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|Category:||Bones, joints, muscles diseases|
The inflammation of one or both of the sacroiliac joints that connect the lower spine and pelvis is called sacroiliitis. In case someone has sacroiliitis, the smallest movement of the spine will cause pain or make the person extremely uncomfortable.
Diagnosing sacroiliitis could be difficult because this condition could be mistaken for other causes of low back pain, such as a herniated disk, strained muscles or sciatica. A group of diseases called spondyloarthropathies, which cause inflammatory arthritis of the spine, could be associated with sacroiliitis.
A combination of rest, physical therapy and medications are the options for treating sacroiliitis.
Some of the signs and symptoms of sacroiliitis may be:
Sacroiliitis could be due to several factors, such as:
Arthritis associated with psoriasis, and ankylosing spondylitis are included in this group of diseases.
Infection of the sacroiliac joint:
A number of infections could cause this condition, leading to sacroiliitis.
Degeneration of the sacroiliac joints is caused by degenerative arthritis, which is also called osteoarthritis of the spine, causing mild inflammation and pain.
A traumatic injury or sudden impact:
In case a fall or a motor vehicle accident affects someone’s spine, lower back, buttocks or pelvic, sacroiliitis may occur.
Pregnancy may end up causing sacroiliitis, because the pelvis has to stretch to accommodate childbirth.
Some of the factors that could increase someone’s risk of getting sacroiliitis include:
Serious damage could be caused to the sacroiliac joints due to delayed treatment of sacroiliitis, which could be because the person has put off going to the doctor, or because of an incorrect diagnosis.
Ankylosing spondylitis is a larger inflammatory arthritis. Sacroiliitis could be a part of this condition. Spine deformities, heart problems, difficulty breathing and lung infections are some of the serious complications that could result from this condition.
Treatment of sacroiliitis will be based on its underlying condition, in addition to the signs and symptoms that the patient is experiencing. Some of the medications that could be used to treat this condition include:
Inflammation and pain could be reduced by these medications, which could also slow joint damage. The effect of corticosteroid injections could last for months, which could be used for localized pain relief. Some examples of these medications include methylprednisolone and prednisone.
The long-term use of these medications could cause some serious side effects, despite the fact that they could make a person feel dramatically better for a short time. Corticosteroids are usually prescribed to relieve acute symptoms, and their dose is gradually decreased. Cataracts, a round face, an increased risk of infection, thinning of the bones, weight gain and easy bruising are some of the side effects of these medications.
However, people with ankylosing spondylitis are more susceptible to developing osteoporosis. There's also no definitive evidence that oral steroids will help people with sacroiliitis associated with ankylosing spondylitis.
Swelling and inflammation could be reduced by these pain-relieving drugs, which include naproxen and indomethacin. Depending on the severity of the condition, the patient may be prescribed these medications on an as-needed basis, or continuously.
A cell protein called cytokine that acts as an inflammatory agent is blocked by these tumor necrosis factor inhibitors. This helps in reducing pain, stiffness, and tender or swollen joints. Only after trying other treatments for at least three months without success will these medications be considered, because they're expensive. Some examples include adalimumab, infliximab and etanercept.
These disease-modifying antirheumatic drugs are prescribed to limit joint damage. To slow the disease and save the joints as well as other tissues from permanent damage, it's quite important to take these drugs at the early stages in the development of a joint condition.
To help manage pain and stiffness, the patient should also rest and undergo physical therapy. To maintain joint flexibility, he/she will learn range-of-motion and stretching exercises, and to give the muscles additional stability he/she will learn strengthening exercises.
Dr. Talal Sabouni
Dr. Faisal Dibsi
Dr. Samer Al-Jneidy
Dr. Hani Najjar
Dr . Dirar Abboud
Dr. Tahsin Martini
Yaser Habrawi , F.R.C.S.Ed
Samir Moussa M.D.