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Sacroiliitis (say-kroe-il-e-I-tis) is a painful condition that affects one or both sacroiliac joints. These joints sit where the lower spine and pelvis meet. Sacroiliitis can cause pain and stiffness in the buttocks or lower back, and the pain might go down one or both legs.
Sacroiliac pain can be aggravated with prolonged sitting or standing, standing on one leg, stair climbing, going from sit to stand, and with running. Potential causes of sacroiliac pain include arthritis, traumatic injury, pregnancy and post-partum, systemic inflammatory conditions, and infection.
Treatment. Corticosteroids can be put directly into the sacroiliac joint to reduce swelling and pain. Sometimes, a health care provider puts a numbing medicine into the joint to help make the diagnosis. Treatment depends on symptoms and the cause of the sacroiliitis.
The sacroiliac (SI) joint is the place where the wing-shaped top of your pelvis, a bone called the ilium, attaches to the lower part of your spine (sacrum). You have two SI joints, one on each side of your pelvis.
The sacroiliac (SI) joint is a common but underrecognized source of continuing back pain in patients who have surgical fusions for the treatment of back pain. Mayo Clinic has developed new techniques for the diagnosis and treatment of patients with SI joint dysfunction.
The sacroiliac joints link the pelvis and lower spine. These two joints are made up of the bony structure above the tailbone, known as the sacrum, and the top part of the pelvis, known as the ilium. The sacroiliac joints support the weight of the upper body when standing.
Radiofrequency neurotomy uses heat created by radio waves to target specific nerves. The treatment turns off the nerves' ability to send pain signals for a short time. The procedure also is known as radiofrequency ablation.
The following is a lengthy review of studies of pain reduction from prolotherapy - only one addresses SI joint pain directly, and shows improvement in about 50% of people at 15 months (you would need to locate & read the complete study to see how many injections, adjunct therapy, etc.)
Facet arthritis happens when the cartilage that covers the ends of the joints wears out and becomes thin. This can contribute to the growth of osteophytes (bone spurs) and hypertrophy (enlargement) of the joints. Facet arthritis can be associated with pain and stiffness.
This joint inflammation can cause pain in the buttocks or lower back. The pain can go down one or both legs.