or SI Joint) covers the sacrum with the pelvis and is adjacent to the bottom of the spine. The treatment goal is to restore the normal SI joint’s range of motion. The sacroiliac joint dysfunction can lead to low back pain and it is generally more common in young and middle-aged women.
Causes and symptoms of the Sacroiliac Joint Dysfunction
The sacroiliac joint is what connects your sacrum with the pelvis. You will find it near the bottom of your spine just above the tailbone and below the lumbar spine. This joint is surrounded by strong ligaments and has a short range of motion. Its main function is to transmit the load of your upper body to the pelvis and legs. In other words, the sacroiliac joint acts as a big shock-absorbing construction of your body. The cause of the pain may be a change in the normal SI joint motion.
Treatment options for sacroiliac joint dysfunction are usually non-surgical and focus on trying to restore normal motion in the joint. This can include the following:
The use of ice and heat combined with rest.
Apply heat or ice regularly every 15 to 20 minutes to reduce inflammation and irritation. Once the intense pain subsides, you can take a warm or hot bath or use a heating pad. It’s important not to use them when the pain is intense.
Sacroiliac joint injections
This mini-invasive procedure is useful in providing immediate pain relief. An anesthetic (such as lidocaine or bupivacaine) and an anti-inflammatory medication (such as a corticosteroid) are injected into the joint to help reduce local inflammation and alleviate the pain.
Doctors may first recommend anti-inflammatory medicines and painkillers like acetaminophen or ibuprofen to ease the pain and swelling.
While this can help if the SI joint does not move, it can irritate it if the joint is hypermobile.
Physical therapy and exercise
Physical therapy can strengthen the nearby muscles at the sacroiliac joint and consequently increase its stability.