Arthrosis of sacroiliac and sacrococcygeal articulations: treatment

What is arthrosis of the sacroiliac articulations and how dangerous is it?

The sacrum and coccyx are the parts of the spine in which the vertebrae are joined together. Between them there are no intervertebral disks and facet joints.

Therefore, arthrosis of the coccyx is a rare phenomenon, pain in the coccyx region is usually caused by other causes. Arthrosis of the sacroiliac articulations is much more often diagnosed.

This disease is characterized by a sluggish character, its symptoms often disappear on their own, without treatment, and again appear when exposed to adverse factors.

With exacerbation, arthrosis manifests itself with intense pains, in neglected forms leads to dysfunction of the pelvic organs, urinary disorders, and disorders of the sexual sphere.

Structure of the lower spine

The coccyx is the lowest part of the spine, in shape it resembles a curved pyramid facing downwards. The coccygeal bone forms 4-5 small fused vertebrae (Co1-Co5), which differ from the vertebrae of other parts.

All of them, except the first, do not have appendages. One vertebra has a pair of upper articular processes that connect with the lower articular processes of the 5 sacral vertebra, as well as rudimentary transverse processes.

The processes of one type merge with each other, forming 5 combs on the posterior surface of the sacrum. With neighboring bones, it is articulated through the joints:

• lumbosacral joint between the base of the sacrum and 5 lumbar vertebra;
• sacrococcygeal, between the top of the sacrum and the base of the coccyx;
• paired iliac-sacral joints between the lateral surfaces of the sacrum and ileal pelvic bones.

Causes of arthrosis

The volume of movements in tight sacroiliac joints is limited. At the same time they have a significant load, because they are designed to ensure a stable position of the body.

Osteoarthritis of the sacroiliac joint can cause trauma, weakening of the supporting joints of the ligaments. Overload of the joint, metabolic and endocrine disorders, age-related changes, inflammatory processes can also lead to arthrosis.

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The sacrococcygeal joint is strengthened by 4 ligaments. It is thanks to this joint in women in the process of childbirth coccyx deviates back. In norm he is practically motionless.

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Nevertheless, arthrosis of the sacrococcygeal joint, which is sometimes called arthrosis of the coccyx, may develop here. To this disease lead:

• trauma to the tailbone, usually bruises;
• spinal anomalies (sacralization, lumbar lumbarization, cleavage) or its curvature. As a result, the load on the S5-Co1 segment increases;
• inflammatory process against the background of an infectious disease;
• destruction of cartilage tissue in autoimmune diseases;
• excessive load on the sacrum and coccyx, associated with sedentary work, overweight, pregnancy.

Manifestations of the disease

Deforming arthrosis of both sacroiliac and sacrococcygeal joints is manifested mainly by pain in the sacrum and coccyx (sakrodinia and coccidonia).

In the first stage of pain, aching, blunt, arise with a load, including static, after a long stay in a sitting position, an uncomfortable pose during sleep. It's enough to lie down and rest, so that the pain goes away.

But even at rest, the patient experiences a feeling of heaviness and discomfort. Symptoms may disappear for a while, the aggravation develops when the coccygeal department is overloaded, usually due to lifting of weights, hypothermia, trauma.

In such cases, the pain is acute, arise in response to a change in the position of the waist.

Like other types of arthrosis, osteoarthrosis of the sacrococcygeal and sacroiliac joints is steadily progressing, although the symptoms are growing slowly. The pains are prolonged, intensified by tilting and turning the trunk.

Stiffness in the pelvic area is associated with muscle spasms, and not with changes in the joints themselves. This region is innervated by the nerves of the lumbar and sacral plexus. Therefore, if arthrosis develops against the background of inflammation or is complicated by it, the nerves are involved in the process.

With sacroiliac arthrosis urge to urinate, men can erectile dysfunction.

Diagnostics

Since the main symptom of arthrosis is pain syndrome, and it is characteristic for many diseases, complaints about pain in the sacrum, coccyx, and lower back require detailed diagnosis.

First of all, a visual examination is performed with palpation, the patient is asked to perform a series of samples in standing, sitting and lying position to clarify the localization of arthrosis.

