A Patient's Guide to Sacroiliac Joint Dysfunction
is one of the morecommon causes of mechanical low backpain.
joint dysfunction is aterm that is used to describe the condition- because it is still unclear why this jointbecomes painful and leads to low backpain. Sacroiliac joint dysfunction can bea nuisance but it is seldom dangerous andrarely leads to the need for surgery. Mostpeople who suffer from this problem canreduce the pain and manage the problemwith simple methods.
This guide will help you understand• how the problem develops• how doctors diagnose the condition• what treatment options are available
hat part of the back is involved?At the lower end of the spine, just below thelumbar spine lies the
The sacrum is atriangular shaped bone that is actually formedby the fusion of several vertebrae during devel-opment. The
joint sits betweenthe sacrum and the
(thus the name“sacroiliac” joint). You can see these jointsfrom the outside as two small dimples on eachide of the lower back at the belt line.The SI joint is one of the larger joints in thebody. The surface of the joint is wavy and
similar to the way Legos® fittogether. Very little motion occurs in the SI joint. The motion that does occur is a combina-tion of sliding, tilting and rotation. The mostthe joint moves in sliding is probably only acouple of millimeters, and may tilt and rotatetwo or three degrees.The SI joint is held together by several large,very strong
. The strongest liga-ments are in the back of the joint outside of the pelvis. Because the pelvis is a ring, theseligaments work somewhat like the hoops thathold a barrel together. If these ligaments are