sacroiliitis

[suzi0802]

Hi everyone, just wondering if anyone has any info about the diagnosis and treatment of sacroiliitis?

I have been referred a patient previously treated by another physio who diagnosed this. She is 21 and has had intermittent low back pain for a number of years which has increased around the right SIJ since she began driving more. She doesn't appear to have any inflammation at present and the joint appears to be in place and functioning normally. Compression/ gapping produce pain, wearing high heels would agravate it and leg traction to the right or left produced pain on the left side. She plays basketball but has taken a break from this due to the pain lately. Any help at all would be appreciated!

[Docphysio]

hi! my self mukul.PT. well i have seen this type of patients daily it is simply the inflamation of ligament over the SIJ. in this patient usually complain the pain in lower back sometimes it rediate to the lower limb and pt. fell crump in the lower back (i m telling u that what i seen and what my pt. complain to me) the pt. with this type of prob. has to avoid taking weight.wearing high heeled sandels,and has to sleep on hard bed try to sleep in pron. position.
THE BEST TREATMENT FOR THIS IS S.W.D.:- 15 SITTINGS(VARY WITH PATIENT AND CONDITION) so go for it ...........

[wutti]

hi

has your patient ever had injections into the SIJ or taken any NSAID´s. Make sure that the ROM of the hip and Lumbar spine are OK, if there is less mobility, it might effect the SIJ. Try friction massage with iceing on the ligaments around SIJ and lumbar spine (iliolumbal lig. is often inflamed in hypermobile SIJ. Also electrotherapy might work.
good luck

[junior_physiotherapist]

this may help u!!(www.spine-health.com)


Exercise for sciatic pain from sacroiliac joint dysfunction


Fig.22
Fig. 2 fig.21

Differences between sacroiliac joint dysfunction and sciatica
Inflammation of the sacroiliac joint is believed to be caused by a disruption in the normal movement of the joint, despite the fact that the sacroiliac joint (also called the SI joint) naturally has a very limited range of motion. If the sacroiliac joint becomes inflamed, the portion of the sciatic nerve that runs directly in front of the joint and can be irritated.
Although sacroiliac joint dysfunction affects the sciatic nerve and has similar symptoms to sciatica. However, pain along the sciatic nerve caused by sacroiliac joint dysfunction is not caused by a compressed nerve root as it exits the spine as occurs with true sciatica.
Stretching exercises for sciatic pain from sacroiliac joint dysfunction
Performing range of motion exercises directed at the SI joint can often restore normal movement and alleviate the irritation of the sciatic nerve. Three helpful exercises are described below:
Practical point The main objective of exercises for sciatic pain from sacroiliac joint dysfunction is to restore the range of motion in this joint which can be limited if the joint is inflamed.
• Single knee to chest stretch. Pull one knee up to the chest at a time, gently pumping the knee three to four times at the top of the range of motion. Do 10 repetitions for each leg (Fig 21).
• Press-up. From the prone position, press up on the hands while the pelvis remains in contact with the floor. Keep the lower back and buttocks relaxed for a gentle stretch (Fig 2). Hold the press-up position initially for five seconds, and gradually work up to 30 seconds per repetition. Aim to complete 10 repetitions.
• Lumbar rotation—non-weight bearing. Starting by lying on the back with both knees bent, keep the feet flat on the floor while rocking the knees from side to side. The thighs should rub together and the knees will not move very far. The lower spine should remain fairly still. Rock the knees for 30 seconds (Fig 22).