With unilateral damage to the sacroiliac joint:

• the person stands leaning on a healthy leg and slightly bent the patient in the knee;
• when you tilt forward at the time of tension of the hind muscles of the hip, there is pain, which prevents you from leaning further. After bending the legs in the knee, the muscles relax and the inclination can be continued;
• slopes towards the healthy joint are limited, in the direction of the affected one they are performed without problems;
• the patient can sit, transferring weight to the butt on the healthy side, lying on his back or on a healthy side;
• in sitting position it is possible to bend forward much deeper than standing;
• laying the patient on his back, the doctor can painlessly and unhinderedly bend his legs in the knee and hip joints, with acute inflammation there are moderate pain.

If the restriction of movements is equally manifested when tilting in both directions, tilting forward from the standing and sitting position, this indicates arthrosis of the lumbosacral articulation.

Passive bending of the legs in the prone position with this type of arthrosis causes resistance. In case of arthrosis of the coccyx, pains increase in sitting position, the patient hardly ascends the stairs.

The pain increases with pressure on the points of attachment of the muscles to the coccyx, felt pain over the perineum.

When arthrosis sacroiliac articulation painful sensations on the affected side are accompanied by such methods of palpation:

• compression of the pelvis in the transverse direction;
• pressure on pubis;
• in lean patients - deep palpation of the ileum in the abdomen.

After the examination, an X-ray, CT, a general and biochemical blood test is appointed to identify signs of inflammation.

Treatment

When arthrosis sacroiliac joints treatment is carried out exclusively by conservative methods:

• at pains appoint NVS, at strong pains and an acute inflammation - blockades with corticosteroids and local anesthetics;
• when muscle spasms are expressed, muscle relaxants are shown;
• Suspend the destruction of articular cartilages help chondroprotectors;
• a good effect is provided by physiotherapeutic procedures - UHF, magnetotherapy, infrared laser therapy, amplipulse, ozocerite;
• in the absence of contraindications, a course of manual therapy is prescribed;
• relax the spasmed muscles, strengthen muscles and ligaments, relieve the pain helps massage;
• if possible, you need to take radon, hydrogen sulphide baths.

Loads for the musculoskeletal system should be reduced, from jogs and cycling to abandon, walking should be short-lived. You can not stand in one position for long, sit.

Relieve the lumbosacral department can be with the help of bandages, corsets.To reduce the load on the joints, exercises are shown in which the muscular corset of the lower back is strengthened.

These are the slopes, twists and turns of the trunk. Perform them at a moderate pace, without sudden movements. But the strength exercises are prohibited.

A number of exercises have an effect similar to mobilization in manual therapy, the joint gently refreshes.

1. Stand on all fours on the edge of the bed, sofa, turning the healthy side out. Slightly hang the knee of a healthy leg, relax it and strain the affected joint. Perform a springing motion with a healthy foot down.
2. Lie on a healthy side so that the knee rests on the table. Push the iliac bone forward and upwards with your hand.

Prevention

Given that arthrosis is almost impossible to cure completely, more attention should be paid to their prevention.

For the prevention of arthrosis joints of the sacrum with pelvic bones and adjacent parts of the spine, a healthy, active lifestyle is important. It is necessary to eat right, so as not to cause weight gain and metabolic disturbances.

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With sedentary work, regular warm-ups are mandatory. The lower parts of the spine can not be overloaded, if you have to lift weights from the floor, you need to squat, and not bend over, while distributing the load evenly distributed.

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Useful daily gymnastics for strengthening the muscles. Should avoid falls, bruises, coccyx, back, thighs.

Osteoarthritis of the sacrococcygeal and sacroiliac joints develop infrequently, proceed with mild symptomatology. Restriction of movement is not particularly noticeable, because these joints are relatively inactive.

Pains are often tolerable, cause discomfort rather than anguish. Acute pains indicate an inflammatory process that can be stopped with the help of medications and physiotherapy procedures.

But with the destruction of the iliac articulation, the load on the hip joints increases, which is fraught with coxarthrosis, and other problems are possible. Women often take the symptoms of arthrosis in this department for signs of gynecological problems, and vice versa.

A source: https://artroz-help.ru/artroz-pozvonochnika/artroz-krestsovo-podvzdoshnykh-sochlenenii

Symptoms and treatment of arthrosis of sacroiliac joints

The lower part of the spine is associated with a disease such as arthrosis of the sacroiliac joints.

