PAIN MANAGEMENT
Sacroilitis (Inflammation of Sacro iliac Joint)

Sacroiliitis is an inflammation of one or both of your sacroiliac joints, which connect your lower spine and pelvis. With sacroiliitis, even the slightest movements of your spine can be extremely un-comfortable and painful.

Causes of Sacroilitis
  1. Infection
  2. Trauma
  3. Spondyloarthropathy especially Ankylosing Spondylitis
  4. Post pregnancy

Common symptoms or problems

The pain associated with sacroiliitis most commonly occurs in the lower back and buttocks. It can spread to the legs, groin and can extend upto the feet. Sacroiliitis pain becomes worse on:.

  • Prolonged standing
  • Stair climbing
  • Running
  • Extreme postures
  • Decreased range of motion
  • Fever low or high grade

Diagnosis

To begin with clinical examination of your back and lower limbs may indicate towards the source of the pain.

It is thereafter investigated using Xrays of the Sacroiliac joint and in many cases through MRI of the Sacroiliac joint . A successful injection to your joint which if provides relief to your pain clinches the diagnosis. Blood tests are important especially in spondyloarthropathy.

Management

Medications

Pain killers and Nonsteroidal anti inflammatory medications are prescribed initially for short term for relief of pain and reduction of inflammation. Drugs like paracetamol, ibuprofen are used most commonly. In a select few muscle relaxants are also added. In patients where the above medica-tions are contraindicated, tramadol is used for pain relief.

Stretching exercises

Once the pain is reduced patients are advised for stretching exercises mainly hip stretch, quadri-ceps stretch exercises for long term relief.

Back pain exercises, spine surgeon in india, dr. asheesh tandon
Upper knee should be directly above lower knee

Back stretch (stretches back muscles) Lie on your back, hands above your head. Bend your knees and, keeping your feet on the floor, rool your knees to one side, slowly. Stay on one side for 10 seconds. Repeat 3 times each side.

Deep lunge (stretches muscles in front of thight and abdomen), dr. asheesh tandon best nuro surgeon in jabalpur india

Deep lunge (stretches muscles in front of thight and abdomen) Kneel on one knee, the other foot in front. Lift the knee up; keep looking forwards. Hold for 5 seconds and repeat 3 times each side.

One-leg stand - front (stretches front thigh), Dr. Asheesh Tandon, best brain surgeon in jabalpur, india

One-leg stand - front (stretches front thigh) Steady yourself with one hand on something for support. Bend one leg up behind you. Hold your foot for 10 seconds and repeat 3 times each side.

One-leg stand - back (stretches muscles at back of leg), Dr. Asheesh Tandon, best brain surgeon in jabalpur, india, low cost brain and spine surgery in india

One-leg stand - back (stretches muscles at back of leg) Steady yourself, then put on leg, straight, up on a chair. Bend the other knee in to stretch the hamstring. Repeat 3 times each side.

Knee to chest (stretches muscles of bottom - gluteals), Dr. Asheesh Tandon, best brain surgeon in jabalpur, india, low cost brain and spine surgery in india

Knee to chest (stretches muscles of bottom - gluteals) Lie on your back. Bring on knee up and pull it gently into your chest for 5 seconds. Repeat for up 5 times each side.

Sacroiliac joint injections

For persistent or long term pain a sacroiliac joint injection may be recommended both to confirm t the source of the pain and to mitigate the pain. The injection is done under fluoroscopic guidance, to ensure correct placement of the needle in the joint. The injection consists of anti in-flammatory medication (Steriod) as well as local anaesthetic agent.

Sacroiliac joint radiofrequency treatment

A radiofrequency lesioning is a type of iminimally invaive procedure in which a heat lesion is creat-ed on certain nerves supplying the SI joint with thegoal of interrupting the pain signals to the brain, thus eliminating the facet or sacroiliac joint pain.

Center for Minimally Invasive Neurosurgery India at Aditya Superspeciality hospital provides low cost cheap treatment for such diseases utilising the expertise of the team which includes pain spe-cialist, neuroradiologist, physiotherapist and others.


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