Sacroiliac joint syndrome treatment. Arthrosis of the sacroiliac joints symptoms. Adhesions due to inflammation of the internal genital organs

Sacrum and sacroiliac joint (articulation)

The sacral vertebrae, numbering 5, fuse in an adult into a single bone - the sacrum. Fusion of the sacral vertebrae occurs relatively late: at the 18-25th year of life. After 15 years, the three lower sacral vertebrae begin to fuse, and by the age of 25, the two upper sacral vertebrae begin to fuse. The sacrum in men is longer, narrower and more curved than in women.

The sacral vertebrae of a newborn child are not fused.

In the case of incomplete fusion of the sacral vertebrae with a congenital malformation of spina bifida, sacralization or lumbarization, clefting of the vertebral arch with the formation of meningocele or meningomyelocele may be detected. The lateral surfaces of the sacrum have auricular-shaped articular surfaces (auricular joints), with the help of which the sacrum articulates with the surfaces of the same name of the iliac bones.

Sacrum, coccyx and sacroiliac joints (joints), rear view.

The sacroiliac joint is a low-moving joint, which doctors often call the sacroiliac joint.

The sacrum in men is longer, narrower and more curved than in women.

If the pain symptom (sacrodynia) is severe in a patient with arthrosis of the sacroiliac joint (joint), blockades (with lidocaine, hydrocortisone, diprospan, Kenalog, etc.) can be performed.

Manual therapy is mandatory (if the patient has no other contraindications), which improves regional blood circulation and restores the lost range of motion in the sacroiliac joint (joint) affected by arthrosis.

Additionally, for arthrosis of the sacroiliac joint (joint), physiotherapy is prescribed on the side of the inflammation of the sacroiliac joint (joint). These can be UHF, SMT and infrared irradiation therapy.

Depending on the severity of the manifestations of arthrosis of the sacroiliac joint (joint), the following therapeutic actions are possible for the patient:

• drug therapy (NSAIDs, analgesics, hormones)
• blockades - injections of drugs into the cavity of the sacroiliac joint (joint), spinal canal, and trigger points in the muscles

Anatomy of the coccyx and coccygeal-sacral joint. Causes of pain in the tailbone.

What injuries or pathologies cause pain in the coccyx? pinching of the spinal nerves and others. Treatment for pain in the coccyx.

For effective treatment of coccygeal pain. The images will indicate the presence of osteoarthritis, narrowing of the joint space or deformation of the joint.

Pain brings discomfort, interferes with walking, and complicates the usual way of life. To identify this disease, the doctor must examine the patient and evaluate biochemical changes.

As a rule, in the initial stages of the disease the patient experiences mild symptoms. The average duration of the procedure is six to ten minutes, the maximum duration can be twenty minutes.

Ancient Chinese medicine claims that twelve meridians pass through the human body, and on its surface there are 360 ​​active points through which the energy “qi” () flows.

From the first coccygeal vertebra protrude transverse processes and the so-called coccygeal horns, which are also connected to the sacrum through the articular surface.

Subsequently, an inflammatory component is added to the process of destruction of cartilage tissue, which can appear from time to time. On average, a course of treatment includes seven to twelve procedures.

For a fracture of the coccyx, strict bed rest lasts from seven to ten days, and the general course of treatment lasts three to four weeks with the exception of any physical activity.

Coccyx fracture symptoms and treatment

Symptoms of the most common diseases affecting the sacroiliac joint.

The main manifestations of arthrosis of the sacroiliac joints are:

• aching pain in the lower back, radiating to the buttocks when moving;
• swelling of the lower back;
• movement restrictions;
• change in gait (“penguin gait”).

Arthrosis requires fast, proper treatment. When the first signs of the disease appear, you should consult a specialist as soon as possible. Diagnosis and making the correct diagnosis is the basis for successful treatment!

Diagnostics

To determine the severity of sacroiliac joint dysfunction, a number of test tests have been developed and used, in addition to the flexion test, including a test for:

• elasticity;
• mobility;
• pressure.

The Mennel and Patik tests are also valid.

Among the instrumental methods for diagnosing diseases of the sacroiliac joint, the following methods are used:

The use of these studies makes it possible to identify not only radiological (MRI, CT) signs of rupture of the joint capsule or fracture of the pelvic bones, because they provide a clear picture of deformation of the articular zone or displacement of one half of the pelvis in relation to the other, but also changes specific to a particular type of pathology of the semi-joint .