Treatment involves the elimination of degenerative processes in the joint region and restoration of its motor functions.

To prevent the early development of this pathology, it is necessary to consider it in more detail.

Osteoarthritis of sacroiliac joints

General information

It is impossible to understand the principle of treatment if one does not understand the essence of the organization of the problem organ and its functions. That is why it is first necessary to consider the anatomical structure of the ligament and the principle of its tasks.

Anatomical features

The location of the articulation is the lower part of the spine, adjacent to the pelvis.

In this zone there is a sacrum, that is, fused together 5 extreme vertebrae.

The ligament between the sacrum and the pelvic bone is performed with the help of articular ligaments. They look like bundles that are tightly tied with the joint capsule.

The compound is paired and represents a tight joint, which, despite its low mobility, plays an important role. It has a slit-shaped cavity. There are also fibrous cartilaginous membranes and a group of arteries feeding the organ.

We recommend reading about spinal cord spine in the cervical spine in addition to this article.

Location of the sacroiliac joint

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The synovial membrane is filled with a liquid that provides gentle friction of the elements and prevents their wear. Amortization is possible due to hyaline cartilage.

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If arthrosis of the sacroiliac joints develops, changes occur in the joint, the cartilaginous disc solidifies, the dystrophic process develops, osteophytes may appear.

We recommend to study: the causes of arthrosis of the ankle joint.

Functional tasks

In the motor function, the articulation does not play a direct role. It provides stability and connects the individual elements of the skeleton into a single whole. The basic tasks are:

• reception and load distribution when walking;
• Stabilization of the position of the body when sitting, receiving part of the load in this position;
• allows you to perform certain types of body slopes;
• connection of small bones of the lower part of the ridge.

Methods of cervical arthrosis treatment

Modern people complain to doctors about pain in the cervical spine. Specialists most often diagnose arthrosis of the neck.

The disease develops because the joints change their normal shape when influencing pathogenic factors.

At the site where the deformation occurred, severe inflammation begins and other symptoms of cervical spine arthrosis appear.

Bunches hold the bones together and provide mobility of the joint

These indirect functions provide full physical activity of a person. If arthrosis of the sacrococcygeal articulation arises, the movements will become more chained and painful.

We recommend that you study:

• Effective methods of treating lumbar arthrosis
• Why is unccovertebral cervical arthrosis progressing?

In order not to miss the moment when the problem can be eliminated with little effort, it is necessary to understand what signs indicate its presence. It is also important to eliminate the influence of those factors that become the causes of the painful illness.

Symptoms and course

Determine that a person has problems with the iliac ligament, you can by certain characteristics. Reflex arthrosis of the coccyx symptoms of this plan:

• dull ache in the region of the coccyx and lower back;
• attacks of acute pain during movement;
• decreased mobility when turning and tilting;
• discomfort during prolonged walking or sitting;
• swelling of the lumbar region;
• spasms;
• swinging gait.

In detail about the arthrosis of the lumbar spine, we wrote earlier, we advise you to familiarize yourself with the material.

There is a process of degeneration of the cartilaginous plate. Bundles that hold the joint elements become inflamed and lose tonus. Involuntary contractions of tendons provoke pain attacks and cause stiffness of movements.

Place of pain localization

Causes

To provoke an arthrosis of sacroiliac joints the weight of factors can:

• refusal of supporting bandage during pregnancy;
• diseases of infectious nature;
• trauma of the lower back and sacral department;
• inefficient distribution of weight during the transfer of goods;
• heavy physical labor;
• sedentary lifestyle;
• malfunctions in autoimmune processes;
• oncology;
• pathology of rheumatological nature.

These causes have a negative impact on the entire musculoskeletal system of a person, so you need to reduce their impact.

Differences in the anatomical structure of the female and male pelvis

In general, arthrosis affects people of middle age and older. Women tend to be very inclined, since they have a specific structure of the pelvic region.

Also, the provoking factor is pregnancy.

In this regard, even young girls at the time of testing a heavy load during this period risk to earn inflammation of the sacral joint.

