sacroiliac Joint pain why it Hurts - Everything You Need To Know - Dr. Nabil Ebraheim
nabil ebraheim・7 minutes read
The sacroiliac joint is a common but often overlooked cause of low back pain, affecting up to 40% of patients who underwent spinal fusion, with limited movement and potential nerve-rich ligaments contributing to pain. Diagnosing sacroiliac joint dysfunction can be challenging due to overlapping pain symptoms, requiring a battery of tests, while treatment options vary from non-operative methods to minimally invasive fusion procedures for severe cases with poor response to conservative treatments.
Insights
- The sacroiliac joint, responsible for transferring force between the spine and legs, is a significant contributor to low back pain, often overlooked despite its prevalence in cases, particularly in patients who have undergone spinal fusion.
- Diagnosing sacroiliac joint dysfunction can be complex due to overlapping symptoms with lumbar spine and hip issues, necessitating a thorough evaluation including injections for confirmation, highlighting the challenges in pinpointing this specific cause of pain.
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Recent questions
What is the function of the sacroiliac joint?
The sacroiliac joint connects the pelvis to the spine, transferring force from the spine to the legs with minimal movement.
What can cause pain in the sacroiliac joint?
Pain in the sacroiliac joint can be due to neuroplasticity, nerve-rich ligaments, and sensitivity to movement in the nervous system.
How is sacroiliac joint dysfunction diagnosed?
Diagnosis of sacroiliac joint dysfunction can be challenging, with pain overlapping from the lumbar spine and hip, often requiring a battery of tests including injections for confirmation.
What are the treatment options for sacroiliac joint dysfunction?
Treatment options range from non-operative methods like medication and physiotherapy to injections and minimally invasive fusion procedures for severe cases with poor response to conservative treatments.
What percentage of low back pain cases involve the sacroiliac joint?
The sacroiliac joint is present in about 22% of low back pain cases and 40% of patients who had spinal fusion, highlighting its significance as a potential cause of pain.
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Summary
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Sacroiliac Joint Dysfunction: Diagnosis and Treatment
- The sacroiliac joint is often overlooked as a cause of low back pain, present in about 22% of cases and 40% of patients who had spinal fusion.
- The joint connects the pelvis to the spine, transferring force from the spine to the legs, with minimal movement limited to less than 4 degrees of rotation and 1.6 millimeters of translation.
- Pain in the sacroiliac joint can be due to neuroplasticity, where the nervous system becomes sensitive to movement, with nerve-rich ligaments around the joint.
- Diagnosis of sacroiliac joint dysfunction can be challenging, with pain overlapping from the lumbar spine and hip, often requiring a battery of tests including injections for confirmation.
- Treatment options range from non-operative methods like medication and physiotherapy to injections and, in severe cases, minimally invasive fusion procedures for confirmed sacroiliac joint dysfunction with poor response to conservative treatments.
