Sacroiliac Joint Pain (cont.)
Catherine Burt Driver, MD
Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- What are the sacroiliac (SI) joints?
- What is sacroiliac joint dysfunction?
- What are the causes of sacroiliac joint dysfunction?
- What are sacroiliac joint dysfunction symptoms?
- How is sacroiliac joint dysfunction diagnosed?
- What is the treatment for sacroiliac joint dysfunction?
- What are home remedies for sacroiliac joint dysfunction?
- What is the prognosis of sacroiliac joint dysfunction?
- Is it possible to prevent sacroiliac joint dysfunction?
- Find a local Rheumatologist in your town
What are home remedies for sacroiliac joint dysfunction?
Oral anti-inflammatory medications (NSAIDs such as ibuprofen [Motrin], naproxen sodium [Aleve], or acetaminophen [Tylenol]) are often effective for pain relief. If the cause of sacroiliac joint dysfunction is mechanical, such as from pregnancy or the aging process, then rest and ice may be helpful. On the other hand, if the cause is inflammatory, such as from ankylosing spondylitis or psoriatic arthritis, then gentle exercise (walking) and heat may be helpful.
What is the prognosis of sacroiliac joint dysfunction?
The prognosis of sacroiliac joint dysfunction varies depending on the cause of the dysfunction. When the problem is caused by pregnancy, the prognosis is excellent, as the condition usually improves after pregnancy during the postpartum period. Conditions affecting the sacroiliac joints such as ankylosing spondylitis and psoriatic arthritis are chronic, but excellent treatments are available. These treatments can minimize the SI joint pain and prevent destruction of the joints. Degenerative arthritis affecting the SI joint is also a chronic condition and cannot be reversed, but treatments are generally very effective in improving symptoms.
Is it possible to prevent sacroiliac joint dysfunction?
Unfortunately, SI joint dysfunction is not preventable in some people. For many, it is an unfortunate part of the normal aging process. However, the severity can be reduced through treatment with medication, injections, or physical therapy. Maintaining a healthy body weight and good conditioning can reduce the chances of developing SI joint dysfunction and other forms of arthritis. By reducing the loads on the joints, there is less chance for cartilage damage and subsequent arthritis.
Szadek, K.M., P. van der Wurff, M.W. van Tulder, W.W. Zuurmond, and R.S. Perez. "Diagnostic Validity of Criteria for Sacroiliac Joint Pain: A Systematic Review." J Pain. 10.4 Apr. 2009: 354-68.
Tuite, M.J. "Sacroiliac Joint Imaging." Semin Musculoskelet Radiol. 12.1 Mar. 2008: 72-82.
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