The infectious process demonstrates an expansion of the joint cavity, a picture of resorption in the form of a slight decrease in the density of the substance of all involved bones near the joint.

With inflammation caused by tuberculosis, MRI shows zones of destruction of adjacent bones with loss of clarity of the contours of the joint, or a picture of complete fusion of the joint space.

Normal condition of the joint on x-ray

Degeneration (in addition to narrowing of the joint space) is characterized by the presence of tissue compactions of the articular surfaces and osteophyte growths.

A study of autoimmune sacroiliitis (in addition to periarticular changes in the form of osteopenia and osteoporosis) reveals varying degrees of sclerosis of the articular cartilage.

The position of the joint space depends on the duration of the process: at the beginning of the disease it is widened, at a later stage it is narrowed, or there will be a picture of ankylosis (complete fusion of the surfaces that make up the joint).

The cause and degree of activity of the inflammatory process can be determined by laboratory data:

• CBC (complete blood count);
• OAM (general urinalysis);
• biochemical blood test;
• joint fluid punctate.

Leukocytosis and acceleration of ESR in cow tests speak in favor of the infectious nature of the inflammation, and the detection of rheumatoid factor speaks in favor of the rheumatoid nature. Pus obtained by puncture of the joint reveals microbes that cause the pathology; ankylosing spondylitis can be established by identifying HLA-B27.

Diagnostic blockades with the use of anesthetics also contribute to the recognition of inflammation of the sacroiliac joints and its differentiation from similar pathologies.

The first step is to examine the patient. The nature of biochemical changes is also assessed. In particular, sensitivity during palpation, during movement, muscle tone, etc. is determined. Additionally, the specialist may prescribe:

It should be noted that only the posterior articular sections are accessible to palpation and inspection, and only in the case of mild expression of the subcutaneous tissue. If there is pain during palpation, a specialist can conclude that there is damage or inflammation.

If a deformity complicated by pain is detected during palpation, subluxation or dislocation of the joint is assumed. Some patients develop a swaying gait.

This manifestation, accompanied by pain in the area of ​​the pubic and sacroiliac joints, indicates pelvic post-traumatic instability.

Many experts consider radiography to be the most informative research method. The articular surfaces are projected in the form of oval elongated shadows.

Along their edges, stripes of enlightenment in the form of arcs are visible, corresponding to the cracks of the joint.

Arthrosis of the sacroiliac joints is diagnosed after a series of examinations. The doctor conducts a survey, examination, and prescribes laboratory tests.

• X-ray;
• Magnetic resonance imaging;
• blood biochemistry;
• Ultrasound of the vertebral arteries;

Based on the tests performed, the orthopedist can differentiate coccyx arthrosis from other diseases with similar manifestations, primarily from arthritis.

Diagnostics is based on visual inspection and palpation, which allows you to determine the degree of tissue damage. A carefully collected anamnesis helps determine the exact onset of the disease.

Also important in diagnosis are methods such as radiography, CT or MRI and, of course, biochemical blood tests, which allow timely detection of inflammation.

A CT or MRI helps to understand how far the process has progressed and what needs to be done to prevent further destruction of the cartilage tissue.

To identify the disease, the doctor must radon test the patient and evaluate the biochemical conifers. The specialist needs to check the patient’s cervical muscles and observe his gait.

In case of arthrosis of the bathtub, the patient must be prescribed the help of a study. First of all, she is sent for a blood test in physiotherapy. The results of the analysis will help determine the symptoms of inflammation. As possible, this is an increase in the level of VOLUME.

Women with arthrosis and swelling of the joints should be referred to a gynecologist for symptoms. The fact is that many common organ diseases are accompanied by pain in the sacrum.

Home treatment with traditional recipes

As mentioned above, therapeutic measures include conservative methods. First of all, it is necessary to reduce physical activity. Doctors recommend not to stay in an upright or sitting position for a long time. To unload the joint, you should wear (especially pregnant women) a special bandage. Taking into account the stage of the pathology, the severity of the course and clinical manifestations, the complex impact may include such measures as:

After passing all the examinations, the specialist prescribes treatment. Basic goals:

• pain relief;
• relieving inflammation;
• support of cartilage tissue;
• restoration of mobility to the lower limbs.

For these purposes, drug therapy is used, which gives good results. In addition to medications, the doctor prescribes physiotherapy, exercise therapy, and home treatments using folk remedies.

Drug therapy

Pain and inflammation play a primary role in arthrosis of the sacrococcygeal joint. The doctor prescribes non-steroidal anti-inflammatory drugs that relieve pain and inflammation (diclofenac, ibuprofen, phenylbutazone).

