Sacroiliac joint osteoarthritis
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.
Sacral vertebrae of a newborn child is not spliced.
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.
Sacrum, coccyx and sacroiliac joints (joints), rear view.
Sacroiliac joint - this joint is inactive, but is still often doctors call the sacroiliac joint.
Sacrum in males is longer and has more curved than in women.
Sacroiliac joint osteoarthritis - a chronic dystrophic process in the sacroiliac joint (joint) flowing against its long-term inflammation in impairment of the mobility in it. Pain in the sacrum (hieralgia) has the same aching character, as in patients with sacroiliac disease, in the form of constant weight and discomfort after the load (walking, sitting or dancing). Can independently run and re-aggravated during overload or supercooling.
Anatomy of the sacrum and sacroiliac joints (joints) in the adult.
Diagnosis of osteoarthritis sacroiliac joint, as well as in the sacroiliac disease is the examination of the patient, the 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 osteoarthritis sacroiliac joint pain on palpation is possible on the side of the inflamed sacroiliac joints.
Gynecological disorders of pelvic organs in women may be given pain (hieralgia) in the sacrum.
In a blood test arthrosis sacroiliac joint 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.
Computed tomography (CT) scan of the lumbosacral spine and pelvic bones helps to prevent sacroiliac disease 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) of the sacroiliac joint makes it possible to exclude the oncological nature of damage to the pelvic bones or vertebral bodies in a patient.
Treatment of osteoarthritis sacroiliac joint, as well as in the sacroiliac disease, includes the possibility of full or partial restriction of excessive exercise in the sacroiliac 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, as well as in the sacroiliac disease, is appointed according to the severity of any symptoms in patients with arthrosis of the sacroiliac joint. It may be non-steroidal anti-inflammatory drugs (NSAIDs), outdoor and indoor application method, analgesics, glucocorticoids.
In the treatment of osteoarthritis sacroiliac joint elimination of edema, inflammation, pain, restore range of motion of the joint (joint) and muscle lumbar accelerated by the use of physiotherapy.
In the case of pain symptom (hieralgia) in patients with arthrosis of the sacroiliac joint can be produced by the blockade (with lidocaine, hydrocortisone, diprospanom, kenalogom, etc.).
It is mandatory conducted manipulative therapy (if the patient has no other contraindications), which improves regional blood flow and restore the lost range of motion in the affected arthrosis of the sacroiliac joint (the junction).
Additionally, in osteoarthritis the sacroiliac joints are appointed by physiotherapy on the side of inflammation of the sacroiliac joint (joint). This may be UHF, SMC, and therapy with infrared radiation.
Depending on the severity of the manifestations of osteoarthritis sacroiliac joints in a 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 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 and the removal of excess voltage protection and a spasm of back muscles and gluteal area.
Wearing a sacroiliac brace helps in the treatment of pain in the sacroiliac disease vkresttse and arthrosis sacroiliac joints in pregnant women.
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 of pain in the sacrum.
If you have any questions about the diagnosis or treatment of arthrosis of the sacroiliac joint, you can specify them with our neurosurgeon or neurologist call the clinic on the phone: (499) 130–08–09
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