In addition, we recommend:

• Methods of cervical arthrosis treatment
• Symptoms and treatment of cervical spondylarthrosis

If you have any suspicious symptoms, you should immediately consult a doctor. In order to determine the cause of discomfort, the following studies are carried out:

• Inspection of the patient. The palpation of the zone, which is disturbed by attacks of pain, is performed. The possibility of joint dislocation is excluded. Muscle tone will be checked, the foci of the greatest soreness will be revealed.
• Blood test. Control of biochemical parameters, ESR (increases with arthrosis).
• Gynecological examination. A mandatory item for women, since pain can be associated with the pathologies of other organs and elements.
• Radiography. Detects the condition of bone elements, their deformation and internal injuries.
• CT and MRI. Detects soft tissues, benign tumors and cancerous tumors.

Complex studies can detect abnormal changes in the iliac joint, displacement of parts of the joint, a change in the width of the lumen gap.

In the presence of diffuse contours, it is a matter of destruction of the cartilaginous tissue. Also, connective tissue growths and cartilage compaction sites can be detected.

X-ray picture and computer tomogram of the iliac articulations

To exclude other types of diseases that affect the lower back, the hip joint or the spinal cord, one must sit on a chair and lean forward. If pain does not occur, the diagnosis of sacral arthrosis is confirmed.

Methods of treatment

The detection of inflammation and the dystrophic process confirms the diagnosis of arthrosis of the sacroiliac joints.

Treatment is divided into several areas.

To achieve the optimal result it is important to follow the recommendations of the attending physician and use all available methods of conservative therapy.

Medication Therapy

the role in the treatment is given to drug therapy. To stop the destructive process, it is necessary to stop the inflammation and begin the restoration of the normal functioning of the joint.

For the treatment, these groups of medicines are used:

• analgesics;
• non-steroidal anti-inflammatory drugs;
• glucocorticosteroids;
• hormonal anti-inflammatory drugs;
• hondoprotectors;
• vitamins and mineral nutritional supplements.

Previously, we wrote about the treatment of osteoarthritis at home and advised to add the article to the bookmarks.

These medications are used in the form of tablets and ointments, as well as injections and warming patches.

In severe pain syndrome, a joint blockade is performed to quickly relieve a patient, that is, a directed injection of an anesthetic is performed.

Blockade of the sacroiliac joint

To accelerate the process of recovery and further consolidation of the effect, it is necessary to provide the body with a sufficient number of nutrients.

With a shortage of fresh fruits and vegetables, multivitamin complexes and mineral nutritional supplements, in particular phosphorus and calcium, are introduced into the diet.

It is also necessary to saturate the body with vitamin E to stimulate the production of collagen for the joints.

Additional measures

It allows to quickly eliminate arthrosis of the sacroiliac joints by treatment with additional procedures. In this case, such events will be useful:

• radon baths;
• massages and manual therapy (therapeutic and prophylactic self-massage, you can use roller massagers to influence active points);
• UHF;
• infrared irradiation;
• laser therapy;
• electrophoresis;
• acupuncture;
• application of needle applicators Kuznetsov and Lyapko;
• wearing a supporting bandage or corset;
• physiotherapy;
• reduction in physical activity.

We recommend to read more about physiotherapy in the treatment of arthrosis on our site.

Applicator Kuznetsova helps get rid of arthrosis

The complex of these procedures and home sports helps to relax the lower back, relieve the load from the ileal ligaments, eliminate inflammation and improve the circulation of blood and lymph.

Folk remedies

Also accelerate the recovery of folk ways of treating arthrosis. Very well recommended are such recipes:

• Weak solution mummy. Drink a tablespoon,% concentration on an empty stomach and before bedtime.
• Pounded eggshell. Before supper, take a pinch of shredded raw materials.
• Spirituous infusion of potato sprouts. Wash the lumbosacral area before going to bed, warm it with a woolen shawl.

Eggshell is an organic source of calcium

Prevention of disease

In order to prevent arthrosis of the sacrococcygeal joint, you should follow the recommendations for the prevention of the disease:

• regularly increase immunity;
• do not allow a prolonged course of infectious diseases;
• with sedentary work, do warm-up from time to time;
• Do not overload your back, do not lift the weight;
• during pregnancy or weakening of the muscular corset, wear a supporting bandage;
• do prophylactic gymnastics in the morning;
• Eat fully;
• do not allow the accumulation of excess body weight;
• Do not overexert yourself emotionally, it undermines the natural protection and full body work.

