* Sacroiliitis is a painful condition that affects one or both sacroiliac joints. These joints sit where the lower spine and pelvis meet.
* Sacroiliac Joint Dysfunction can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs. *Standing or sitting for a long time or climbing stairs can make the pain worse.
Symptoms
The pain of sacroiliitis most often occurs in the buttocks and lower back. It also can affect the legs, groin and even the feet. The pain can improve with movement. The following can make sacroiliitis pain worse:
* Sleeping or sitting for a long time.
* Standing a long time.
* Having more weight on one leg than the other.
* Stair climbing.
* Running.
* Taking large steps when moving forward.
Causes for sacroiliac joint Dysfunction
Injury. A sudden impact, such as a motor vehicle accident or a fall, can damage the sacroiliac joints.
Arthritis. Wear-and-tear arthritis, also known as osteoarthritis, can occur in sacroiliac joints. So can a type of arthritis that affects the spine, known as ankylosing spondylitis.
Pregnancy. The sacroiliac joints loosen and stretch for childbirth. The added weight and changed way of walking during pregnancy can stress these joints.
Infection. Rarely, a sacroiliac joint can become infected.
Complications
* Sacroiliitis can cause difficulty with certain actions, such as bending, lifting, staying in one position and rising from being seated.
*The ongoing pain of sacroiliitis can lead to depression and loss of sleep.
PHYSIOTHERAPY MANAGEMENT
1.Hamstring Stretch on wall:
* Find an open doorway.
*Lie flat on the ground or a mat, with the back flat and the left leg fully extended on the floor. The left leg should pass through the doorway.
*Lean the right leg against the wall next to the doorway.
*Adjust the distance between the body and the wall to achieve mild tension in the right leg.
*Hold the stretch for 10–30 seconds.
*Switch legs. Repeat 3 times on each leg.
2.Hip Adductor Stretch
1.Sit on the floor. Put the soles of your feet together so your knees are pointed outward.
2.Pull your heels in toward your groin, as close as is comfortable.
3.Put your hands above your ankle , and gently push them closer to the floor.
4.Hold for 30 to 60 seconds.
5.Relax and repeat 2 to 3 times.
6.Repeat this exercise 3 times a day.
3.Single Knee to chest stretch :
1.Lie on your back with your knees bent and your feet flat on the floor. You can put a small pillow under your head and neck if it is more comfortable.
2.Clasp your hands under one knee and bring the knee to your chest. Keep your other foot flat on the floor.
3.Keep your lower back pressed to the floor. Hold the stretch for at least 15 to 30 seconds.
4.Relax and lower the knee to the starting position.
5.Repeat 2 to 4 times with each
4.Isometrics Hip Adduction:
1.Lie on your back with the knees bent and the heels flat on the ground.
2.Place a ball or rolled up towel/folded pillow between the legs.
3.Keeping the pelvis flat on the mat, squeeze the ball together and release the tension by half.
4.Repeat for 15 repetitions.
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