The sacroiliac joint is a strong weight bearing joint that transfers the weight of the upper body to the the pelvis and legs. It is an important joint for stability and shock absorption during activites likes walking, running or standing. issues with the SI joint can cause lower back pain or discomfort in the buttocks or thighs.
Causes of Sacroiliac Joint Pain
Injury
Trauma to the sacroiliac joint, such as from a fall, car accident, or sports injury, can cause inflammation and pain.
Degenerative Arthritis
Wear and tear on the sacroiliac joint over time can lead to degenerative arthritis, resulting in joint damage and pain.
Pregnancy
During pregnancy, hormonal changes and increased joint laxity can put stress on the sacroiliac joint, leading to pain and discomfort.
Ankylosing Spondylitis
This inflammatory condition primarily affects the spine and sacroiliac joints, causing stiffness, pain, and potentially joint fusion.
Symptoms of Sacroiliac Joint Pain
Lower Back Pain
Persistent discomfort or sharp pain in the lower back, often localized to one side, is a hallmark symptom of sacroiliac joint dysfunction.
Buttock Pain
Aching or tenderness in one or both buttocks, typically exacerbated by sitting or lying down, is commonly associated with sacroiliac joint issues.
Hip Discomfort
Dull or stabbing pain in the hips, particularly during weight-bearing activities like walking or climbing stairs, can indicate sacroiliac joint dysfunction.
Groin Sensations
Some individuals may experience aching or throbbing sensations in the groin area, especially with sudden movements or changes in position.
Leg Discomfort
Radiating pain or numbness that extends down the leg, resembling sciatica, may occur due to irritation of nearby nerves by the inflamed sacroiliac joint.
Pelvic Instability
Feeling of instability or a sensation that the pelvis is "shifting" or "giving way" with certain movements, such as standing up from a seated position or walking on uneven surfaces.
Pain Management Interventions
Joint Injections
Corticosteroid injections directly into the sacroiliac joint can provide temporary relief by reducing inflammation and alleviating pain. These injections are typically performed under guidance using fluoroscopy or ultrasound.
Radiofrequency Ablation
This minimally invasive procedure uses heat generated by radiofrequency energy to disrupt the sensory nerves responsible for transmitting pain signals from the sacroiliac joint. It can provide longer-lasting pain relief compared to corticosteroid injections.
Treatment for Sacroiliac Joint Pain
Medications
Over-the-counter pain relievers like nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and reduce inflammation associated with sacroiliac joint dysfunction. In severe cases, prescription medications or muscle relaxants may be prescribed.
Physical Therapy
Specific exercises and stretches prescribed by a physical therapist can help strengthen the muscles surrounding the sacroiliac joint, improve flexibility, and correct any postural issues contributing to pain.
Do's for Sacroiliac Joint Pain
- Maintain Good Posture: Practice proper posture while sitting, standing, and walking to reduce strain on the sacroiliac joint.
- Engage in Low-Impact Exercises: Incorporate exercises like swimming, walking, and gentle stretching to improve joint mobility and strengthen surrounding muscles.
- Use Heat or Ice Therapy: Apply heat or ice packs to the affected area to alleviate pain and reduce inflammation as needed.
Don'ts for Sacroiliac Joint Pain
- Avoid High-Impact Activities: Minimize activities that involve repetitive or high-impact movements, such as running or jumping, as they can worsen sacroiliac joint pain.
- Limit Prolonged Sitting or Standing: Avoid prolonged periods of sitting or standing in one position, as this can place excessive stress on the sacroiliac joint.
- Steer Clear of Heavy Lifting: Refrain from lifting heavy objects or performing strenuous activities that may strain the sacroiliac joint and surrounding muscles.
Sacroiliac Joint Pain Treatment with Dr. Anushka Patel
There are several benefits to consulting with a pain management specialist. It is typical to concentrate on the affected area when a patient is in pain. Still, it’s also critical to understand the patient’s medical history, way of life, and eating and sleeping habits, in addition to the symptoms and underlying causes. Because of her training and experience, Dr. Anushka can determine the underlying source of the problem. With a correct diagnosis, she has a good prognosis for you to look forward to. Dr. Anushka is a highly sought-after pain management specialist because she places a high importance on the care provided during and after surgery or therapy.
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