At our clinic, we use Prolozone Therapy to treat sacroiliac joint pain. It is a natural injection that helps to repair, strengthen and stabilise the structures within and around the sacroiliac joint. We describe Prolozone Therapy in more detail further down on this page, but to first understand how the treatment can help sacroiliac joint pain, it is important to understand the anatomy of the joint. The Sacroiliac joints link the spine to the hips. They are positioned between the iliac bones and the sacrum. Both joints offer support and stability and a significant amount of shock absorption during walking and lifting. The sacroiliac joints are positioned below the waist, from where two dimples are visible from the back.
Strong ligaments and muscles support the sacroiliac joints. For typical bodily flexibility, the joint has a very modest range of motion. Our bones get rheumatic, and our ligaments tighten as we age. When the cartilage deteriorates, the bones may rub against one another, resulting in discomfort.
The Sacroiliac joint is a fluid-filled synovial joint. This joint contains exposed nerve endings, resulting in persistent discomfort if the joint degenerates or does not function correctly.
Symptoms of Sacroiliac Joint Pain
Each individual has a unique experience with the symptoms of SI joint problems. Typical symptoms include the following:
- Lower back discomfort
- Buttocks, hips, and pelvic pain
- Hip discomfort restricted to a single SI joint
- Pain while rising from a seated posture
- Stiffness or a burning feeling in the pelvic
- Radiating agony down the thighs and upper legs
- A sensation that your legs may buckle and fail to support your body
Some Common Causes
Sacroiliac joint pain can occur due to a variety of factors, including the following:
- Injuries caused by trauma
An abrupt impact, such as a car accident or a tumble, might result in a sacroiliac joint injury.
Sacroiliac joints can develop wear-and-tear arthritis (osteoarthritis), as well as ankylosing spondylitis – a kind of inflammatory arthritis that affects the spine.
For less complex delivery cases, the sacroiliac joints must relax and stretch. Pregnancy’s increased weight and changed stride might place additional strain on these joints, resulting in abnormal wear.
The sacroiliac joint can get infected in rare instances.
Rehabilitation and Prevention for Sacroiliac Joint Pain
A good attitude, consistent activity, and an expedited return to work are critical components of rehabilitation. If routine work responsibilities are initially impossible to execute, a modified (light or restricted) duty may be prescribed for a limited period.
Preventing recurrences is critical:
- Techniques for lifting correctly
- Proper posture is necessary for sitting, standing, moving, and sleeping.
- Exercise regularly that include stretching/strengthening
- An ergonomic work environment
- Appropriate diet, a healthy body weight, and a lean body mass
- Techniques for stress management and relaxation
- Smoking is prohibited.
Treatment of Sacroiliac Joint Pain
Prolozone Therapy is a form of Prolotherapy that helps to stimulate the healing compounds required to repair the structures within and around the sacroiliac joints. Many of these structures have a poor blood supply, so they struggle to receive the oxygen and nutrients required to heal properly. Prolozone injections contain an activated form of oxygen combined with nutrients. This combination helps to stimulate fibroblast production, which are the main cells responsible for producing collagen. The structures in and around the sacroiliac joints are made up of collagen.
Medications – Please note that these should only be taken in the short-term due to their side-effects
Your doctor may prescribe the following treatments, depending on the source of your pain:
If over-the-counter pain relievers are ineffective, your doctor may prescribe stronger versions of these medications.
- Relaxants for the muscles
They may help alleviate the muscular spasms that are frequently associated with sacroiliitis.
Physical Therapy for Sacroiliac Joint pain
Your physician or physical therapist can teach you a range of motion and stretching exercises that will help you maintain joint flexibility and strengthening exercises that will help your muscles become more stable.
Operations Surgical and Non-Surgical
If none of the previous techniques works, your doctor may recommend the following:
- Injections of joints
Corticosteroids Injections can be used to decrease inflammation and discomfort in the joint temporarily. Unfortunately, steroids can weaken the bones and tendons in your joint long-term.
- Denervation by Radio Frequency.
Radiofrequency radiation can cause significant damage or destruction to the nerve tissue that is causing your pain.
- Stimulation by Electricity
Sacroiliitis discomfort may be alleviated by implanting an electrical stimulator into the sacrum.
- Fused joints
Although surgery is a last resort to treat sacroiliitis, joining the two bones with metal hardware can occasionally alleviate discomfort associated with sacroiliitis.
Some Useful Stretches for Patients
In Sacroiliac joint pain, soft tissues in the pelvis, groin, lower back, and thighs can cause or exacerbate sacroiliac joint discomfort. Stretches for specific muscles or muscle groups can help relieve SI joint discomfort and restore leg, pelvic, and lower back range of motion. These are as follows:
- Muscle Stretches
Several muscles that arise from the sacrum or hip bones (iliac crests) assist the pelvis. Releasing tension in these muscles can help relieve sacroiliac joint and lower back pain.
- Stretch hamstrings
Sit on a chair with one leg over another chair straight in front of the body is a simple hamstring stretch. Stretch the hamstrings by reaching toward the toes. Hold for 15-30 seconds, then alternate legs five times to stretch both hamstrings. The ideal technique to safely stretch your hamstrings depends on your inclination.
- Quadriceps flex
Stretch your quadriceps in the front of the thigh by supporting one arm against a wall. Holding the foot or ankle with the right hand, pull the right leg up behind the torso. Hold for 15-30 seconds, then switch sides. Stretch the quadriceps twice each leg.
- Hip flexor stretches
The hip adductor muscles assist the legs toward the body’s center and originate from the pelvic bones. To stretch these muscles and loosen the SI joint, sit in a triangle with legs straight and apart, then slowly lean toward the toes. Hold for 5–10 seconds, then 15–30 seconds.
- Press-up flex
Stretch the lower abdomen and front of the pelvis by raising the upper body to the elbows and holding for 15-30 seconds. Keep shoulders relaxed, down, and away from ears for optimum effects while relaxing lower back and buttocks muscles. Begin with 5 seconds and work up to 15-30 seconds. Rep 5–10 times. Isometric knee-to-chest stretch
On your back, bend one knee towards the chest while maintaining the other leg straight and flat. Cross the fingers behind the thigh and slowly lower the knee for 5 seconds. Rep this stretch 5-10 times on each side.
- Sacroiliac joint pain. Mayfield.https://mayfieldclinic.com/pe-sijointpain.htm
- Mayoclinic staff. Sacroilitis. Mayoclinic.https://www.mayoclinic.org/diseases-conditions/sacroiliitis/symptoms-causes/syc-20350747
- Yomans S. SI joint pain. Spine health. Jul, 2018.https://www.spine-health.com/conditions/sacroiliac-joint-dysfunction/sacroiliac-joint-dysfunction-si-joint-pain