In addition, injections of corticosteroids into the capsule cavity can be used.

To support and restore the cartilage tissue of the joints, chondroprotectors containing chondroitin and hyaluronic acid are prescribed. They start the process of cartilage regeneration, make them smooth, restore elasticity and firmness.

Ointments and gels help relieve pain and warm up the muscles in the joint area. Pharmacy ointments are divided into 2 groups:

• Warming (ointments based on snake, bee venom, red pepper);
• Painkillers (based on anti-inflammatory drugs).

The doctor may prescribe vitamins and mineral nutritional supplements to maintain the body's immunity and cartilage tissue.

Physiotherapy and exercise therapy

In addition to medications, physiotherapy is prescribed to treat and restore mobility for arthrosis of the sacroiliac joints:

• Massages with therapeutic mud;
• Wraps;
• Electrophoresis;
• Magnetic, laser therapy;
• Physiotherapy;
• Reflexology (acupuncture).

When carrying out procedures, do not forget - you cannot tolerate pain! If you experience the slightest discomfort or pain, immediately inform your physiotherapist. He will abort the procedure and choose another physical therapy method.

Physiotherapy exercises for arthrosis are carried out in a medical institution, under the supervision of the correct execution by a doctor, for the correct load on the sacrococcygeal joint.

Surgical treatment

If there are no results from conservative therapy, the doctor prescribes surgery. Using thermal effects, the surgeon “turns off” the nerve endings in the sacroiliac region. This relieves pain, but does not treat the joint itself.

If the deformation of the articular surfaces is severe and irreversible, then the surgeon performs an operation to replace the joint - endoprosthetics. The old, deformed joint is replaced with an artificial one.

At home, you can use compresses, ointments, and homemade rubs.

For pain in the lumbar region, a cabbage compress with honey helps. Lubricate a fresh cabbage leaf with honey and apply it to the joint area, insulate it. Leave this compress overnight and rinse off the honey with warm water in the morning.

A horseradish compress perfectly warms and relaxes the muscles around the joint, increases blood circulation and metabolism in the coccygeal area. Grind the horseradish, heat in a water bath and wrap in cotton cloth. Apply this compress to the ilia at night.

Herbal ointment relieves pain and reduces inflammation. To prepare it, you need to mix equal amounts of chamomile, calendula and burdock root with a Vaseline base and let it brew for a day. Massage the sacral and iliac area with light movements.

Honey with mumiyo helps relieve pain from arthrosis. Mix 3 g of mumiyo with honey and apply to the sacroiliac joint area.

Mumiyo is a gift from nature, which has a powerful anti-inflammatory, antitoxic and restorative effect.

Rubbing potato sprouts helps relieve swelling. Pour the potato sprouts with alcohol and leave for 4-5 hours in a dark place. Rub sore joints before bed and then insulate them.

Department

sacroiliac joints – enough

sacrococcygeal

joint disease for sure

the same as arthrosis of the lumbosacral

arthrosis

When improving arthrosis of the sacroiliac joints, you need to reduce the muscle or physical tissues of the corresponding joints. So, women are restored to wear special bandages to relieve tone. The patient is encouraged to limit walking and then sitting.

Medicines are prescribed based on the severity of various symptoms in cartilage. As a rule, when the disease is already present, internal or external anti-inflammatory drugs and nutritional analgesics are prescribed.

Prevention of arthrosis

Arthrosis of the sacroiliac spine and coccyx is a serious disease with irreversible consequences. Timely treatment will help avoid possible joint deformation and surgical intervention by surgeons.

To prevent the development of arthrosis in the sacroiliac joint, it is necessary to adhere to an active lifestyle. An important condition is the exclusion of stressful situations and emotional stress.

Diet is of particular importance. You should not overeat, since excess body weight creates additional stress on the spinal column.

Pain in the pelvic area in women can be caused by gynecological abnormalities. Methods for combating osteoarthritis of the sacroiliac joint of bones are similar to therapeutic measures for sacroiliitis, and are also typical for other types of arthrosis.

Manual therapy is one of the main methods of treating arthrosis, unless there are contraindications.

It is also recommended that in moments of exacerbation of arthrosis of the sacroiliac joint, limit yourself to long walks and long hours of sitting. Measures to prevent this type of arthrosis do not differ from generally accepted measures to combat osteoarthritis.

The junction of the sacrum and coccyx does not have a nucleus pulposus, as a result of which the joint must be motionless. You just need it before bed... In older people, the tailbone can grow to the sacrum.

