Sacroiliac joint syndrome treatment. Sacroiliac arthrosis symptoms. Adhesions due to inflammation of the internal genital organs

Sacrum and sacroiliac joint (joint)

The sacral vertebrae, number 5, grow together in an adult into a single bone - the sacrum. Fusion of the sacral vertebrae occurs relatively late: at the age of 18-25. After 15 years, the fusion of the three lower vertebrae begins, and by 25 - the two upper sacral vertebrae. The sacrum in men is longer, narrower and more curved than in women.

The sacral vertebrae in a newborn baby are not fused.

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

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

The sacroiliac joint is a sedentary joint that is often referred to by doctors as the sacroiliac joint.

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

In case of severity of pain symptom (sacrodynia) in a patient with arthrosis of the sacroiliac joint (joint), blockages (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.

In addition, with arthrosis of the sacroiliac joint (joint), physiotherapy is prescribed on the side of the inflammation of the sacroiliac joint (joint). This can be UHF, CMT and infrared radiation therapy.

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

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

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

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

For the effective treatment of coccygeal pain. Images will indicate osteoarthritis, joint space narrowing, or joint deformity.

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

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

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

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

Subsequently, an inflammatory component joins the process of destruction of cartilage tissue, which can manifest itself from time to time. On average, the course of treatment includes seven to twelve procedures.

In case of a tailbone fracture, strict bed rest is from seven to ten days, and the general course of treatment lasts three to four weeks with the exception of any physical exertion.

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 when moving to the buttocks;
swelling of the lower back;
traffic restrictions;
change in gait ("penguin gait").

Osteoarthritis requires quick, correct treatment. When the first signs of the disease appear, you should consult a specialist as soon as possible. Diagnostics and correct diagnosis are the basis for successful treatment!

Diagnostics

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

elasticity;
mobility;
pressure.

Mennel's and Patik's tests are also eligible.

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

The use of these studies allows us to detect not only X-ray (MRI, CT) signs of rupture of the joint capsule or fracture of the pelvic bones, because they give 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 for a particular type of pathology of the semi-joint. ...

The infectious process demonstrates the 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.

In inflammation caused by tuberculosis, MRI shows the zones of destruction of the zones of adjacent bones with a loss of definition of the contours of the joint, or a picture of a perfect closure of the joint space.

Normal joint condition on x-ray

Degeneration (in addition to narrowing of the joint space) is characterized by the presence of seals in the tissues of the articular surfaces and growths-osteophytes.

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

The position of the joint space depends on the age of the process: at the beginning of the disease it is enlarged, 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 reason and the degree of activity of the inflammatory process can be judged by the data of laboratory indicators:

KLA (complete blood count);
OAM (general urine analysis);
biochemical blood test;
articular fluid punctate.

In favor of the infectious nature of the inflammation, leukocytosis and the acceleration of ESR in the analyzes of the cow speaks, in favor of the rheumatoid - the detection of rheumatoid factor. Pus obtained by puncture of the joint detects microbes-pathogens of pathology, detection of ankylosing spondylitis allows the identification of HLA-B27.

Diagnostic blockade with the use of anesthetics also contributes to the recognition of inflammation of the sacroiliac joints and its differentiation from a similar pathology.

First of all, the patient is examined. The nature of biochemical changes is also assessed. In particular, sensitivity is determined during palpation, during movement, muscle tone, etc. Additionally, the specialist may prescribe:

It should be noted that only the posterior articular sections are available for palpation and examination, and only in the case of an indistinct expression of the subcutaneous tissue. If there is pain during palpation, the specialist can conclude that there is damage or inflammation.

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

Such a manifestation, accompanied by pain in the region of the pubic and sacroiliac joints, speaks of pelvic post-traumatic instability.

The most informative research method by many specialists is radiography. The articular surfaces are projected in the form of elongated oval shadows.

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

Osteoarthritis of the sacroiliac joints is placed after a series of examinations. The doctor conducts a survey, examination, prescribes laboratory examinations.

