Sacro-iliac Syndrome or Sacroiliitis

sacroiliac

The sacro-iliac joints consist of the sacrum, a bone in the shape of an inverted triangle in the lower part of your back, articulating on each side with the bones of the pelvis. They are located at the level of the small bony prominences palpable at the level of the buttocks. These joints are very important because they distribute the weight of the upper body to each of the two legs. They are very strong and surrounded by several ligaments, but are not safe from problems.

Description

  • We speak here of acute or chronic pain, dull, deep, often on one side, directly at the level of the joint.
  • The onset of pain can also be sudden, but often it appears insidiously.
  • 50 to 60% of the chronic low back pain, that is to say that last a long time, would be connected to this articulation.

Causes

  • Joint stiffness.
  • Lack of movement, blocked joint.
  • Inflammation and / or stretching of the ligaments surrounding the joint.

Treatments

1. Ensure that there is no greater problem, some forms of arthritis can affect this joint.

2. X-rays may be necessary to eliminate any underlying problem other than a lack of mobility.

  • Decreased inflammation with ice (20 minutes / 2 hours) and complementary therapies such as neurocryotherapy
  • The manipulations prove to be the treatment of choice for this condition in order to restore all the mobility to this articulation.
  • Soft tissue work (Active Release Techniques and Graston)
  • Kinesio Taping
  • Exercises of bending and stretching muscles of the thighs, buttocks and back.
  • Exercises to strengthen and stabilize the region
  • Drugs (anti-inflammatory) as needed
  • Cortisone injections as needed
  • In the case of an acute ligamentous sprain of this region, an orthopedic support (lumbar belt) for a short period may prove effective.

Prognosis

  • Variable according to the intensity, the duration of implantation before the beginning of treatments and the number of preceding episodes.
  • On average, 6 to 8 weeks.