During pregnancy, you should use a special bandage

With early detection of the problem and correct complex treatment it is possible to completely get rid of arthrosis. In the future it is important to maintain the health of your body and all joints.

A source: http://MoyPozvonok.ru/bolezni/artroz/simptomy-i-lechenie-artroza-kresttsovo-podvzdoshny/

Treatment of arthrosis of sacroiliac joints

The deforming arthrosis of the sacroiliac joint, called spondyloarthrosis, is degenerative-degenerative lesion chronic nature, affecting the tight articulation formed by the contiguous surfaces of the large ileum and the sacrum. Since the junction of the branches of the lumbar and sacral plexus of the nerves is located at the junction site, arthrosis in the sacroiliac region is manifested by a strong pain syndrome - sacralgia, often with irradiation into the coccygeal Department. In most cases, the pathomorphological process in the ileosacral articulations (the junction of the pelvic bones and sacrum) is accompanied by inflammatory reactions or is a consequence of the long presence of the outbreak infection.

Description

The sacroiliac joint represents tight, semi-mobile "hinges" of the ear with a strong, non-stretching system of short and broad ligaments. Through these paired joints, located on the lateral sides of the sacral vertebrae, the pelvic bones are connected to the spine.

The sacral section, comprising five vertebrae, S1-S5 follows the second behind the lower element of the spinal column - the coccygeal zone Co1-Co5.

When a person is born, the sacral vertebrae are not connected to each other.

The process of their alternate fusion begins at the age of fifteen and by the age of 25 the five elements combine into a single bone of the spinal column.

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In the initial phase of spondylarthrosis, there is a weakening of blood circulation and worsening of trophism in the joint zone.

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As a result, the cartilaginous tissue changes its structure: it loses its elasticity, becomes brittle and thins.

Chronic lack of nutrition and regular overload of intervertebral joints lead to degenerative degeneration of cartilage and the formation of bone growths - osteophytes.

Symptoms

Pain syndrome in the arthrosis of the sacroiliac joint can be chronic in the form of aching and pulling sensations, a feeling of heaviness and discomfort in the lower spine. Sacrodonia intensifies after a long walk, intense running, lifting or wearing weights, staying in a sitting position.

Also, sacralgia may occur sharply, manifesting a piercing pain when trying to make slopes or straighten the back.

As a rule, acute manifestation of pain syndrome in arthrosis is preceded by: hypothermia, transferred viral infections, mechanical trauma of the spine.

At the initial stage of spondylarthrosis, pain sensations pass independently after a short rest, but in the subsequent phases to eliminate pain without the use of analgesic means can not.

In the development of pathology, in addition to strengthening the sacralgia, it is noted that there are other unpleasant symptoms, including an increase in urge to urinate and a decrease in potency.

There may be stiffness in the hip joints and a decrease in the amplitude of movements by these joints, which visually manifests itself in a change in the gait of a person.

To determine the diagnosis and differentiation from other pathologies resorted to:

• biochemical blood analysis;
• radiography;
• computed tomography;
• MRI.

Treatment

The program of therapeutic measures is selected personally for each patient after assessing the clinical features and stage of the disease.

Medication Therapy

At the first stage, the goal of treatment is to remove the pain syndrome. In case of sharp exacerbation of the disease, the patient is advised to take measures to get rid of the damaged joint from the load.

At the peak of the development of painful sensations, it is advisable to use a drug blockade.

Its principle is based on the local introduction into the periarticular tissues of powerful anesthetics and analgesics, in which novocaine (Novocaine) or lidocaine (Lidocainum) is present.

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Their action is aimed at blocking the potential-dependent sodium channels, thereby destroying the impulse transmission of stimulation of sensitive endings along nerve fibers.

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Also, the therapeutic blockade of the spine reduces muscle tension, eliminates vascular spasm, and eliminates swelling in the focus of inflammation.

To date, also apply periarticular blockades with hydrocortisone (Hydrocortisonum) in cases where along with the degenerative-dystrophic process inflammation of the cartilaginous tissues is noted.

