Mohammad Hossein Ghodrati - Anesthesiologist and pain fellowship

Sacroiliitis is a painful condition that affects one or bothsacroiliac joints. Sacroiliitis can cause pain and stiffness in thebuttocks or lower back, and the pain might go down one or bothlegs. Standing or sitting for a long time or climbing stairs canmake the pain worse.Causes for sacroiliac joint issues include: Injury ArthritisPregnancy and Infection.Sacroiliitis can cause difficulty with certain actions, such asbending, lifting, staying in one position and rising from beingseated. The ongoing pain of sacroiliitis can lead to depressionand loss of sleep.Diagnosis: During the physical exam, a health care providermight press on the hips and buttocks to find the pain. Moving legsinto different positions gently stresses the sacroiliac jointsImaging tests An X-ray of the pelvis can show signs of damageto the sacroiliac joint. An MRI can show whether the damage isthe result of ankylosing spondylitis.Therapy: physical therapist, can teach range-of-motion andstretching exercises other procedures are Shots into the joint bycorticosteroids. Radiofrequency denervation can damage ordestroy the nerve causing the pain Electrical stimulation by Implanting an electrical stimulator in the lower spine might help reduce pain caused by sacroiliitis and Joint fusion. Although surgery is rarely used to treat sacroiliitis, fusing the two bones together with metal hardware can sometimes relieve sacroiliitis pain