Sacroiliiatis

Sacroiliac joint dysfunction or sacroiliiatis is an inflammation of one or both of inflammation of one or both of your sacroiliac joints- situated where your lower spine and pelvis connect. Sacroiliitis can cause pain in buttocks or lower back, and can extend down one or both legs. 

  Diagnosis - Sacroiliiatis can be difficult to diagnose, mostly it can be mistaken for other causes of low back pain. It's been linked to a group of diseases that cause inflammatory arthritis of the spine. Physiotherapists use a variety of orthopedic provocation tests to diagnosis.

• Gaenslen test 
• Sacral thrust test
• Thigh thrust test
• Distraction test
• Faber test
• Yeoman's test
• Gillet test 
• Laguerre test
• Sacroiliac compression test

CT and MRI are often used to confirm the diagnosis.

 Symptoms- common symptoms of sacroilitis include pain that: 

• Occurs in the lower back, buttock, hip, or thigh.
• Get worse after prolong sitting or standing, or getting out of a chair.
•  Worsens after rotating your hips.
• Feels sharp or stabbing, or dull and achy. 

Physical therapy management 

• The first stage of the treatment the aim is reduce the inflammation with ice-packs and anti-inflammatory medication. 
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• Second goal is to improve mobility using mobilizations, manipulation or exercise therapy.
  
  
  
  

• If there are complaints of instability, it can be useful to make use of a sacroiliac belt to temporarily support the pelvis, together with progressive stabilization training to increase motor control and stability.
  
  
  
• If a sacroiliac joint is severely inflamed, a sacroiliac belt can also be used.
• Postural and ergonomic advice will help the patient to decrease the risk of re-injury.                                                                                                                                                                      

      Guiding force behind,

       Dr Rajesh Gautum (PT)