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Sacroiliitis and SI Joint Pain
Painful inflammatory conditions of our sacro-iliac joint can be a symptom or range of inflammatory conditions, including:
Also known as osteoarthritis
of the sacroiliac joint, degenerative arthritis is primarily caused by wear and tear and breakdown of the
joint cartilage. Of course it can also be caused by diseases, injuries and direct impacts.
The wearing and breakdown of our sacroiliac joint cartilage can be caused and/or
- age (the older generally the more wear and
- obesity (the heavier the more load is put through the joints)
- direct trauma
- repeated stress on the sacroiliac joints from repetitive
movements and strains
- malformed/misaligned joints.
Ankylosing spondylitis (AS) usually begins as/with sacroiliitis, as ankylosing spondylitis begins in our sacroiliac joints before it progresses by traveling upwards of
our spine through a vicious cycle of
To be able to accurately diagnose ankylosing
spondylitis, our sacroiliac joints need to be clearly seen to be
affected by the inflammation cycle. This detection of AS-related
sacroiliitis can be done via
- X-ray imaging
- MRI scans
- CT scans
- Blood tests to detect elevated C-reactive protein
(CRP) and/or erythrocyte
sedimentation rate (ESR).
Psoriatic Arthritis (PsA)
Psoriatic arthritis is an
auto-inflammatory disease that causes
- pain and swelling in our joints,
- scaly skin patches (commonly known as psoriasis)
Problem is psoariatic
arthritis can be hard to distinguish from rheumatoid arthritis because their symptoms overlap. That being said, psoriatic arthritis is much more likely to cause spondylitis which is
the inflammation of the joints in our spine, which also includes the
If sacroiliitis is amongst the symptoms
experienced by a patient, then the patient more likely has psoriatic
arthritis. Research show that
- 10% of patients with psoriasis
develop psoriatic arthritis
- majority 90% of them do not
experience any forms of joint pain and swelling
Gout is a painful condition that is caused/aggravated when the build up of uric
acid forms uric acid crystals that can travel and when these uric acid crystals insert painfully into
our joints, causing swelling and pain.
Actually, gout is a very common form of
inflammatory arthritis, and it generally and typically affects one joint
at a time (usually the big toe). But unfortunately in some cases, some gout patients
may experience pain and inflammation in the sacroiliac joints too.
the usual and typical gout treatments aren't working for your
sacroiliac joint symptoms, and there is no inflammatory conditions
identified by a doctor, it is possible that you receive direct treatment
to the sacroiliac joint, such as
- diagnostic anesthetic injection to
confirm the pain
- steroid compound to treat the gouty pain
are many different causes of sacroiliac joint pain and inflammation,
and treating them effectively lies mainly in identifying the main cause
of the problem and treating the cause.
Non-Arthritic Causes of SI Joint Pain
That being said, we must note that not all types of sacroiliac joint pains are caused or related to
arthritis. There are other causes such as direct trauma, pregnancy and even
mechanical loads can cause painful SI condition, read more below:
- Trauma. The
SI joint, which is comprised of the ligaments that surround and support
the SI joint can be injured by direct trauma, and our sacroiliac joint can be easily damaged even with mild or light force trauma. You can damage your
sacroiliac joint by something as simple as stepping a higher grond the wrong way
or accidentally accurately "jamming" the joint in a fall.
- Lax ligaments during pregnancy. Pregnant bodies secrete special hormones relaxin and
progesterone to loosen and laxen joints to prepare the body
for childbirth. Sometimes, these ligaments get too lax and unfortunately in some cases, the sacroiliac joint can dislodge or slip out of place and this is really painful.
Symptoms often decrease after pregnancy and childbirth is over as the ligament automatically becomes stronger once relaxin hormone is no longer secreted, and as patients increase activity levels.
- Mechanical stress.
Sometimes some people develop very stiff spines because of conditions
like severe arthritis or surgical spinal fusion, which can increase the
stress experienced at the SI joint due to overload/overcompensatory functions. Over a period of time, this can lead to degenerative
changes and pain.
A trained and experienced specialist physiotherapist can assess,
diagnose and treat the root cause of your sacroiliac joint pain and
customize a specific treatment plan for you.
physiotherapy Treatment of Sacroiliac Dysfunction
Most of the causes of back pain that is linked to SI
dysfunction can be treated with allowing the joint to
When the sacroiliac joint pain and sacroiliitis are caused by a specific type of arthritis, we always
need to diagnose and treat the main cause underneath - there is no point just treating the symptoms only.
the inflamed SI joint can be slightly misaligned and our specialist
spinal/sacroiliac physiotherapist can help to realign the joint with a combination of
In other times,
injections are helpful to decrease the inflammation and in some cases,
surgical intervention is required for SI dysfunction that doesn't
respond to non-surgical interventions.
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture,
core stability, balance, control, strength, flexibility, and breathing. It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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