There are several potential causes of inflammation in the sacroiliac joints.
Sacroiliitis may be hard to diagnose as it can be mistaken for lower back pain caused by different conditions. As a result, a doctor may diagnose sacroiliitis through the exclusion of other conditions.
A doctor may perform several physical tests to assess if sacroiliitis is causing a person’s pain. These can include applying pressure to the sacroiliac joints and making the patient move their hip joint through various ranges of motion.
A doctor may conduct MRI tests as a diagnostic tool for sacroiliitis. However, the authors commented that without significant exp the chance of a false-positive diagnosis from MRI imaging is relatively high.
Computed tomography may sometimes be useful in diagnosing sacroiliitis. Some physical tests are as follows:
The following medications can help to treat sacroiliitis:
In severe cases where medication and exercise do not relieve sacroiliitis, a doctor may recommend one of the following surgeries or procedures:
The aim of the first stage of treatment is to reduce the inflammation with ice packs and anti-inflammatory medication. The 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 the 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 reinjury.
Exercises for sacroiliitis are:
Once your pain, strength, and motion improve, you will need to safely transition back to your full sport and/or daily activity levels. To reduce the stress and tension on the sacroiliac joint, you will need to learn safe, controlled movements. This training also will reduce your risk of repeated injury. Your physical therapist will teach you how to use and move your body correctly based on your unique physical condition.