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APPLIED SPORTS MEDICINE TEXTBOOK!

SPRING 2015

Sac ro i li i ti s
What is it?
By: Sam Bavis

Sacroiliitis is the inflammation of

Pain that worsens when you walk

one or both of your sacroiliac joints.


The joints are where your lower back
and pelvis connect. Sacroiliiitis can be

WORKS CITED:

hard to diagnose because there are


many explanations for lower back pain.

Adjunctive Therapy for Sacroiliac


Joint Pain." Spine-health. N.p., n.d.
Web. 25 Mar. 2015. <http://
www.spine-health.com/conditions/
sacroiliac-joint-dysfunction/
adjunctive-therapy-sacroiliac-jointpain>.
N.d. Houston Sport Medicine. Web.
27 Mar. 2015.
<houstonsportsmedicine.com>.
N.d. Laser Spine Wellness. Web. 25
Mar. 2015.
<www.laserspinewellness.com>.
N.d. New Jersey Spine Specialists.
Net. Web. 26 Mar. 2015.
<www.njspinespecialists.net>.
N.d. Riverside. Web. 27 Mar. 2015.
<www.riversideonline.com>.
N.d. Web. 25 Mar. 2015.
<www.ankylosingspondylitis.org>.
"Sacroiliitis / Sacroiliac Pain."
Houston Sports Medicine Serving You
in The Woodlands Magnolia Tomball
Spring and Houston TX Area. N.p.,
n.d. Web. 25 Mar. 2015. <http://
houstonsportsmedicine.com/pain-andinjury-treatments-houston/sacroiliitissacroiliac-pain-houston>.
"Sacroiliitis." - Symptoms ||
Information for the Patient about
Orthopaedic Surgery. N.p., n.d. Web.
27 Mar. 2015. <http://
orthoanswer.org/hip/sacroiliitis/
symptoms.html>.
"Sacroiliitis." Causes. N.p., n.d. Web.
26 Mar. 2015. <http://
www.mayoclinic.org/diseasesconditions/sacroiliitis/basics/causes/
con-20028653>.

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The pain of Sacroiliiitis can be


aggravated by prolonged standing or

Illistration showing Sacroiliiitis pain.

stair climbing.

Causes and Prevention


There are several causes that can
cause Sacroiliitis. One being traumatic
injury. A traumatic injury like an
impact, or even a fall can damage your
sacroiliac joints. Another cause could
be arthritis. This can be a cause
because ossteoarthritis and ankylosing

Illistration showing Sacroiliiitis pain.

spondylitis that affect the spine. Being


pregnant would also put you at rick
because the sacroiliac joints have to
loosen and stretch to accommodate the
extra weight and child birth.
You can prevent Sacroiliitis in a
number of ways. When it comes to
arthritis: early diagnosis and treatment
is key. For pregnancy, ensuring you have
strong pelvic and lower back muscles
will help. And last, doing your best to
avoid traumatic events such as impacts
and falls.

Signs and Symptoms


Your signs and symptoms may include
a number of things, such as:
Pain and stiffness in your lower
back,butt, or thighs.

Inflammation of one or both your


eyes
psoriasis
pain down your leg
limping
decreased range of motion for your
lower back
rapid presence of fever

APPLIED SPORTS MEDICINE TEXTBOOK!

SPRING 2015

Complications and Tests


Some complications of Sacroiliitis are very
serious. Sacroiliitis can be part of an arthritic
condition. It can also include

Difficulty breathing
Spine deformities
Lung infections
Heart problems

Tests that can diagnose are few. Your doctor
will start out with a physical exam, during which they
will apply direct pressure in various places to find the
cause of your pain. They may also move your legs
into a variety of positions. Doctors will also use
imaging tests. An X ray of your pelvis can revel signs
of damage to your sacroiliac joints. Doctors also use
anesthetic injections to help pinpoint the diagnosis.

Emergency care and Modalities


The first thing the doctor will do is implement

Rehab and Support


Rehabilitation for Sacroiliitis includes

ice, moist heat, and rest. Next would come

physiological therapeutic modalities. This includes

medications such as tylenol and ibuprofen. Or even

electrical simulation which has a pulsed magnetic

narcotic pain relievers can be used. Osteopathic or

field which can help with inflammation and pain.

chiropractic manipulation may also be helpful. This

Also a weight loss management and diet may be put

modality can be effective especially when the SI joint

in place to help by reducing inflammatory markers in

is considered fixed or stuck. Another form of

the body.

treatment is. Physical therapy and injections.


Modalities for Sacroiliitis would include

Support for people with Sacroiliitis is a number of


things. One is a sacroiliac belt that supports the

adjunctive therapy. Physical therapists use this in

sacroiliac joint.Another is A transcutaneous electrical

hopes of reducing the patients pain, improving

nerve stimulation (TENS) device produces electrical

function and providing rehabilitation. Stretching of

stimulation using electrodes for pain treatment. Ice

the following muscle can minimize excessive strain on

packs and rest are also helpful when your sacroiliac

the sacroiliac joint:

joint may become inflamed again.

Hamstrings
Piriformis
Adductors
Tensor Fascia Lata (TFL)
Low back Paraspinal muscles

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