Sacroiliac joint dysfunction
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Sacroiliac joint dysfunction | |
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Synonyms | Sacroiliac joint pain, SI joint dysfunction |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Lower back pain, buttock pain, leg pain |
Complications | N/A |
Onset | Any age, commonly in adults |
Duration | Variable |
Types | N/A |
Causes | Arthritis, trauma, pregnancy, infection |
Risks | Pregnancy, leg length discrepancy, scoliosis |
Diagnosis | Physical examination, imaging studies |
Differential diagnosis | Herniated disc, hip arthritis, lumbar spinal stenosis |
Prevention | N/A |
Treatment | Physical therapy, medication, injections, surgery |
Medication | N/A |
Prognosis | N/A |
Frequency | Common |
Deaths | N/A |
Sacroiliac Joint Dysfunction
Introduction
Sacroiliac Joint Dysfunction is a condition characterized by pain in the sacroiliac joint region, which is situated where the lower spine and pelvis connect. The dysfunction is caused by abnormal motion in the sacroiliac joint, either hypermobility (excessive movement) or hypomobility (restricted movement), leading to joint inflammation and discomfort.
Anatomy of the Sacroiliac Joint
The sacroiliac joint (SI joint) connects the sacrum, the triangular bone at the bottom of the spine, to the iliac bones of the pelvis. It plays a crucial role in absorbing shock between the upper body and pelvis and legs.
Causes of Dysfunction
Factors contributing to sacroiliac joint dysfunction can include:
- Degenerative arthritis.
- Pregnancy and childbirth, which can alter joint mobility.
- Trauma or injury to the joint.
- Variations in gait (walking pattern).
Symptoms
Common symptoms of SI joint dysfunction include:
- Pain in the lower back, buttocks, hips, and potentially in the groin area.
- Pain that worsens with prolonged standing or stair climbing.
- Stiffness and reduced range of motion in the pelvis.
Diagnosis
Diagnosis of sacroiliac joint dysfunction typically involves:
- Physical examination to assess pain and mobility.
- Medical history review.
- Imaging tests such as X-rays, MRI, or CT scans.
- Diagnostic injections to confirm the source of pain.
Treatment Options
Treatment strategies for sacroiliac joint dysfunction may include:
- Physical therapy and exercises to strengthen the muscles around the joint.
- Pain relief medications, such as NSAIDs.
- SI joint injections with corticosteroids.
- In severe cases, surgical intervention may be considered, such as SI joint fusion.
Prevention and Management
Preventive measures might include:
- Regular exercise to maintain joint flexibility and muscle strength.
- Maintaining a healthy weight to reduce stress on the joints.
- Proper posture and ergonomic practices.
See Also
References
External Links
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD