Sacroiliac Joint Syndrome

Sacroiliac joint pain

Sacroiliac (SI) joint pain has gained much attention in the last ten years as an underestimated cause of back pain with some studies indicating that it is responsible for 15% to 40% of back pain. The increased attention is due to increased knowledge of SI joints intimate role in the stability of the basin. I hope that other physicians consider SI joint pain in their difference after reading this article.

Pathophysiology

SI joint dysfunction caused by inflammation in the joint sacroilitis itself is called. Pain in SI joint is common in rheumatoid arthritis and spondyloarthropathies.

The other cause of SI joint dysfunction resulting from the instability of the SI joint. Many experts believe that SI joint pain is part of a larger problem of instability of the pelvis (1). pelvic instability has always been underestimated as a cause of back pain, buttock pain, pain in the groin and leg pain. Physiotherapists and doctors of osteopathic medicine have been teaching these concepts for years but only relatively recently that the trend in the dissemination of knowledge to the dominant thinking among doctors.

The SI joint complex (the SI joint and its associated ligaments) is the major support structure of the pelvic ring and the complex strongest ligament in the body. The complex consists of interosseous sacroiliac ligaments, the iliolumbar ligament, posterior sacroiliac ligament and the sacrospinous and sacrospinous ligaments. The SI joints are two of the three joints involved in the stability of the pelvic ring. The pelvic ring is the meeting place of the force vectors of the upper body and lower extremities. The third in the pelvic ring is the symphysis pubis. pelvic instability causes the rotation of the pelvis can also cause twisting of the symphysis pubis. Coupling this with its previous location seems to provide an explanation of why patients with SI joint instability may also experience pain in the groin earlier. Anecdotal evidence for this is seen when patients undergo successful intra-articular SI joint posterior unload all their backs, buttocks, and leg symptoms, but the patient still has pain in his groin. pain in the groin is almost never eliminated by SI joint injections less symmetrical basin has been corrected.

If the SI joints are unstable, it can cause severe pain and discomfort in the SI joints and many areas covered. If a person affected by the SI joint pain pain on her SI joint, he / she must be considered lucky. The most common cause of SI joint instability artificial deformation on low the entire back and pelvic area causing clinical confusion sometimes. Modes of referral of pain SI joint pain is often confused with L5 or S1 radiculopathy or radiculitis.

referral patterns of SI joint dysfunction (2)

SI joint dysfunction often presents with a confusing clinical presentation.

1. Buttock pain 94%

2. Lumbar pain in the lower 74%

3. Extremity pain in the lower 50%, with 28% of these leg pains in the knee is distal

4. Pain goes completely in the foot by 13%. Younger patients are more likely to refer pain distal to the knee.

5. Pain in the groin by 14%.

Most patients with joint instability also experience severe pain in the SI region of the buttock because of muscle spasms side of the gluteal muscles and piriformis complex. Symptoms are explained by the lower piriformis muscle spasms natural tendency or press on the sciatic nerve where SI is the joint out of alignment. This spasm of the gluteal and piriformis.