Sacroiliac Joint Dysfunction at Back Pain Clinic DRHC Dubai

Understanding Sacroiliac Joint Dysfunction

Sacroiliac (SI) joint dysfunction is a condition that causes pain in the lower back and buttocks due to improper movement or inflammation of the SI joint. The SI joints are located where the sacrum (the triangular bone at the base of the spine) meets the ilium (the upper part of the pelvis). These joints are essential for transferring the load between the upper body and the legs. When they become dysfunctional, it can lead to discomfort and reduced mobility.

Causes of Sacroiliac Joint Dysfunction

Several factors can contribute to SI joint dysfunction, including:

• Trauma or Injury: Falls, accidents, or sports injuries can cause inflammation or misalignment in the SI joint.
• Pregnancy and Childbirth: Hormonal changes and the stretching of ligaments during pregnancy can loosen the SI joints, leading to dysfunction.
• Arthritis: Conditions like osteoarthritis or ankylosing spondylitis can affect the SI joints, causing pain and stiffness.
• Degenerative Joint Diseases: Aging or wear and tear can lead to degeneration of the SI joint cartilage.
• Uneven Leg Length: This can alter gait and put additional stress on the SI joints.
• Repetitive Stress: Activities that involve repetitive lifting, twisting, or heavy labor can strain the SI joints.

Symptoms of Sacroiliac Joint Dysfunction

The symptoms of SI joint dysfunction can vary but commonly include:

• Lower Back Pain: Often on one side, this pain can radiate to the buttocks, hips, or thighs.
• Buttock Pain: Pain in the buttocks is a common symptom and can sometimes extend down the leg.
• Pain When Shifting or Standing: Prolonged sitting or standing can aggravate the pain.
• Limited Range of Motion: Stiffness and reduced mobility in the lower back and hips.
• Pain During Movement: Activities like walking, climbing stairs, or getting up from a seated position can trigger or worsen the pain.

Diagnosis at DRHC Dubai

At DRHC Dubai, we offer a comprehensive diagnostic approach to accurately identify SI joint dysfunction. Our evaluation process includes:

• Medical History and Physical Examination: We assess the patient's medical history, and symptoms, and conduct a thorough physical examination to identify areas of pain and dysfunction.
• Imaging Studies: X-rays, CT scans, or MRI scans may be used to visualize the SI joints and rule out other potential causes of pain.
• Diagnostic Injection: A diagnostic SI joint injection of a local anesthetic can help confirm the diagnosis if the pain is relieved.

Treatment Options at DRHC Dubai

Our multidisciplinary team at DRHC Dubai provides a range of treatment options for SI joint dysfunction, focusing on relieving pain, improving function, and enhancing quality of life:

Conservative Treatments:

• Physical Therapy: Customized exercise programs to strengthen the muscles around the SI joint, improve flexibility, and reduce pain.
• Medications: Pain relievers, anti-inflammatory medications, and muscle relaxants can help manage symptoms.
• Lifestyle Modifications: Advice on posture, ergonomics, and activity modifications to reduce stress on the SI joints

Interventional Treatments:

• SI Joint Injections: Corticosteroid injections can reduce inflammation and provide significant pain relief.
• Radiofrequency Ablation: This procedure uses heat to target and destroy specific nerves, providing long-term pain relief.
• Prolotherapy: An injection therapy that stimulates the body’s healing processes to strengthen and repair the affected joints.

Surgical Interventions:

• In cases where conservative and interventional treatments are ineffective, surgical options like SI joint fusion may be considered. This procedure stabilizes the joint, reducing pain and improving function.