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

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

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

Also, in the diagnosis, methods such as X-ray, CT or MRI and, of course, a biochemical blood test are important, which allows timely detection of inflammation.

CT or MRI can help you understand how far the process has gone and what needs to be done to prevent further destruction of cartilage tissue.

To identify the disease, the doctor must radon the patient and evaluate the biochemical conifers. The specialist needs to check the sulfur muscles of the patient and observe the gait.

With arthrosis of the bath, the patient must be prescribed with the help of research. First of all, she is sent to the study of blood in physiotherapy. The results of the analysis will help methods of inflammation symptoms. As much as possible, this is an increase in the VOLUME level.

Women with arthrosis, swelling of the joints, should be referred to a gynecologist for manifestations. The fact is, to remove many diseases of the organs common are accompanied by pain in the sacrum.

Home treatment with folk recipes

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

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

removal of pain syndrome;
removal of inflammation;
cartilage support;
return of mobility to the lower extremities.

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

Drug therapy

Pain and inflammation are of paramount importance in osteococcygeal arthrosis. The doctor prescribes non-steroidal anti-inflammatory drugs that relieve pain and inflammation (diclofenac, ibuprofen, phenylbutazone).

In addition, corticosteroid injections into the capsule cavity may 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, gels help to relieve pain, warm up the muscles in the area of the joint. Pharmacy ointments are divided into 2 groups:

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

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

Physiotherapy and exercise therapy

In addition to drugs, physiotherapy is prescribed for the treatment and return of mobility with arthrosis of the sacroiliac joints:

Mud massages;
Wraps;
Electrophoresis;
Magnetic, laser therapy;
Physiotherapy;
Reflexology (acupuncture).

When carrying out procedures, do not forget - you cannot endure pain! If you experience the slightest discomfort or pain, tell your physiotherapist right away. He will interrupt the procedure and choose another physiotherapy method.

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

Surgical treatment

In the absence of results of conservative therapy, the doctor prescribes an operation. With the help of thermal action, the surgeon "turns off" the nerve endings in the sacroiliac region. This relieves pain, but does not heal the joint itself.

If the deformation of the articular surfaces is strong, 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, homemade rubbing.

For pain in the lumbar region, a cabbage compress with honey helps. Grease a fresh cabbage leaf with honey and attach to the joint area, insulate. Leave such a compress overnight, wash off the honey in the morning with warm water.

Horseradish compress perfectly warms and relaxes the muscles around the joint, increases blood circulation and metabolism in the coccygeal region. Chop horseradish, heat in a water bath and wrap in cotton cloth. Apply this compress to the ilium at night.

Herbal ointment relieves pain and reduces inflammation. For its preparation, it is necessary to mix equal amounts of chamomile, calendula and burdock root with a petroleum jelly base and let it brew during the day. Massage the sacral and iliac region with light movements.

Honey with mummy is good for relieving pain in arthrosis. Mix 3 g of mummy with honey and apply to the area of the sacroiliac joint.

Mumiyo is a gift from nature with a powerful anti-inflammatory, anti-toxic and restorative effect.

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

Division

sacroiliac joints - enough

sacrococcygeal

joint disease exactly

the same as arthrosis of the lumbosacral

arthrosis

When osteoarthritis of the sacroiliac joints improve, you need to muscular or restrict physical tissues to the corresponding joints. So, the restored women wear special bandages to relieve tone. Encouraged to restrict the patient to walking and then sitting.

Medicines are prescribed in admission from the severity of various symptoms in cartilage. As a rule, when the disease is already prescribed, there will be internal anti-inflammatory drugs, and analgesics for nutrition.

Prevention of arthrosis

Osteoarthritis of the sacroiliac spine and coccyx is a serious disease with irreversible consequences. Timely started treatment will avoid possible deformation of the joints and surgical intervention of 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, emotional overstrain.

The diet is of particular importance. You should not overeat, because overweight creates an additional load on the spinal column.

Pelvic pain in women can be caused by gynecological abnormalities. Methods of dealing with osteoarthritis of the sacroiliac joint of bones are similar to therapeutic measures for sacroiliitis, and also typical for other types of arthrosis.

