Nowadays, 15-30% of population having chronic low back pain because of SI joint dysfunction. Your SI joints are located where the sacrum and ilium meet. The sacrum is the bone at end of the spine and above the tailbone whereas illium is part of your hip bone. The SI joint support the weight of the body and acts as a shock absorber and decreases pressure on your spine. Any dysfunction in your SI joint will cause you pain.
What are the causes?
There are many causes which leads to SI joint dysfunction-
Osteoarthritis- Due to wear and tear of cartilage, ageing process and any stress to SI joint leads to joint arthritis.
Gout- It is also a type of arthritis occur due to increase levels of uric acid in your body and also affect your SI joint and thereby leads to pain.
Trauma or Injury- Due to fall and car accidents
Ankylosing Spondylitis- It is a type of inflammatory arthritis that affects vertebrae and joints of your spine
Pregnancy-Pregnant women have higher risk of having SI joint pain, because of hormones released during pregnancy which causes relaxation of sacroiliac ligaments, and make SI joint hypermobile and in long turn leads to pain.
Abnormality of sacrum bone
Any condition that alters your normal walking pattern increases stress on SI joint and leads to SI joint pain.
What are the Symptoms?
The most common symptom you experience would be SI joint pain which sharp and stabbing in nature and radiate from lower back to hip and thighs.
Your pain increases when you stand and try to walk.
If the cause is inflammation and arthritis, then you have stiffness and burning sensation in your pelvis.
You might also feel numbness and weakness in your legs
Pain in your groin
How to diagnose?
Your examiner will ask for pain position, aggravating and relieving factors, radiation of pain and numbness in your legs.
Special Tests are-
- Faber Test
- Gaenslen Test
- Sacroiiliac compression and distraction test
X-rays, CT and MRI would be helpful in identifying SI joint pain as it is difficult to diagnose.
How to treat?
Physical therapy treatment will help in easing your pain by-
- Heat therapy
- Modalities like TENS, Ultrasound, SWD will help in reducing pain
- Massage therapy
- Sacroiliac belt to support SI joint
- Strengthening exercises
- Stretching exercises
If you are already performed all the above things but won’t have much relive in your conditions then consults to a nearby doctor! Or you can consult us we have free Consultations for you!