For coccydynia of the coccyx, treatment involves the use of such methods. But a dislocation of the coccyx can be accompanied by pain for a very long time if degenerative-dystrophic processes have begun in the structure.

The sacrum on the lateral surface has ear-shaped joints, which a person needs to connect with the iliac bones. The sacroiliac department is a low-moving joint, which is represented by 5 vertebrae (sacrum).

megan92 2 weeks ago

Tell me, how does anyone deal with joint pain? My knees hurt terribly ((I take painkillers, but I understand that I’m fighting the effect, not the cause... They don’t help at all!

Daria 2 weeks ago

I struggled with my painful joints for several years until I read this article by some Chinese doctor. And I forgot about “incurable” joints a long time ago. That's how things are

megan92 13 days ago

Daria 12 days ago

megan92, that’s what I wrote in my first comment) Well, I’ll duplicate it, it’s not difficult for me, catch it - link to professor's article.

Sonya 10 days ago

Isn't this a scam? Why do they sell on the Internet?

Yulek26 10 days ago

Arthrosis is considered one of the most common joint diseases. Damage to the sacroiliac joints poses an increased danger, as it can lead to limitation of the patient’s motor activity. This zone is subject to increased loads that accompany the process of human movement.

The disease is chronic; in some cases, arthrosis of the sacroiliac joints does not manifest itself for a long time. It is recommended to start treatment as early as possible, this will avoid aggravation of the situation and the occurrence of serious complications.

Arthrosis of the sacroiliac joints is a dangerous disease

Anatomical features

The sacroiliac joint is a transitional element that connects the pelvic bones. It is localized in the lower spine and can change with age.

• skeletal connection;
• stabilization of the position when performing certain movements, while the patient is in a sitting position;
• distribution of the load that occurs when walking.

It is worth noting that this area does not directly affect mobility, but it can be significantly limited during the destruction of cartilaginous structures that accompanies arthrosis.

Causes of the disease

The basis of arthrosis of the sacroiliac joints is the development of dystrophic and degenerative ones.

The main risk factors that contribute to the occurrence of pathology are:

• injuries and fractures;
• inflammatory processes in the bone and surrounding tissues;
• being in an uncomfortable position for a long time, which especially applies to professional activities, for example, miners;
• multiple pregnancies;
• severe physical activity;
• infections;
• psoriasis;
• gout and other metabolic disorders;
• flat feet;
• lack of calcium;
• all types of arthritis;
• neoplasms;
• genetic factors.

Depending on the cause of sacroiliac joint arthrosis, some aspects of treatment will depend.

Symptoms

Symptoms and signs of the disease at the initial stages of the disease are rather weakly expressed; arthrosis of the SIJ is accompanied by pain and limited motor ability.

Other symptoms:

• restrictions on physical activity;
• problems with urination;
• decreased libido;
• dysfunction of the hip joints;
• limitation of range of motion;
• worsening gait;
• tone in the sacrum.

The chronic form is accompanied by constant pulling sensations and discomfort in the spine area. The intensity of the pain syndrome increases during walking, lifting weights, and prolonged sitting. The pain intensifies when bending or turning the body.

Treatment options

The effectiveness of treatment of arthrosis of the joints of the sacroiliac region is achieved only with complex treatment. As part of therapy, medications, physiotherapy methods, physical therapy, folk recipes are widely used, and maintaining a diet plays an important role.

As part of the treatment, orthopedic devices are also used; the purpose of wearing corsets and bandages is to limit mobility in the lower back.

The orthopedic regime also provides for a reduction in loads and motor activity of the affected area. Intensification of pathological symptoms requires a refusal to carry heavy objects, a reduction in the duration of walks, a refusal to run, and cycling. The patient is not recommended to stand or stay in one position for a long time.

Drug therapy

For symptoms of arthrosis of the sacroiliac joints, several groups of drugs are prescribed; the effectiveness of treatment depends on the severity of the pathological symptoms. Medicines are prescribed in different dosage forms, these can be tablets, ointments, creams, injection solutions, the doctor may also prescribe a blockade.

Effective medicines for arthrosis:

• NSAIDs - the action of drugs is aimed at relieving pain, inflammation, and swelling. Selective blockers of inflammation are highly effective; this will help avoid negative effects on the digestive organs. The selection of dosage and duration of therapy depends on the characteristics of the body; the dynamics and stage of the disease are also taken into account. For arthrosis, Meloxicam, Ibuprofen, Nimesulide, and Diclofenac are often prescribed.