Manual therapy is one of the main methods of treating arthrosis, if there are no contraindications.

It is also recommended in moments of exacerbation of arthrosis of the sacroiliac joint to limit yourself to long walks and hours of sitting. Measures for the prevention of arthrosis of this type do not differ from the 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 to go to bed ... In older people, the tailbone can grow to the sacrum.

With coccygodynia of the coccyx, treatment involves the use of such methods. But dislocation of the tailbone can be accompanied by painful sensations for a very long time, if degenerative-dystrophic processes have begun in the structure.

The sacrum on the lateral surface has ear-shaped joints that a person needs to connect with the ilium. The sacroiliac region is a sedentary joint, which is represented by 5 vertebrae (sacrum).

megan92 2 weeks ago

Tell me, who is how to deal with joint pain? My knees hurt terribly ((I drink painkillers, but I understand that I am struggling with the investigation, not the cause ... Nifiga does not help!

Daria 2 weeks ago

For several years I fought with my aching joints until I read this article by some Chinese doctor. And I have long forgotten about the "incurable" joints. Such are the things

megan92 12 days ago

Daria 12 days ago

megan92, so 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

And this is not a divorce? Why are the Internet selling ah?

yulek26 10 days ago

One of the most common joint diseases is arthrosis. The defeat of the sacroiliac joints poses an increased danger, as it can lead to a limitation of the patient's motor activity. This area is subject to increased loads that accompany the process of human movement.

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

Osteoarthritis 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.

skeleton connection;
stabilization of the position when performing some movements, when the patient is in a sitting position;
distribution of the load that occurs when walking.

It should be noted that this area does not directly affect mobility, but it can be significantly limited in the process of destruction of cartilaginous structures, which is accompanied by arthrosis.

Causes of the disease

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

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

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

Certain aspects of treatment will depend on the cause of osteoarthritis of the sacroiliac joints.

Symptoms

Symptoms and signs of the disease at the initial stages of the development of the disease are rather weak, arthrosis of the cps is accompanied by pain syndrome, limitation of motor ability.

Other symptoms:

limitation of physical activity;
problems with urination;
decreased libido;
dysfunction of the hip joints;
limiting the range of motion;
deterioration in gait;
tone in the sacrum.

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

Treatment methods

The effectiveness of the treatment of arthrosis of the joints of the sacroiliac region is achieved only with complex treatment. Within the framework of therapy, medications, physiotherapy methods, physiotherapy exercises, 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, bandages is to limit mobility in the lower back.

For the orthopedic regime, it is also provided for a decrease in loads, motor activity of the affected area. Intensification of pathological symptoms requires refusal to carry weights, reduce the duration of walks, refrain from running, cycling. The patient is not recommended to stand for a long time and be in one position.

Drug therapy

With the symptoms of arthrosis of the sacroiliac joint area, several groups of drugs are prescribed, the effectiveness of the drugs for treatment depends on the severity of the pathological symptoms. Medicines are prescribed in different dosage forms, it can be tablets, ointments, creams, solutions for injections, the doctor can also prescribe a blockade.

Effective drugs for arthrosis:

NSAIDs - the action of drugs is aimed at getting rid of pain, inflammation, swelling. Selective blockers of inflammation show high efficiency, this will help to avoid negative effects on the digestive organs. The selection of the dosage, the duration of therapy, depends on the characteristics of the organism, the dynamics, the stage of the disease are also taken into account. For arthrosis, "Meloxicam", "Ibuprofen", "Nimesulide", "Diclofenac" are often prescribed.

Glucocorticoid hormonal drugs - are prescribed in the absence of the effect of those listed above. Intra-articular injections are carried out quite rarely due to the high probability of damage to wide vessels and nerves. High efficiency is shown by "Triamcinolone", "Betamethasone".

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

Chondoprotectors are prescribed to prevent further destruction of cartilage tissue. The chondroitin included in their composition provides the affected joint with the necessary amount of calcium, promotes the activation of the production of hyaluronic acid. The retention of water in the tissues has a positive effect on the cushioning properties, as a result, the recovery processes are accelerated. "Glucosamine" has a positive effect on the metabolism of cartilage, supports the production of collagen. Besides it, "Don", "Artra", "Teraflex", "Struktum" are used.