With less severe pain, the patient is given oral or parenteral administration of non-steroidal anti-inflammatory drugs.

A good response shows the course of intramuscular dicloberl injections (Dicloberl).

To activate the process of regeneration of the cartilaginous tissue and improve the trophism of the joints, use hondoprotective preparations of complex composition or containing separate components: chondroitin sulfuric acid, glucosamine and other.

A rapid effect of treatment occurs when performing intraarticular administration of chondrolon (Chondrolonum).

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The viscosity of the synovial fluid in the damaged joint can be restored after using a biopolymer with silver ions "Noltrex".

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To date, the positive properties of hyaluronic acid are actively involved in the treatment of arthrosis, which, with intraarticular administration, improves the mobility of the articulation. Among the recommended drugs for traumatologists - hyalubrix (Hyalubrix), however, because of its rather high cost, it is not available to many citizens.

Oral administration of tableted forms of chondoprotectors, for example: Structum, is possible, but the result of such therapy is noted after the expiration of three months after admission.

Physiotherapeutic treatment

The methods of physiotherapy have a beneficial effect in arthrosis of the sacroiliac joint. With their help, you can relax the pain, improve muscle tone, reduce swelling, eliminate the inflammatory process. Among the common physiotherapy methods:

• low-intensity laser therapy;
• amplipulse;
• Radon and sulfur baths;
• electrophoresis;
• magnetotherapy;
• ozokeritotherapy.

Reflexology

One of the effective methods of alternative medicine for getting rid of spondylarthrosis in the absence of severe pain syndrome - manual therapy and related methods:

• acupuncture (acupuncture, zhen-chiu therapy);
• acupressure - acupressure by pressure on certain areas;
• Shiatsu - use of the palms and fingers to influence specific points on the body;
• massotherapy.

Orthopedic treatment

The purpose of this measure is to limit mobility in the lumbosacral zone. To minimize the burden on the lumbar, doctors recommend using special bandages and corsets.

Orthopedic regimen also implies a decrease in motor activity and a decrease in the loads on the musculoskeletal system.

Doctors forbid at the stage of exacerbation of spondylarthrosis perform active flexion and extension, do not change sharply the angle of inclination of the trunk.

Physiotherapy

Daily exercise in gymnastics is an excellent preventive measure. Physiotherapy involves a variety of movements in which the musculature of the lower back is involved.

It can be torso turns to the right and left, the rotation of the torso clockwise and counter, tilt forward, backward and laterally.

All movements should be performed at a slow pace, but with a large number of repetitions, listening to your own sensations.

Special Diet

A balanced diet that excludes or limits to the minimum "harmful" for the musculoskeletal system products, facilitates the normalization of metabolic processes and provides cartilage structures with the necessary "building bricks ".

When arthrosis sacroiliac joint should be included in the menu:

• sea ​​fish: salmon, trout, ketu, pink salmon, shellfish and seaweed;
• low-fat parts of beef, lamb, pork, poultry meat;
• jelly-like dishes;
• dairy products, hard cheeses;
• chicken and quail eggs;
• leguminous crops;
• green vegetables, fruits and berries;
• mushrooms;
• cereals from cereals cereals;
• dried fruits;
• seeds, nuts, sprouted wheat grains.

Among the prohibited products:

1. pickles and quails;
2. Salted lard, smoked and dried fish, meat delicacies;
3. products with preservatives;
4. caffeine-containing substances;
5. carbonated drinks;
6. fast food products.

Specialists also recommend limiting the amount of table salt and not get carried away with the fruit vegetables of the Solanaceae family: tomatoes, eggplant, sweet and bitter pepper.

Treatment with folk methods

To restore the structure of the cartilaginous tissue, healers recommend daily compressions on the zone of the lumbar-sacral region. The following compositions are used in the treatment:

Recipe 1

Grinded horseradish rhizomes and black radish, combined with honey of a liquid consistency.

Recipe 2

Grated egg shell, mixed with thick yogurt or sour cream.

Recipe 3

Twisted leaves of cabbage with the addition of vegetable oil.