• Glucocorticoid hormonal drugs are prescribed if there is no effect from the ones listed above. Intra-articular injections are performed quite rarely due to the high probability of damage to wide vessels and nerves. Triamcinolone and Betamethasone show high effectiveness.

• Painkillers (analgesics) - their action is aimed at eliminating pain in the affected joint, increasing the pain threshold. As part of complex therapy, Lidocaine, Kenalog, and Hydrocortisone are often prescribed.

• Chondoprotectors are prescribed to prevent further destruction of cartilage tissue. Chondroitin, which is part of them, provides the affected joint with the necessary amount of calcium and helps to activate the production of hyaluronic acid. Water retention in tissues has a positive effect on shock-absorbing properties, resulting in accelerated recovery processes. Glucosamine has a positive effect on cartilage metabolism and supports collagen production. In addition to it, “Dona”, “Arthra”, “Teraflex”, “Structum” are used.

Physiotherapy

Physiotherapeutic methods are often used in the treatment of arthrosis. Today there is a large selection of methods for treating arthrosis; your doctor will help you choose the most suitable ones.

Main methods of therapy:

• mud therapy - allows you to get rid of unpleasant symptoms and pain;
• electrophoresis - as part of its implementation, an electric current is applied to the affected area;
• magnetic therapy - its effect is to eliminate pain, slow down degeneration, the technique should be integrated with physical exercises that help strengthen muscles;
• cryotherapy - allows you to eliminate pain; under the influence of cold, muscles are kept in a compressed state, which provides pain control and helps reduce the negative consequences after injury.

The effectiveness of treatment depends on the patient’s condition; the doctor prescribes the patient the required number of procedures, taking into account the severity of the pathological process.

Nutrition

As part of the complex treatment of the disease, dietary nutrition is widely used. It is recommended to take food in small portions 5-6 times a day. An important role is played by the presence of pectin in the diet - a substance found in vegetables, fruits, and algae. Its properties are similar to those of hyaluronic acid. The menu should also include fish, dairy products, and lean meats. Baked goods, sugar, salty, smoked, fried foods, red meat, cheeses, caffeine-containing, and alcoholic drinks are excluded from the diet.

The listed products have a negative effect on metabolic processes and contribute to the accumulation of toxins in the joints, which have a negative effect on their condition. For arthrosis, it is recommended to drink at least two liters of water daily, which will help activate oxidation reactions in the body and promote the removal of toxins.

The effectiveness of conservative therapy appears in the early stages of the disease. Timely consultation with a doctor will help prevent further development of the disease.

Physiotherapy

Therapeutic exercise will help improve the patient’s general condition; the exercise regimen is chosen by. Gymnastics involves a variety of movements that use the muscles of the lower back.
High efficiency is shown by turning the body to the sides, tilting, and rotating the body. The exercises should be performed at a slow pace and a large number of repetitions are recommended. The patient should listen carefully to the sensations; if pain occurs, exercise should be stopped. Gymnastics for arthrosis of the sacroiliac joints shows effectiveness provided that it is performed regularly.

Manual therapy is highly effective in the treatment of arthrosis and osteoarthritis of the sacroiliac joints; it is recommended to be carried out several days after the end of the acute phase of the disease. A good effect is achieved with the use of external anti-inflammatory agents. The effect of therapeutic massage is aimed at activating blood circulation in the lumbar segment and activating tissue nutrition.

Surgical

If there is no effect from conservative treatment, surgery is prescribed. In some cases, a method of thermally disconnecting the nerves located in the affected area is used; the procedure is carried out using special equipment. This approach will help relieve pain, but is not considered a complete treatment method.

If irreversible changes occur in the tissues, the deformed joint is replaced with a prosthesis.

Folk remedies

As part of the complex spine and joints, this option shows effectiveness in the early stages of the disease.

When carrying out therapy, ointments, compresses, rubbing, baths are used, all traditional medicine methods are previously agreed upon with the attending physician.

Effective recipes:

1. Compresses with cabbage leaves smeared with honey will help get rid of lower back pain. It must be applied to the affected area, secured, wrapped in a warm cloth, and left overnight.
2. Horseradish compresses have warming and relaxing properties; after the procedure, increased blood circulation in the tailbone area is observed. The crushed cream must be placed in a water bath, wrapped in cotton cloth, and applied overnight.
3. Mix burdock, calendula, chamomile, and Vaseline in equal proportions, leave the mixture for 24 hours. Apply with massaging movements to the affected area.
4. Combine 3-5 g of mumiyo with honey and spread on the lumbar region. The ointment has anti-inflammatory, strengthening, analgesic properties.
5. Pour alcohol over the potato sprouts and leave in a dark place for 5–6 hours. Use the product at night to rub joints.

