Sacroiliac Joint Dysfunction
Symptoms of sacroiliac joint dysfunction may include:
- Pain in the lower back, hips, buttocks, thighs or groin
- Stiffness or aching in the hips or lower back
- Pain that worsens with standing, walking, or sitting for extended periods
- Difficulty bending or twisting at the waist
Sacroiliac joint dysfunction refers to pain or discomfort in the sacroiliac joint, which is the joint where the sacrum (the triangular bone at the base of the spine) meets the pelvis. The sacroiliac joint helps to transfer the weight of the upper body to the legs and allows for movement during activities like walking, running, and standing.
The causes of sacroiliac joint dysfunction can vary, but some common causes include:
- Trauma or injury to the joint, such as a fall or a car accident.
- Pregnancy, due to changes in the body’s hormone levels and the increased weight and pressure on the joints.
- Arthritis, which can cause inflammation and degeneration of the joint.
- Degenerative joint disease, which can cause the joint to wear down over time.
- Poor posture or body mechanics, which can put extra strain on the joint.
Diagnosis of sacroiliac joint dysfunction usually involves a combination of a physical exam, medical history, and imaging tests. Here are some common methods used to diagnose sacroiliac joint dysfunction:
- Physical exam: During a physical exam, your doctor will check for tenderness or pain around the sacroiliac joint. They may also check your range of motion and muscle strength.
- Medical history: Your doctor will ask you questions about your symptoms, medical history, and any previous injuries or surgeries.
- Imaging tests: Imaging tests such as X-rays, CT scans, or MRI scans can provide detailed images of the sacroiliac joint and help to identify any abnormalities or damage.
The treatment for sacroiliac joint dysfunction depends on the severity of the condition and the specific symptoms of the patient. Treatment options may include:
- Extracorporeal Shockwave Therapy: ESWT is a noninvasive medical treatment that uses shockwaves that are high-energy sound waves directed at the affected area, stimulating healing and reducing pain.
- Physical therapy: Physical therapy can help to improve strength, flexibility, and balance, which can help to relieve symptoms and prevent further injury. Exercises that focus on core strength, flexibility, and posture can be especially helpful.
- Heat or cold therapy: to reduce inflammation and alleviate pain.
- Lifestyle modifications: such as weight loss, regular exercise, and proper posture.