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Sacroiliac Joint Dysfunction

The sacroiliac joint (or SI Joint) covers the sacrum with the pelvis and is adjacent to the bottom of the spine.
Sacroiliac Joint Dysfunction
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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.

Treatments

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 and an anti-inflammatory medication (such as a corticosteroid) are injected into the joint to help reduce local inflammation and alleviate the pain.

Medications

Doctors may first recommend anti-inflammatory medicines and painkillers like acetaminophen or ibuprofen to ease the pain and swelling.

Chiropractic care

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.

Sacroiliac Joint Dysfunction FAQ

How long does it take for SI joint pain to heal?

Typically, SI joint pain has a sudden onset. It can heal within a few days, or it may take several months. The time it takes to heal depends on what is causing the SI joint pain. For example, it could be tight ligaments or damaged muscles that support the SI joint. The soft tissue needs time to heal in order for the pain to subside and the joint to return to normal functioning. Chronic pain is pain that endures for more than three months.

How to sit with SI joint pain?

Since the SI joint is in the lower back, sitting can be painful because it places pressure on the hips and lower spine. The best way to sit with SI joint pain is in a way that relieves that pressure as much as possible. Some suggestions are:

  • Sit in a relaxed position with a cushion or a rolled towel placed behind the back
  • Sit upright with your chest pressed upward and the shoulder blades relaxed
  • Sit with your feet crossed while placed underneath your legs and pulled back towards the hips (called a tailor’s position)
  • Sit with the knees apart and turned out slightly

You will have to try the various sitting positions to determine which ones most ease the pain.

What doctor should I see for sacroiliac joint dysfunction?

Usually, a patient will first visit a general practitioner due to the back pain. If sacroiliac joint dysfunction is suspected, the physician will refer you to a spine specialist who can make a more definitive diagnosis and develop a treatment plan. The spine specialist may be a neurosurgeon who specializes in the treatment of the brain and spine or an orthopedic spine surgeon who specializes in treating spinal conditions.

What does sacroiliac joint dysfunction feel like?

In most cases of SI joint dysfunction, the lower back is painful. The pain may be mild but can also become severe. The pain sometimes spreads into areas like the buttocks and hips and the side or back of the thigh. If the pain is felt beyond the lower back, it may be a sharp stabbing pain similar to that felt with sciatica. In addition, the areas impacted by the sacroiliac joint dysfunction may feel stiff, and the pain will intensify when pressure is placed on the sacroiliac joint.

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