Preventive measures

Compliance with preventive measures will help prevent symptoms and signs of arthrosis of the sacroiliac joints.

Other preventive measures:

• regular exercise;
• avoiding grass and bruises;
• taking measures to improve immunity;
• timely cure of infections;
• avoiding heavy lifting;
• rejection of bad habits;
• avoiding stress.

The musculoskeletal system of our body serves as a framework for all organs of the body, protects them from damage, helps a person maintain stability in an upright position, and promotes motor activity. In order for a person to freely perform various movements, the bones are connected to each other into joints. One such joint is the sacroiliac joint. Let us characterize this joint in more detail and consider what problems arise with it most often.

What is an articular joint

A joint is always two bones. The sacroiliac joint also consists of two parts: the ilium and the sacrum. The sacrum is where the spinal column ends. The ilia are located in the pelvis. The sacrum seems to be squeezed into the opening between the large parts of the ilium and connects the lower spine and the pelvic region. The area where this connection occurs is called the sacroiliac bone joint; it is covered with an articular capsule.

This joint is double, located on both sides of the sacrum. The bone formation itself is quite tight and inactive. The strength of the connection between the bones of the pelvis and the sacrum is facilitated by the ligaments surrounding the joint on all sides. They are short and tear resistant.

The main purpose of the sacroiliac joint is to ensure the stability of the junction of the spine and pelvis when walking, and it also provides support to the body in a sitting position and is involved in bending the torso.

To prevent and treat JOINT DISEASES, our regular reader uses the increasingly popular NON-SURGERY treatment method recommended by leading German and Israeli orthopedists. After carefully reviewing it, we decided to offer it to your attention.

Damage and deformation of such important bone joints has serious consequences.

Types of joint damage

The most common injuries to the sacroiliac joint are:

• Inflammation of the joint or sacroiliitis. The disease can be infectious or non-infectious in nature.
• Degenerative disorder or arthrosis.
• Joint dysfunction (when the bones of a joint cannot articulate normally with each other).
• Each of the listed types of damage should be discussed separately.

Sacroiliitis

The development of the inflammatory process in the SIJ area is called sacroiliitis or arthritis. Based on the causes of occurrence, diseases can be classified as follows:

Signs of sacroiliitis

It is difficult to miss inflammation of the joints of the sacroiliac joint. The first signs that appear are: painful sensations of varying intensity. Areas where pain occurs: lower back, sacrum, upper leg, thigh. When moving and pressing on the joint, the discomfort intensifies. In addition to pain, patients may experience fever, chills, and intoxication. This happens with the acute development of sacroiliitis.

Sometimes the disease occurs with mild symptoms or manifests itself only as minor pain in the joint. If treatment for sacroiliitis is not started on time, this condition can become chronic. This will lead to curvature of the spine, disruption of the motor functions of the joint and its subsequent destruction.

Post-traumatic arthritis is characterized by very sharp pain that becomes stronger with any movement. This condition can be caused by a fall from a great height, uncontrolled physical activity, strong blows during a road accident, or complicated childbirth.

Osteoarthritis

Arthrosis of the sacroiliac joint is understood as a condition that accompanies a long-term inflammatory process; it leads to pathological changes in the joint (marginal osteophytes appear - bone growths, the size of the joint space decreases, the cartilaginous disc connecting the surfaces of the joints thickens and hardens). Prognosis: arthrosis deformans causes gradual destruction of the joint. Osteoarthritis contributes to the limitation of motor functions and occurs in a chronic form.

Osteoarthritis

Arthrosis of the sacroiliac joints manifests itself as aching pain in the joint, a constant feeling of discomfort during prolonged exercise (walking, dancing, prolonged sitting). Osteoarthritis can be triggered by stress on the spine during pregnancy. Arthrosis of the sacroiliac joints, characteristic symptoms: both the sacral area and the upper part of the leg or lower back can hurt. After a long period of rest, movements become constrained. Night pain is not typical; unpleasant symptoms go away in a supine position.

Sacroiliac joint dysfunction

Potential victims of this condition:

• Pregnant women. In this case, the ligaments and cartilage tissue begin to relax and soften before childbirth under the influence of certain hormones.
• Elderly people. Changes in joints are associated with age-related characteristics of the body.
• People who spend a lot of time sitting (working at a computer) or leading an inactive lifestyle.