In parallel with the external performance of compresses in the treatment of arthrosis, herbalists are advised to take long courses of decoction from leaves of birch and cowberry, bark of willow and oak, cones of hops, sabelnik, nettles, calendula, chamomile, St. John's wort, clover, dandelions.

A source: https://sustaa.ru/artroz/krestcovo-podvzdoshnyh-sochlenenij

Osteoarthritis of sacroiliac joints: treatment and photos of inflammation

Osteoarthritis of the sacroiliac joints is a very rare disease of the human musculoskeletal system, which belongs to the group of osteoarthrosis. Such degenerative-dystrophic inflammation affects the sacroiliac articular bones and muscle tissue.

It affects the disease of one joint or both - it depends on the stage of neglect of the pathology. Most often, exacerbations occur against an excessive load or hypothermia in the area of ​​the sacrococcygeal articulation. Treatment of arthrosis is a very long and complicated process.

When anatomical analysis of the structure of the sacroiliac joints, it becomes evident that five sacral vertebral elements firmly consolidated in a single sacral bone, form a reliable framework, to which the ileal pelvic bones are attached (see photo).

This splicing does not happen immediately, but approximately to 25 years of life.

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The male sacrum is longer and more curved than the female. This difference is due to the genital function of women. If you look closely, you can see that the sacrum on each lateral surface has joints in the shape of an ear.

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These elements are necessary for the articulation of the iliac and sacral bones.

Caudal-sacral bone smoothly passes into the vertebral joints of the coccygeal department.

Signs of coccygeal arthrosis and its diagnosis

This pathology, like arthrosis of other joints, has a number of typical manifestations, based on which the doctor can make a preliminary diagnosis. These symptoms include:

1. A pronounced pain syndrome.
2. Edema in the lumbosacral region, which can be seen during a primary examination. He signals that there is inflammation in the spine.
3. Restriction of mobility in the joints.
4. Signs of osteopenia of articulated bones.
5. When viewed from behind, there is a change in the natural configuration of the pelvis.

With the defeat of the sacroiliac joints, the pain that occurs when walking becomes unbearable. Similar intense pains appear with other movements and after any physical exertion. Additionally, in the affected joint, crepitation (crunch) is noted.

Based on these symptoms, the doctor can make a preliminary diagnosis. But to clarify it, the doctor must prescribe a number of additional diagnostic measures:

• examination and questioning of the patient;
• for women examination with a gynecologist;
• R-gram;
• general laboratory blood test;
• MRI of the joints.

Treatment of arthrosis of the sacrum

Treatment of osteoarthritis sacroiliac joint much like a common treatment of arthrosis of large joints. However, it has some distinctive features that need to be mentioned.

If we describe the treatment in general terms, we can say that it consists of:

• taking medicines;
• physiotherapeutic procedures;
• compliance with the orthopedic regime;
• massage sessions;
• complex of physiotherapy exercises.

For drugs prescribed for osteoarthritis coccyx bones include nonsteroidal anti-inflammatory drugs: Ketorolac, Ketonal, Indomethacin, Diclofenac Retard.

Although these drugs are able to quickly eliminate pain and inflammation, they have a huge amount side effects, in particular destructive effects on the stomach, which can provoke ulcer.

Treatment of osteoarthritis sacroiliac joint is not without pain medications and corticosteroid medications. With intense pain, the doctor can prescribe blockades with Diprospan, Lidocaine, Kenalog or Hydrocortisone.

Massage sessions can also be included in the treatment of arthrosis. This method improves the metabolic processes in the affected tissues and approximates the moment of recovery. Despite the fact that treatment with manual therapy is not considered effective, this technique can be used only when the inflammation is eliminated.

Treatment of the disease is always more difficult than preventing it. Therefore, in order to prevent the development of chronic inflammation of the sacral joint, patients should observe simple preventive measures. These include:

• active lifestyle;
• fighting overweight;
• complete rejection of bad habits (alcohol, smoking);
• Excluding physical overloads (loads should be moderate);
• adherence to diet and adjustment of the diet.

The daily menu should include all the necessary microelements and nutrients. With these simple recommendations, the patient can achieve a stable remission of the disease.

A source: http://sustav.info/bolezni/arthrosis/artroz-krestcovo-podvzdoshnyh-sochlenenij.html

Sacral-iliac articulation: symptoms and treatment regimen

The sacroiliac joint is a fairly strong joint. The joint is paired.

