Spinal problems - sacro-iliac pain

The sacro-iliac joint (SIJ) is a joint between the sacrum and the ilium in the pelvis. There are two sacroiliac joints which form a pelvic ring structure, together with the sacrum and the two ilium bones.
This joint, and the complex way it functions, arguably causes more medical controversy than any other in the body.
Pain in the SIJ may be caused by mechanical strain, such as lifting or twisting as one or a series of movements. It can respond to hands on osteopathic treatment, physiotherapy, dry needling acupuncture techniques or local steroid injecting.
  • Pain may also be referred pain from lumbar spine joints or ligaments, or as a result of fractures by trauma or bone thinning (osteoporosis).
  • The sacro-iliac ligaments soften in the later stages of pregnancy, with hormonal changes to allow expansion of the birth canal, and this can leave mothers vulnerable to pain in pregnancy, childbirth and early motherhood.
  • Infections can spread to the joint from distant sites and there are a number of rheumatoid conditions such as ankylosing spondylitis, psoriatic arthritis or rheumatoid arthritis which can cause the problem.

Persistant sacro-iliac pain which is unresponsive to normal treatment modalities may warrant further investigation. Blood tests, X-rays, MRI and a rheumatology referral can be necessary. Andrew Gilmour and his colleagues can arrange this through the extended network of specialists they work with.

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