A sign of a violation of the normal functioning of the joint is pain in the sacroiliac joint, lower back, groin, hip joint, and in the sacral area. Pain usually occurs in the morning and subsides in the evening.

How is the diagnosis of diseases of the sacroiliac joints established?

In the vicinity of the sacroiliac joint there are a large number of different joints. They are all very important and perform specific functions. Damage to these bone formations has similar symptoms, so without a special examination it is difficult to determine the exact cause of the pain. For example, in some cases, patients are identified with congenital pathology (fusion of the fifth lumbar and first sacral vertebrae), who begin to feel pain in the lumbar region with the onset of adulthood. A correct diagnosis is the key to successful treatment. Let's consider methods of modern diagnosis of joint diseases:

• Conducting a radiological examination (x-ray of the sacroiliac joint).
• Magnetic resonance imaging (MRI of the sacroiliac joints) is used.
• Examination using ultrasound (ultrasound).
• Computed tomography (CT) is used.

Diagnostics help to identify, for example, the following pathologies:

• Increase in the size of the joint cavity.
• Syndrome of narrowed or disappeared joint space.
• Destruction of individual parts of the sacrum and ilium.
• Formation of marginal osteophytes, compacted areas of joint surfaces.

To establish a more accurate diagnosis of the patient’s condition and then treat him correctly, laboratory tests are prescribed: general blood and urine tests, biochemical blood tests, puncture of the inflamed joint.

A method such as diagnostic blockade of the joints of the sacroiliac joint with anesthetics (temporary blocking of pain) is also used.

Therapeutic measures

Arthrosis of the sacroiliac joints, treatment in various ways:

• Taking medications (anti-inflammatory, antibacterial, painkillers).
• Physiotherapy (magnetic therapy, acupuncture, infrared radiation, physical therapy).
• Massotherapy.
• Surgical intervention - removing pus from the joint, introducing medications into the joint.
• Therapeutic blockade (arthrosis in the sacroiliac joint).

To prevent joint problems, you should follow certain recommendations:

• Take care of strengthening the immune system to mobilize defenses in the fight against the disease,
• Eliminate foci of infection in the body in a timely manner,
• Avoid sitting in one position for a long time, do regular warm-ups,
• When carrying a child, use a support bandage.
• Lead an active lifestyle, move more.

By consulting a doctor in a timely manner, you can avoid many problems. Thanks to modern methods of treatment and diagnosis (for example, MRI of the sacroiliac joint), medicine successfully treats even such complex diseases as various injuries of the sacroiliac joint.

The video material will give an idea, for example, of the procedure for periarticular administration of drugs in one of the medical centers in the city of Cheboksary.

Arthrosis of the sacroiliac joint is often a harbinger of such a formidable disease as ankylosing spondylitis. It affects not only older people whose joints are subject to natural wear and tear, but also young people who lead an active lifestyle.

The cartilage tissue of the joints cannot withstand constant load and is destroyed under its influence. Treatment in this case is preventative.

Causes and symptoms

In other words, arthrosis is diagnosed in cases where the cartilage of the joint is destroyed and the vertebrae rub against each other without the “lubrication” that cartilage represents. When you constantly bend your back, such as during handling or lifting heavy objects, the sacral bones of the spine in the lower back are constantly under pressure.

In this case, the cartilage is subjected to mechanical friction and begins to wear out.

Treatment is impossible, so you need to carefully monitor the condition of your back while lifting weights and lift them correctly, focusing on the leg muscles.

Symptoms do not appear visually. Arthrosis of the sacroiliac joints can be determined only by X-ray examination or by visiting a doctor in case of troubling pain or external changes, which are expressed in curvature of posture, gait, decreased tone of the back muscles, and spinal mobility.

An experienced physician will detect symptoms by palpating the lower spine. In the area of ​​inflammation of the sacroiliac joints of the joint, pain of varying degrees of intensity will be felt.

Treatment should be carried out under the supervision of a physician.

Self-examination

You can examine the condition of your spine and determine if there is a problem in the sacrolumbar and sacroiliac joints using a simple procedure.

Do the following:

• Squeeze your pelvis from the sides. If the root of the disease is located precisely in the sacral region, then with strong compression no changes are felt, but if in the lumbar region, then the pain will intensify;
• Raise your extended leg from a supine position. If this movement causes you pain, then you do not have problems in the sacroiliac joint, you need to pay attention to the spine;
• Check which way is most comfortable for you: on your side or on your back. With diseases of the sacroiliac joints, lying on your side is uncomfortable and even painful;
• While lying on your stomach, raise the thigh on the side of which the pain is coming from; if the pain intensifies, then you definitely have a disease of the sacrum, not the spine.

