SI joint Dysfunction

  • What is it?
    • It generally refers to pain in the sacroiliac joint region that is caused by abnormal motion in the sacroiliac joint, either too much motion or too little motion.
  • Cause
    1. Hypermobility
      1. Sprain
        1. Anterior ligament of the SI joint
        2. Posterior ligament of the SI joint
      2. Strain
      3. Pregnancy : relaxin
    2. Hypomobility
      1. Degenerative joint disease
      2. SI joint inflammation
        1. Ankylosing spondylitis
        2. Rheumatoid arthritis
  • Symptoms
    • Pain is usually localized over the buttock
    • Difficulty sitting in one place for too long due to pain
    • Local tenderness of the posterior aspect of the sacroiliac joint (near the PSIS)
    • Absence of neurological deficit/nerve root tension signs
    • Patients will frequently complain of pain while sitting down, lying on the ipsilateral side of pain, or climbing stairs

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