Physiotherapy

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

The main methods of therapy:

mud therapy - allows you to get rid of unpleasant symptoms, pain syndrome;
electrophoresis - as part of its implementation, an electric shock is applied to the affected area;
magnetotherapy - its action 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, the muscles are kept in a compressed state, which ensures pain control, helps to reduce the negative consequences after injury.

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

Nutrition

As part of the comprehensive treatment of the disease, dietary food 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 in the diet of pectin - a substance that is found in vegetables, fruits, algae. Its properties are similar to those of hyaluronic acid. The menu should also contain fish, dairy products, low-fat meats. Baking, sugar, salty, smoked, fried foods, red meat, cheeses, caffeinated and alcoholic beverages are excluded from the diet.

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

The effectiveness of conservative therapy is manifested in the early stages of the development of the disease. A timely visit to a doctor will help prevent the further development of the disease.

Physiotherapy

Physiotherapy will help to improve the general condition of the patient, the exercise regimen is chosen. Within the framework of gymnastics, a variety of movements are provided, during which the muscles of the lower back are involved.
High efficiency is shown by turning the body to the sides, tilting, rotating the body. Exercises should be performed at a slow pace, shown to perform a large number of repetitions. The patient should carefully listen to the sensations; if pain occurs, classes should be stopped. Gymnastics with arthrosis of the sacroiliac joints shows effectiveness, provided that it is performed regularly.

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

Surgical

In the absence of the effect of conservative treatment, an operation is prescribed. In some cases, the technique of thermal shutdown of the nerves located in the affected area is used, the procedure is carried out using a special technique. This approach will help relieve pain, but is not considered a complete treatment.

In the event of irreversible changes in the tissues, the deformed joint is replaced with a prosthesis.

Folk remedies

As part of a complex spine, joints are also provided, this option shows effectiveness in the early stages of the disease.

During therapy, ointments, compresses, rubbing, baths are used, all methods of traditional medicine are previously agreed with the attending physician.

Effective recipes:

Compresses with a cabbage leaf greased with honey will help to get rid of back pain. It must be applied to the affected area, secured, wrapped in a warm cloth, and left overnight.
Horseradish compresses are distinguished by warming and relaxing properties; after the procedure, activation of blood circulation in the coccyx area is observed. The crushed cream must be placed in a water bath, wrapped in a cotton cloth, and applied overnight.
Mix in equal proportions burdock, calendula, chamomile, with petroleum jelly, infuse the mixture for a day. Apply with massaging movements to the affected area.
Combine 3-5 g of mumiyo with honey, spread on the lumbar region. The ointment has anti-inflammatory, strengthening, analgesic properties.
Pour potato sprouts with alcohol, leave in a dark place for 5-6 hours. Use the product overnight to rub the joints.

Preventive measures

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

Other preventive measures:

regular gymnastics;
avoiding grasses and bruises;
taking measures to increase immunity;
timely treatment of infections;
avoiding heavy lifting;
rejection of bad habits;
avoidance of stress.

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

What is an articular joint

A joint is always two bones. The sacroiliac joint also has two parts: the ilium and the sacrum. The sacrum is where the vertebral column ends. The ilium is located in the pelvic region. The sacrum is squeezed into the opening between the large parts of the ilium and connects the lower spine and the pelvic region. The site 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 sacral region 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 supports the body in a sitting position and participates in the bending of the trunk.

For the prevention and treatment of JOINT DISEASES, our regular reader uses the increasingly popular method of NON-SURGICAL treatment 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

Among the injuries of the sacroiliac joint, the following are most common:

Joint inflammation or sacroiliitis. The disease can be infectious and non-infectious in nature.
Degenerative disorder or arthrosis.
Dysfunction of the joint (when the bones of the joint cannot properly articulate with each other).
Each of these types of damage should be discussed separately.

