Sacroiliac joint disease, diagnosis and treatment of sacroilitis
Sacral vertebra number 5, fused in the adult in a single bone - the sacrum. Fusion of sacral vertebrae occurs relatively late: 18-25 year life. After 15 years, begins healing the bottom three, and to 25 - the upper two sacral vertebrae. Sacrum in males is longer and has more curved than in women.
In case of not fully seam sacral vertebrae in congenital malformations - spina bifida (spina Bifida) may be detected or sacralization lyumbalizatsiya, splitting to form a vertebral arch meningotsele or meningomielotsele. Lateral surface of sacrum have articular surface of the auricular form (auricular joints), through which the sacrum articulated with the same surface of the ilium.
Sacroiliac junction - this joint is inactive, which is still often doctors call the sacroiliac "joint".
The structure of the bones of the sacrum and the articular surfaces of the sacroiliac joint.
Sacroilitis — is an inflammation of the sacroiliac joint (joint). The cause of inflammation may be a long trench congestion zone of the lower limbs (as in pregnancy), trauma, autoimmune process.
The main complaints the patient with sacroiliac disease - it's a pain in the sacrum (hieralgia) on the side of inflammation of the sacroiliac joint (joint). Pain is aching in nature, or as in "Bruise", or as a constant weight and discomfort after the load (walking, sitting or dancing).
Inflammation of the sacroiliac junction (joint) called sacroilitis.
Diagnosis of sacroilitisis viewed from a patient study of its history (history) of the disease, assessing the biomechanical changes (gait, tone and muscle strength, range of motion in the joints of the lower shoulder girdle).
Locally for sacroiliac disease is possible soreness (hieralgia) at palpation on the side of the inflamed sacroiliac joints (joints).
Gynecological disorders of pelvic organs in women may be given pain (hieralgia) in the sacrum and sacroiliac disease imitate.
In a blood test for sacroiliac disease may be signs of inflammation in the form of increased ESR. Radiography of the pelvis allows them to exclude traumatic injuries and osteomyelitis in a patient.
Great contribution to the modern diagnosis of diseases of the pelvic bones and joints brought computed tomography (CT). Computed tomography (CT) scan of the lumbosacral spine and pelvic bones helps to prevent arthrosis of the sacroiliac joint (joint). Likewise, computed tomography (CT) of pelvis and lumbosacral spine eliminates the patient's oncological character of bone of the pelvis or vertebral bodies.
Computed tomography (CT) scan of the lumbosacral spine eliminates a patient with sakroileitom Oncology character defeats the sacrum or vertebrae.
Treatment of sacroilitis includes possible complete or partial restriction of excessive exercise in the sacroiliac joint (joint). For discharge in pregnant women, for example, can use a special brace that generates unloading lumbosacral. It is desirable to limit the patient's prolonged sitting or walking.
Drug therapy is assigned depending on the severity of a patient's symptoms with sakroileitom. It may be non-steroidal anti-inflammatory drugs (NSAIDs), outdoor and indoor application method, analgesics, glucocorticoids.
In the case of pain symptom (hieralgia) in a patient with sacroiliac disease can be produced by the blockade (with lidocaine, hydrocortisone, diprospanom, kenalogom, etc.).
When treatment of sacroilitis eliminating swelling, inflammation, pain, restore range of motion in the sacrum and lower back muscles and buttocks accelerated by the use of physiotherapy.
Additionally, when appointed by the sacroiliac disease physiotherapy on the side of inflammation of the sacroiliac joint (joint).
Depending on the severity of manifestations sakroileita patient, the following therapeutic action:
- drug therapy (NSAIDs, analgesics, hormones)
- therapeutic blockade - the injection of drugs into the cavity of the channel
- manual therapy (muscle, joint and radicular technique)
- physiotherapy (UHF, SMC, etc.)
- spinal traction (contraindicated in the acute stage)
- medical gymnastics and swimming (after primary treatment)
- surgical treatment
Wearing a sacroiliac brace helps in the treatment of pain in the sacrum with sacroiliitis and arthrosis of the sacroiliac joint.
Wearing a semi-rigid lumbosacral corset helps to limit the range of motion in the sacroiliac joint (the junction). This helps reduce pain in the area of inflammation sacroiliac joint (joint) for sacroiliac disease and the removal of excess voltage protection and a spasm of back muscles and gluteal area.
In such a corset patient can walk independently at home and on the street, sit in the car and in the workplace. Eliminates the need to wear a corset as soon as is pain in the sacrum.
There are several types of semi-rigid lumbosacral brace and bandages. All of them matched in size and can be repeatedly used in the event of recurrence of pain in the sacrum.
Version of semi-rigid lumbosacral brace helps in the treatment sakroileita with pain in the sacrum.
If you have any questions about the diagnosis or treatment sakroileita with pain in the rump, you can specify them with our neurosurgeon or a neurologist on the phone: (499) 130–08–09
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