Sacroiliac Joint Pain
(Joint Pain, Sacroiliac)
|Copyright © Nucleus Medical Media, Inc.|
- Poor posture
- Weak muscles
- Bending or twisting the back
- Improper lifting
- Ankylosing spondylitis
- Psoriatic arthritis
- Mild-to-severe low back pain
- Pain in the buttocks
- Pain that seems deep in the pelvis
- Pain in the hip or groin or back of the thigh
- Pain that radiates down the leg on the affected side
- Stiffness of the lower spine
Certain activities may increase the pain, including:
- Rolling over in bed
- Getting up from a chair
- Climbing the stairs
- X-rays of the pelvis and lower back
- Bone scan—an injection of radioactive material into the body, followed by scanning with a machine that will find areas with higher concentrations of the injected material (these are areas of abnormal bone activity)
- CT scan—a type of x-ray that uses a computer to make pictures of the inside of the pelvis and sacroiliac joint
- MRI scan—a test that uses a strong magnetic field and radio waves to make pictures of the sacroiliac joints and the ligaments
- Biopsy or aspiration—removal of a sample of tissue from the joint for testing
- Joint injections or nerve blocks—injection of a drug that blocks nerve signals into the joint to determine if the pain starts in the joint
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as:
- Ibuprofen (Motrin, Advil)
- Pain medication—acetaminophen (Tylenol)
- Steroid injections into the sacroiliac joint
- Antibiotics for infected joints
- Radiowave treatment of nerves around the joint—for severe pain that does not respond to other treatments
- Exercises to stretch the muscles of the lower back
- Exercises to strengthen the muscles which support the area
- Exercises to affect the motion of the sacroiliac joint
- Applying ice to the painful area
- Applying deep heat to the sore area
- Proper bending
- Proper lifting
- No twisting of the body
- Exercise regularly to keep muscles strong.
- Maintain good posture.
- Use proper techniques for bending or lifting.
American Academy of Orthopaedic Surgeons http://www.aaos.org
Arthritis Foundation http://www.arthritis.org
Arthritis Society http://www.arthritis.ca
Canadian Orthopaedic Association http://www.coa-aco.org
Campbell WC, Canale T. Campbell's Operative Orthopaedics. 9th ed. Philadelphia, PA: Mosby, Inc.; 1998.
Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg. 2005 Nov;101(5):1440-1453.
d'Hemecourt PA, Gerbino PG II, et al. Pediatric and adolescent sports injuries: back injuries in the young athlete. Clinics In Sports Medicine. 2000 Oct;19(4):663-679.
Dreyfuss P, Dreyer S, et al. Positive sacroiliac screening tests in asymptomatic adults. Spine. 1994;19(10):1138-1143.
Harrison TR, Braunwald E. Harrison's Principles of Internal Medicine. 14th ed. Columbus, OH: The McGraw-Hill Companies; 2000.
Inflammatory arthritis of the hip. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00396. Updated August 2007. Accessed June 22, 2008.
Nadler SF. Frontera: Essentials of Physical Medicine and Rehabilitation. 1st ed. Philadelphia, PA: Hanley and Belfus; 2002.
Ruddy S, Harris ED, et al. Kelley's Textbook of Rheumatology. 6th ed. Philadelphia, PA: WB Saunders Co.; 2001.
Scopp JM, Moorman CT III. The assessment of athletic hip injury. Clinics In Sports Medicine. 2001 Oct;20(4):647-659.
Speldewinde GC. Outcomes of percutaneous zygapophysial and sacroiliac joint neurotomy in a community setting. Pain Med. 2011;12(2):209-218.
- Reviewer: Lawrence Frisch, MD, MPH
- Update Date: 09/27/2011 -