Sacroiliac disorders

Sacroiliac disorders

The sacroiliac joints are the two joints at the back of the pelvis that connect the sacrum (pelvic bone) to the ilium of the pelvis (hips bones). Sacroiliac joint dysfunction means there is too much motion or inflammation in the sacroiliac joints. There are many different names for this and theses may include sacroiliac joint syndrome, sacroiliac joint dysfunction and sacroiliac joint inflammation. Most clinicians and patient who have had this condition will abbreviate sacroiliac joint to SIJ, and therefore SIJ inflammation and SIJ dysfunction etc.

Symptoms of sacroiliac dysfunction

Most people with sacroiliac pain will complain of severe pain in the low back and buttock and upper leg region. Depending on how severe the pain is standing or running can produce pain and people may need to lie down just to take the pressure of the joints. The causes of sacroiliac pain and dysfunction include trauma, infection, pregnancy and conditions such as spondyloarthropathies. This condition can also be acquired after surgery.

Treatment of sacroiliac dysfunction

The basis to any good treatment is getting the correct diagnosis. At Sydney Spine & Sport Centre we diagnosis SIJ dysfunction firstly through a physical exam (gold standard). A clinical diagnosis is very important before any other diagnostic procedure is sought for SIJ dysfunction. Imaging is often sort and this includes CT scan, MRI and X-rays. It is important to know if there is an underlying condition such as anklyosising spondylosis may affect the SI joints.

Conservative management by a chiropractor or physiotherapist should be the first treatment for SIJ dysfunction. This will involve a combination of both hands on treatments and exercises to help the sacroiliac joint pain. If conservative management by a chiropractor or physiotherapist fails then injections therapy, usually with cortisone can be attempted. Should this not work, surgery may be considered however this is extremely rare. At Sydney Spine & Sports Centre (S3C) this is not something we take lightly and our goal is fix you well before surgery is even an option although it is inevitable that some patients may need this.

Causes of low back pain

The following conditions are common causes of low back pain.