- What is Sacroiliac joint Dysfunction.?
- What are the Symptoms of SI joint dysfunction.?
- Causes of SI joint dysfunction ?
- How to Diagnosed SI joint dysfunction ?
- What are the Home treatment for SI joint dysfunction ?
- Physiotherapy laser treatment for SI joint dysfunction ?
The SI Joint Dysfunction is also known as Sacroiliac joint dysfunction, Sacroiliac joint disease, Sacroiliac joint disorder, Sacroiliac joint syndrome, SI joint inflammation, Sacroiliac syndrome or Sacroiliac dysfunction and instability.
The (SI) sacroiliac joints are formed by the connection of sacrum and the left and right iliac bones. The iliac bones are the two large bones which make up the pelvis. The sacrum is the triangular shape of the bone in the lower portion of the spine below the lumbar spine. It is made up of 5 vertebrae, or backbones, which are fused together. The sacrum sits in the middle of the iliac bones. So, SI joint connect the spine to the pelvis. The sacrum and the ileum are held together by a collection of strong ligaments.
Like other joints of the body the SI joint have cartilage layer covering the bone. It acts as a shock absorber between the bones and allows some of the movements. The bones begin to rub on each other and osteoarthritis occurs, on the damage of cartilage. Degenerative arthritis occurs normally in the SI joints similarly other weight –bearing joints of the body.
SI joint pain could be sharp or dull. It could move to your buttocks, thighs, upper back from your SI joint.
There are some common symptoms which will let you know that you’re being suffered from SI joint problem:-
- Activities like climbing stairs which require the pelvis to twisted creates low back pain may results to SI joint pain.
- A severe low back pain occurs on one side of your low back which may extend into your thigh which normally occurs below lowest lumbar vertebrae.
- A sharp stabbing pain can occur in buttock which can extend down one or both legs.
- Patient can face difficulty in sitting or lying on one side which causes you to shift weight to one side to shift the pain on the other.
- The pain can also become worse with prolonged sitting, standing or lying position.
- The pain can provoke again suddenly due to bending forward, rising from sitting position or hill climbing.
- In females, pain can also felt during menstruation.
- Patients can also suffer from insomnia and depression who is suffering from severe and disabling sacroiliac joint dysfunction.
- Patient can also complain for frequent urination.
As it is yet not clear how this pain is caused, it has been observed that due to an alteration in the normal joint motion may be culprit that causes sacroiliac pain. The following can be the cause of pain:-
- When there is too much movement or hypermobility or instability in body, the pain can be normally felt in the hip and/or lower back and may extend into groin area.
- Similarly, if there is too little movement or hypomobility or fixation in body, the pain can be felt on one sie of the buttocks or lower back and can even extend down to the leg. The pain is very similar to the pain occurs in sciatica which is caused by a Radiculopathy.
- Due to an injury in SI joint it can cause sacroiliac joint pain.
- Women can feel sacroiliac joint pain due to pregnancy.
- Sacroiliac joint pain can also occur due to an infection.
To diagnose sacroiliac joint can often become difficult as the pain is very similar to the pain of sciatic nerve:-
- An observation of an uneven leg length, abnormal walking patterns.
- To rule out the red flags a general spine exam is taken.
- During the fortin finger test you will have to stand and point to the area which is painful.
- Some provocative tests are taken to recreate the pain by using pressure.
- X-Ray:- To identify the condition sacroiliac with the help of an imaginary pictures, x-rays can become helpful to it.
- CT Scan:- CT scan is used for the detailed examination tissues and ligaments around the bone of the SI joints.
- MRI:- To provide more detailed view of an area surrounding the SI joints and to give more detailed visibility as well as inflammation of the SI joint by the observation of excessive fluid surrounding it, MRI is used.
The Sacroiliac (SI) joint dysfunction is normally non-surgical and can also improve and recover to normal motion in the joint. Some of the home treatment for patients can typically help to improve the pain:-
- To reduce the inflammation in the area, your doctor will recommend you to use ice packs for 15 to 20 minutes, along with the rest to decrease irritation.
- After reducing inflammation heat wrap is advisable for the healing process, also not if the pain is acute, high intense.
- To reduce swelling your doctor may suggest you first line treatment which often include pain medications like acetaminophen.
- The patient should also continue a little gentle walking which maybe helpful.
- When the joint is painful and the SI joint is hypermobile, an orthotic or brace or supports about the size of a rather wide belt can be wrapped around the waist.
The following physiotherapy treatment can be provided by your doctor the recover the SI joint to the normal motion in the joint:-
Exercise for S.I joint Dysfunction:-
1.) Transversus Abdominis retraining
2.)Rotation in Lying
3.) Elbow prop
4.) Hip Flexion
5.) Single knee out
6.) Ball squeeze
7.) Dead bug
- Stretch for S.I joint Dysfunction:-
1.) Piriformis stretch by laying down
2.) Seated Piriformis stretch
3.) Gluteus medius by pigeon pose
4.) Side lying quadriceps stretch
- Single knee to chest stretch
- TENS:- A transcutaneous electrical nerve stimulation can be used by your doctor to treat the SI joints. It reduces your muscle spasms and increases your body’s production of endorphins, your natural pain killers.
- LASER:- Laser therapy treatment is very advance method for pain relief and decrease inflamation,In physiopoint clinic we are using LASER treatment for many painful condition ,and we are getting very good result.It gives an high intensity of light into the tendon. This helps in reduction of inflammation, pain. It also motivates cell reproduction.
Dr. Sunil Tank