Diagnosis and treatment of inflammatory sacroiliitis

Inflammatory sacroiliitis is a condition that involves inflammation of one or both sacroiliac joints, which connect the spine to the pelvis. This condition can cause pain and stiffness in the lower back, buttocks, and thighs. Sacroiliitis can be caused by a variety of inflammatory disorders, including spondyloarthropathies.

Sacroiliitis can be difficult to diagnose, as its symptoms may resemble other lower back disorders. Some of the procedures and tests that can help in the diagnosis include:

Physical examination: The doctor may perform a series of physical maneuvers to evaluate the pain and determine the source.

Imaging tests: X-rays, magnetic resonance imaging (MRI), and computed tomography (CT) can help visualize the sacroiliac joints and detect signs of inflammation or damage.

Blood tests: Blood tests can help identify markers of inflammation and may also be useful in ruling out other conditions.

Sacroiliac joint injection: If injection of an anesthetic into the sacroiliac joint relieves pain, it may be indicative of sacroiliitis.

Treatment of sacroiliitis usually involves a combination of medication and physical therapy.

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can be used to reduce inflammation and relieve pain. If NSAIDs are not sufficient, stronger medications may be prescribed, such as corticosteroids or biological disease-modifying antirheumatic drugs.

A physical therapist can teach strengthening and stretching exercises to maintain flexibility and range of motion, which can help relieve pain and stiffness.

It is important to remember that each case is unique and that the treatment plan must be personalized for each patient.