Sacroiliac Pain Syndrome – Often Misdiagnosed Low Back Pain and Pseudosciatica

Patients suffering from low back pain and conduction pain are often diagnosed with intervertebral disc herniation or bone spurs. In fact, there are many cases of sacroiliac joint pain syndrome. However, it is difficult to diagnose and not receive appropriate treatment, making low back pain go hand in hand for many years . Physician You Zhikai from the Rehabilitation Department of the Elite Clinic said that if the symptoms are suspected of sacroiliac joint pain syndrome, it is especially important to rely on the doctor’s careful differential diagnosis to clearly grasp the root cause of the disease; as for the treatment, it is important to be precise. and surrounding lesions to promote repair, no longer need long-term rehabilitation treatment.

Dr. You explained that the sacroiliac joints are located on the left and right sides of the sacral vertebrae adjacent to the ilium, and produce small movements in conjunction with body bending, extension, rotation, and inclination. ligaments and muscles to maintain. People with long-term poor posture (such as crossing their legs when sitting or half-lying and half-sitting, protruding abdomen when standing and causing the pelvis to tilt forward), often bending over to lift heavy objects, suddenly falling to sit, lack of core muscle strength, skewed pelvis or long and short legs, It is easy to injure the ligament, and even cause sacroiliac joint dislocation, which leads to sacroiliac joint pain syndrome.

Dr. You mentioned that since it is called Pain Syndrome, it means that the symptoms are quite diverse, including prone to backache after sitting for a long time, pain when bending over, pain when changing positions (especially when getting up from a chair), pain from the back of the buttocks to the thighs Posterior conduction pain, etc. If the patient complains of emphatic conduction pain, and X-ray or MRI images show bone spurs or herniated discs, it is easy to diagnose sciatica.

Dr. You further explained that in addition to asking about symptoms, differential diagnosis is also required. Since sacroiliac joint dislocation is difficult to interpret through X-ray or even MRI, physical examination is more important. Leg raising test and joint compression test can be performed. If there is obvious pain in the rear of the buttocks, it can be highly suspected to be a sacroiliac joint problem. Furthermore, the injury of the ligament around the sacroiliac joint is checked by ultrasound, and then diagnostic anesthesia is given, that is, anesthesia is applied to the ligament with the help of ultrasound. If all symptoms disappear, the diagnosis can be confirmed.

Dr. You mentioned that in the past, patients with sacroiliac joint pain syndrome had to undergo long-term rehabilitation treatment, but due to the layers of ligaments, heat compresses and electrotherapy were not in place, so the effect was limited. In view of this, at present, proliferative therapy has the most direct effect, and can be used for precise treatment of soft tissues. Under the guidance of ultrasound, autologous platelet growth factor is directly injected into the ligament lesions in and around the sacroiliac joint to initiate regeneration mechanism, promote tissue repair, and then strengthen ligaments and stabilize the sacroiliac joint.

Dr. You added that, like other injection treatments, the common side effects of prolotherapy are transient and mild post-injection pain, stiffness or bruising. It should be reminded that this curative effect is closely related to the doctor’s diagnosis and professional skills. It is best to choose a professional doctor who has received prolotherapy injection training to ensure the quality of treatment. As for those with skewed pelvis, it must be combined with manual therapy to adjust the position of the pelvis and help the sacroiliac joint to reset; for those with long or short feet, insoles must be made to correct abnormal walking gait.

Dr. You emphasized that the sacroiliac joint is a micro-movement joint. Although the range of motion itself is not large, it plays an important role in bearing weight. Once the sacroiliac joint is misaligned, the body will produce compensation in order to maintain balance, and then drag the lumbar spine, resulting in “lumbar sacral joint.” “Iliac Complex Disability” will lead to more problems one after another. Therefore, low back pain should not be ignored. Only early treatment can prevent future problems.

As for the way to prevent recurrence, Dr. You reminded that the intensive training of the muscles of the back, buttocks, and the back of the thighs must not be neglected to maintain the stability of the lumbar sacroiliac structure, and it is also necessary to maintain the correct standing posture and The sitting posture is the fundamental way to stay away from sacroiliac joint pain syndrome.

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