Sacroiliitis

The development of an 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 the inflammation of the joints of the sacroiliac joint. First of all, such signs appear: painful sensations of varying intensity. Areas of pain: lower back, sacrum, upper leg, thigh. When moving and pressing on the joint, the discomfort increases. In addition to pain, patients may experience a rise in temperature, chills, and intoxication. This happens with the acute development of sacroiliitis.

Sometimes the disease progresses with mild symptoms or manifests itself only with mild pain in the joint. If you do not start the treatment of sacroiliitis on time, this condition can turn into a chronic form. This will lead to curvature of the spine, impairment of the motor functions of the joint and its subsequent destruction.

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

Osteoarthritis

Arthrosis of the sacroiliac joint is understood as a condition that accompanies a prolonged 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 that connects the surfaces of the joints becomes denser and hardens). Prognosis: Deforming arthrosis causes gradual destruction of the joint. Osteoarthritis contributes to the limitation of motor functions, proceeds in a chronic form.

Osteoarthritis

Arthrosis of the sacroiliac joints is manifested by aching pain in the joint, a constant sensation of discomfort during prolonged exertion (walking, dancing, prolonged sitting position). The load on the spine during pregnancy can provoke osteoarthritis. Osteoarthritis of the sacroiliac joints, characteristic symptoms: both the sacrum region and the upper leg or lower back can hurt. After a long state of rest, movements become constrained. Nocturnal pains are not typical; in the supine position, the unpleasant symptoms disappear.

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 the joints are associated with age-related characteristics of the body.
People who spend a lot of time in a seated position (working at the 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, in the region of the sacrum. Pain usually occurs in the morning and subsides in the evening.

How is Sacroiliac Joint Disease Diagnosed?

In the vicinity of the sacroiliac joint, there are a large number of different joints. They are all very important and have specific functions. Damage to these bone formations has similar symptoms, so it is difficult to establish the exact cause of the pain without a special examination. For example, in some cases, patients with congenital abnormalities (fusion of the fifth lumbar and first sacral vertebrae) are identified, who begin to feel pain in the lumbar spine with the onset of adulthood. A correctly diagnosed is the key to successful treatment. Consider the methods of modern diagnostics of joint diseases:

Radiological examination (X-ray of the sacroiliac joint).
Magnetic resonance imaging (MRI of the sacroiliac joints) is used.
Ultrasound examination (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 a narrowed or disappeared joint space.
Destruction of individual parts of the sacral and iliac bones.
The formation of marginal osteophytes, sealed areas of the surfaces of the joints.

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

They also use such a method as diagnostic blockade of the joints of the sacroiliac joint with anesthetics (temporary blockage of pain syndrome).

Therapeutic measures

Osteoarthritis of the sacroiliac joints, treatment in various ways:

Taking medications (anti-inflammatory, antibacterial, pain relievers).
Physiotherapy (magnetotherapy, acupuncture, infrared radiation, physiotherapy exercises).
Massotherapy.
Surgical intervention - removing pus from the joint, injecting drugs into the joint.
Therapeutic blockade (arthrosis in the sacroiliac joint).

To prevent the appearance of joint problems, it is worth following certain recommendations:

Take care of strengthening the immune system to mobilize defenses in the fight against the disease,
Timely eliminate foci of infection in the body,
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 contacting a doctor in a timely manner, you can avoid many problems. Thanks to modern methods of treatment and diagnostics (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, about the procedure for periarticular administration of drugs in one of the medical centers in the city of Cheboksary.

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

The cartilaginous tissues of the joints cannot withstand a constant load and are destroyed under its influence. Treatment in this case is preventive.

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 "lubrication", which is the cartilage. With constant flexion of the back, for example, during loading and unloading 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 off.

Treatment is impossible, therefore, you need to carefully monitor the condition of the back while lifting weights and lift them correctly with an emphasis on the muscles of the legs.

Symptoms do not appear visually. It is possible to determine arthrosis of the sacroiliac joints of the joint only by the method of X-ray examination or when visiting the doctor in case of disturbing pain or external changes, which are expressed in curvature of posture, gait, decreased tone of the muscles of the back, mobility of the spine.

