Matthew Hellman, MD
First, what is sacroiliac (SI) joint dysfunction?
When you read this article, you might be sitting on that big bone now? That’s your ac bone. This is the end of the tailbone fusing with the hip bone (ilium) to form the iLiac crown. Therefore, s bone joint!
You will find this joint on the side, the lower back meets the hips and the hips, which is a rather large load-bearing joint that many people have not been compressed for a long time. However, lately, it has become increasingly notorious, which is the cause of lower back pain, hips, thighs, groin and even lower abdominal pain.
Most people start to develop arthritis or inflammation over time, which tells us that SI combined dysfunction may be the root cause.
The problem is that many medical school doctors are taught that patients feel pain in the waist and legs automatically related to the sciatic nerve. In fact, it does look very similar to Sciatica, at least at first!
However, doctors and patients who make this hypothesis will soon find that the pain does not go away even after 3 or 4 injections. This is because common treatments for SI joint dysfunction are indeed outside the spine and lower in the lower part.
but
How do we distinguish the symptoms between SI joint dysfunction and sciatica?
To be a musculoskeleton as something with s bone joint dysfunction, you can usually press in this area and the patient will be beating immediately, thus identifying the pain.
We also see patients who tend to rub the back instead of the center, which is the pain caused by Sacroiliac joint dysfunction. Pain on the back, hips, back of the thighs, or groin is usually a SI joint dysfunction.
Additionally, for sciatica, patients may experience pain after the knee, entering their feet or toes, which helps us determine that this is a neurological problem, not a musculoskeletal problem.
Everything, including talking to patients, having physical examinations, and having X-rays, can help us discover what is going on.
What are your steps when approaching Sacroiliac joint dysfunction?
We strive to address SI joint dysfunction first with conservative care (especially physical therapy)!
Many times, people subconsciously change their daily movements, such as walking to accommodate their pain, which can cause other problems in other areas of the body if they are not careful.
It can start on one side, but due to overcompensation, it can be transferred to the other side due to special weight transfer.
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Physical therapy and chiropractic can help retrain how to walk the right way, and anti-inflammatory drugs can help relax muscles, especially in tight or cramps, which we will inject directly into the joints if needed.
When we see that the injection works well, we have another option Sacra radiofrequency ablation, This burns the sensory nerves that extend from the ac bone to the Si joint, thereby alleviating the pain.
As a last resort, there are some newer procedures that you can actually fuse the SI joints together, which can be done when our doctors are 100% sure the pain comes from the SI joint.
Do the patients you see on APC have common causes of SI joint dysfunction?
We’ve seen a lot of repetitive weight lifting motions happening in this situation without keeping your back straight. These forces will have to go somewhere and when you aren’t lifting it correctly, it will bend the knees and SI joints, not where your legs should go.
We can also see this among athletes, runners, cyclists and other avid exercisers, especially those who do too much squat and deadlift, usually through the repetition it brings, strong exercise to trigger this pain.
With physical work (usually triggering this pain), it can be difficult to deal with this SI joint pain, as they often do not have a lot of time to rest and recover, can’t take a leave during holidays or sick leave, or even help cover the Need the benefits of the procedure. They end up working hard with the pain because they can’t take 10 days off to recover from the surgery, which makes full recovery even more difficult.
We will also see SI joint dysfunction in patients with hip replacement or knee replacement. Even in the years after surgery, they sometimes experience leg differences or just change the way they walk, and often have SI joint dysfunction due to this excessive compensation.
Related: Patient Focus: Two distinct total joint replacement surgery
Would you recommend patients who want to avoid SI combined dysfunction?
A lot of it comes down to posture and body anatomy!
If you are at work and feel nervous, don’t be afraid to ask for help! There is no reason to be more acceptable than you, especially if it comes at the cost of your body.
For athletes, I recommend having a stretching regimen before starting any exercise, especially if your back and leg areas are overworked. Relaxing muscles before and after exercise will also help prevent various types of injuries, especially those related to S bones.
I usually send people to our physical therapy department where our doctors can answer questions about stretching, posture and so on. What’s great about our interdisciplinary approach is that I immediately saw the notes on the patient when I logged in, which makes it a hundred times easier to get their information than to wait for an email or fax stuff.
What happens after helping SI joint dysfunction?
Our goal is to help patients with SA osteoarthritis become as easy to manage as possible, where they can reach a point where they do not significantly or affect quality of life.
We can’t guarantee it will never come back, but we always strive to make the pain as manageable as possible and to make the patient make the most of everything his body needs!