Diagnostics

First of all, you need to do a blood test. With inflammation of the sacroiliac joints, an increase in ESR levels will be detected. X-rays will show the condition of the bones and cartilage.

If this is not enough, the doctor will prescribe additional studies using computed tomography and send you to an appointment with a gynecologist and oncologist if it is necessary to exclude female and oncological diseases. After the examination, the doctor will prescribe treatment.

Causes of the disease

The main causes of arthrosis and diseases of the sacroiliac joints in the back are:

• Passive lifestyle;
• Improper nutrition, which can lead to increased body weight and, accordingly, increased stress on the joints;
• Excessive zeal in training during sports;
• Carrying a bag on the same shoulder;
• Heavy physical labor with heavy lifting;
• Long walking;
• Incorrect posture;
• Advanced scoliosis.

In fact, there are many more reasons for the occurrence of arthrosis of the sacroiliac joints. That is why it is necessary to carefully examine painful areas to avoid complications.

Treatment of arthrosis

Arthrosis of any joint cannot be completely cured. You can use certain medications, herbal infusions, and massage to alleviate the course of the disease and relieve symptoms.

Treatment includes the following medical procedures:

• Drug therapy with analgesics, hormones and non-steroidal anti-inflammatory drugs that relieve pain and relieve inflammation. Anti-inflammatory drugs can be used internally or externally. Injections and tablets can help quickly relieve symptoms, but they have various side effects. Therefore, it is not recommended to get carried away with them. It is permissible to resort to the medicinal method only in case of acute pain and extreme necessity;
• Carrying out blockade with analgesic drugs. The use of this method is indicated for severe lumbar pain. Most often prescribed "Lidocaine", "Kenalog", "Diprospan", "Hydrocortisone" and other non-steroidal drugs;
• Treatment by a chiropractor to get rid of fallen sacrums and put them in place using your hands;
• Back massage. The method guarantees improved blood circulation in the muscles, which has a beneficial effect on the condition of the sacroiliac joints of the spine, improves muscle tone, which stimulates the flow of nutrients into the body for the regeneration of cartilage tissue of the joint. Massage has a number of contraindications. To avoid complications, consultation with your doctor is necessary;
• Physiotherapeutic procedures: ultra-high frequency therapy, ultra-short wave therapy and SMT;
• Physiotherapy;
• Hirudotherapy;
• Acupuncture (blockade from a course of injections into the area of ​​inflammation to build up worn-out cartilage);
• Bishofite (stone treatment);
• Mud therapy (in specialized medical hospitals and institutions);
• Wearing a special corset made of hard material.

Prevention

Since treatment of arthrosis is almost impossible, certain measures must be taken to avoid sacroiliac joint diseases. Preventing a disease is always easier than curing it. You just need to pay attention to the symptoms and take precautions.

Follow these guidelines to keep your back healthy:

• Try to keep your back straight if you have a sedentary job. Periodically do small exercises, walk up the stairs or do a few bends to relieve tension from stiff back muscles;
• Carry heavy bags on different shoulders. This way you will establish the necessary balance of loads on the spine, spreading the pressure to the entire back area. Symptoms of spinal curvature are visible in the first stages. Try to prevent further development of the disease;
• Follow a balanced diet, be sure to eat a lot of fresh vegetables, dairy products and light protein foods. Avoid fatty, spicy and sweet foods. You should not get carried away with carbonated drinks, as they fill the body with third-party substances that have a harmful effect, including on bones;
• The main cause of arthrosis is excess weight. If you cannot cope with this problem on your own, consult a nutritionist. Excess fat negatively affects the condition of joints, including the sacroiliac spine, while elastic muscles help keep bones in ideal condition;
• Periodically engage in therapeutic physical exercise, and, if possible, daily gymnastics to develop the elasticity of your joints and keep them in excellent shape. A hardened body is less susceptible to mechanical damage;
• Avoid injury and do not ignore the first symptoms of pain. In this case, the disease never goes away on its own. With age, the inflamed areas will manifest themselves in the form of acute pain more and more often.

Arthrosis is a serious disease that cannot be cured. Therefore, follow all preventive measures to prevent the wear of cartilage on the joints of the spine. This way you will maintain ideal posture and prolong your youth.