An experienced physician will detect symptoms on palpation of 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 use a simple procedure to examine the condition of your spine and determine the presence of a problem in the sacro-lumbar and sacroiliac joints.

Do the following:

Squeeze the pelvis laterally. If the root of the disease is located precisely in the sacral region, then with strong compression, no changes are felt, and if in the lumbar, then the pain will intensify;
Raise your extended leg from a supine position. If this movement hurts you, then you have no problems in the sacroiliac joint, you need to pay attention to the spine;
Check whether it is more comfortable for you to lie on your side or back. With diseases of the sacroiliac joints, lying on the side is uncomfortable and even painful;
In the prone position, lift the thigh, from the side of which there is pain, 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 the level of ESR is found. 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 them to an appointment with a gynecologist and oncologist if it is necessary to exclude female and oncological diseases. After 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, fraught with an increase in body weight and, accordingly, an increase in the load on the joints;
Excessive training during sports;
Carrying the bag on the same shoulder;
Heavy physical labor with heavy lifting;
Long walking;
Incorrect posture
Launched scoliosis.

In fact, the causes of arthrosis of the sacroiliac joints are much greater. That is why it is necessary to carefully examine the painful areas in order to avoid complications.

Arthrosis treatment

Arthrosis of any joint cannot be completely cured. It is possible with the help of certain medications, herbal infusions, 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 inflammation. Anti-inflammatory drugs can be used internally or externally. Injections and pills can help relieve symptoms quickly, but they have different side effects. Therefore, it is not recommended to get carried away with them. It is permissible to resort to the medication method only in case of acute pain and extreme necessity;
Blockade with analgesic drugs. This method is indicated for severe lumbar pain. Most often prescribed Lidocaine, Kenalog, Diprospan, Hydrocortisone and other drugs of the non-steroidal group;
Treatment by a chiropractor to get rid of the fallen sacrum and put them in place with the help of the hands;
Back massage. The method guarantees an improvement in the circulation of blood in the muscles, which has a beneficial effect on the condition of the sacroiliac joints of the spine, improves muscle tone, with the help of which the intake of nutrients into the body is stimulated for the regeneration of the cartilage tissue of the joint. Massage has a number of contraindications. In order to avoid complications, it is necessary to consult your doctor;
Physiotherapy procedures: ultra-high-frequency therapy, ultra-short-wave therapy and CMT;
Physiotherapy;
Hirudotherapy;
Acupuncture (blockade from a course of injections into the area of inflammation to build up worn out cartilage);
Bischofite (stone treatment);
Mud therapy (in specialized medical hospitals and institutions);
Wearing a special corset made of hard material.

Prophylaxis

Since the treatment of arthrosis is almost impossible, then certain measures must be taken in order to avoid sacroiliac joint diseases. It is always easier to prevent a disease than to cure 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. Do small exercises periodically, walk up the stairs, or do some bends to relieve tension from stiff back muscles;
Carry heavy bags on different shoulders. Thus, you will establish the necessary balance of loads on the spine, spreading pressure to the entire area of the back. The symptoms of curvature of the spine are visible in the early stages. Try to prevent further development of the disease;
Follow a balanced diet, be sure to eat plenty of fresh vegetables, fermented milk products and protein light foods. Avoid fatty, spicy, and sugary foods. You should not get carried away with carbonated drinks, since they fill the body with third-party substances that have a harmful effect, including on bones;
The main cause of arthrosis is overweight. If you cannot deal with this problem on your own, see your dietitian. Excess fat negatively affects the condition of the joints, including the sacroiliac spine, while the elastic muscles keep the bones in perfect condition;
Get regular exercise and, if possible, daily exercise to develop the elasticity of your joints and keep them in top shape. A hardened body is less susceptible to mechanical damage;
Avoid injury and do not ignore the first pain symptoms. The disease in this case never goes away by itself. With age, 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, take all preventive measures to prevent abrasion of the cartilage on the joints of the spine. Thus, you will maintain perfect posture and prolong your youth.