Sacroiliitis (say-kroe-il-e-I-tis) is an inflammation of one or both of your sacroiliac joints — the places where your lower spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back, and may even extend down one or both legs. The pain associated with sacroiliitis is often aggravated by prolonged standing or by stair climbing.
Sacroiliitis can be difficult to diagnose, because it may be mistaken for other causes of low back pain. It's been linked to a group of diseases that cause inflammatory arthritis of the spine. Treatment of sacroiliitis may involve a combination of rest, physical therapy and medications.
The sacroiliac joints link your pelvis and lower spine. They're made up of the sacrum — the bony structure above your tailbone and below your lower vertebrae — and the top part (ilium) of ...
The pain associated with sacroiliitis most commonly occurs in the buttocks and lower back. It can also affect the legs, groin and even the feet. Sacroiliitis pain can be aggravated by:
A wide range of factors or events may cause sacroiliac joint dysfunction, including:
Sacroiliitis may be part of an inflammatory arthritic condition known as ankylosing spondylitis. Complications of this condition can be very serious, including difficulty breathing, spine deformities, lung infections and heart problems.
Preparing for your appointment
You're likely to start by seeing your family doctor. However, he or she may refer you to a rheumatologist or an orthopedic surgeon.
What you can do
What to expect from your doctor
Tests and diagnosis
During the physical exam, your doctor may try to pinpoint the cause of your pain by pressing directly on various places on your hips and buttocks. He or she may also move your legs into a variety of positions that will gently stress your sacroiliac joints.
Treatments and drugs
The type of treatment your doctor will recommend depends on the signs and symptoms you're having, as well as the underlying cause of your sacroiliitis.
Surgical and other procedures
Corticosteroids can be injected directly into the sacroiliac joint to reduce inflammation and pain. In some cases, your doctor might inject an anesthetic into the joint to help confirm the diagnosis. ...
Lifestyle and home remedies
Home treatments for sacroiliitis pain include:
Last Updated: 2013-01-09
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