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Sacroiliac Joint Pain and Injury

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If the patient’s symptoms are alleviated as a result, then the test will prove positive for a problem with the joint.

In treating inflammation of the sacroiliac joint, conservative approaches usually work best. Obviously, the patient should avoid any activities that caused the symptoms. If the patient is an athlete, he or she should refrain from participating in sports until the inflammation dissipates. Certain anti-inflammatory medications may reduce the inflammation. However, it is important to recognize that such medications are not given as pain relief, but only as a means to reduce the inflammation. As such, if the patient discontinues the medication simply because the pain has subsided, he or she may be diminishing its effect on the inflammation. It is important to stick to the medicinal regimen as directed by the physician.

Another avenue of treatment includes physical therapy. A trained physical therapist can recommend a series of exercises that will strengthen the muscles around the sacroiliac joint and the lower back, helping to increase the flexibility around the joint.

If the above measures do not prove successful, the doctor may recommend a cortisone injection into the joint. Such an injection is far more powerful than the anti-inflammatory medications as noted above.

(Information for this article was obtained at:
http://orthopedics.about.com/cs/hipsurgery/a/sacroiliactjoint.htm and

Add a Comment4 Comments

EmpowHER Guest

Definately have SI, exercise, stretching and pain medication allow some relief, but never feel pain free. Use Heat and rest to cope with constant pain from SI.

September 29, 2012 - 7:41am

thank you for this helpfull infor, i been having the same pain back legs walking it hard the doctor gave me pain pills rest.
i have another appt but not until aug 1
cnos pain clinic . again thanks ladyrose

July 7, 2012 - 11:52pm
Expert HERWriter Guide Blogger

Hi snanny - There are many causes of sacroiliac joint pain. As Ann noted in her article, the causes include trauma and pregnancy, as well as biomechanical causes such as muscle imbalance, overpronation, or leg length discrepancy. Additional causes include osteoarthritis, gout, rheumatoid arthritis, psoriasis and ankylosing spondylitis.

In terms of your doctor saying you are too young for arthritis, you're correct to question that statement. Arthritis can affect anyone, at any age. You can learn more from the Arthritis Foundation: http://www.arthritis.org/learn-about-arthritis.php

Is this information helpful? Please let us know and if you have additional questions. Thanks, Pat

March 29, 2010 - 5:49pm

I am having defininte sacroiliac pain. It started as a minor irritation in the right buttock and grew over a period of weeks. The transition from standing to sitting started the more major pains, progressing to the transition from sitting to standing, then maintaining a sitting sitting position, then standing/walking, and finally to where the pain was not relieved even with laying down. Last week, I had a guided injection into the SI joint. This helped somewhat for a few days. The more significant pain seems to be returning. I do not recall any injury that may have caused this pain. I am not pregnant. The doctor says I am too young for it to be arthritis (though I'm not sure I believe this - I'm 38). What are other causes of SI joint pain???

March 29, 2010 - 8:45am
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

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