It connects several prominent surface of the ilium and the lateral part of the sacrum. According to the classification, it is referred to as tight joints.

Next, consider the sacroiliac joint in more detail.

Anatomy

The sacroiliac joint is a ligamentous apparatus, the elements of which are arranged in the form of short beams. These ligaments are considered to be the most durable in the human body.

They act as axes of rotation for the probable movements that the sacroiliac joint performs. Additional strengthening in the joint are ligaments: ventral (anterior), dorsal (posterior).

Another - additional, ilio-lumbar - passes from the transverse process of the fifth vertebra of the lumbar region to the iliac crest. The joint capsule is attached along the edge of the surfaces. It is tight enough. The joint has a slit-shaped cavity.

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Auricular flat surfaces of the sacrum and iliac bones cover the fibrous cartilage. Blood supply is carried out by means of the branch of the lumbar, external sacral and iliac-lumbar arteries. Outflow occurs on the same name veins.

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Lymph outflow is carried out on deep vessels. They approach the iliac and lumbar nodes. The innervation of the joint capsule is carried out by the branches of the sacral and lumbar plexus.

Features of the structure

Both the shape and the size of the joint surfaces in different people can be completely different. In children, for example, they are more smooth, and in adults - with bends. The sacroiliac joint in structure is a real joint.

It has a synovial membrane and a small amount of fluid. Fibrous fibrous cartilage is lined on the articular surfaces. At the same time, on the sacrum, it has a greater thickness. In the depth there is a layer of hyaline cartilage.

In some cases, the joint surface can be covered with a connective tissue. This region (cleft) with all elements is found already in childhood and is available for any adult.

Connections of this type are intended not so much for mobility as for stability. In addition to anatomical interactions, the stability of the joint is attached to strong ligaments that strengthen the capsules.

Osteoarthritis of sacroiliac joints

This is a chronic disease, which is characterized by the presence of processes of the dystrophic type. They occur on the basis of a disorder of mobility and prolonged inflammation in the joint cavity.

This pathology can pass independently, without any additional impact. However, due to overcooling or under the influence of excessive loads, it can again start to disturb the sacroiliac articulation.

Treatment includes conservative methods.

Clinical picture

The signs that accompany pathology are almost identical to manifestations of other types of arthrosis. The main symptoms should, in particular, include dull, aching, and sometimes severe sharp pain localized in the lower back. A characteristic feature is stiffness in the movements.

Diagnostics

In the first place, the patient is examined. The nature of biochemical changes is also assessed. In particular, sensitivity is determined in the process of palpation, during movement, muscle tone and so on. Additionally, a specialist can appoint:

• Laboratory blood test. Usually, sacroiliac arthrosis reveals a high level of ESR.
• For women - a gynecological examination, because a number of pathologies in the organs in the small pelvis may be accompanied by pain, extending to the sacrum area.
• Radiography. This method of research will confirm or exclude traumatic injuries in pelvic bones and spine.
• Computer tomography or MRI of the sacroiliac joints. These methods make it possible to exclude the presence of tumor formations on the bodies of the vertebrae or pelvic bones.

It should be noted that palpation and examination are available only in the posterior articular departments and only in the case of subtle expression of subcutaneous tissue. In the presence of pain in the process of feeling, the specialist can conclude that there is damage or inflammation.

When a deformity complicated by pain is revealed, a subluxation or dislocation of the joint is assumed during palpation. Some patients have a swaying gait.

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This manifestation, accompanied by pain in the region of the lobular and sacroiliac joints, indicates pelvic post-traumatic instability. The most informative research method by many specialists is radiography.

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The articular surfaces are projected as oval, elongated shadows. At the edges of them, you can see the strips of enlightenment in the form of arcs, corresponding to the slits of the joint.

Osteoarthritis of sacroiliac joints: treatment

As mentioned above, therapeutic interventions include conservative methods. First of all, it is necessary to reduce physical activity.

Doctors recommend not to stay for a long time in a vertical or sitting position. To unload the joint, a special bandage should be worn (especially for pregnant women).

Taking into account the stage of pathology, severity of the course and clinical manifestations, a complex impact can include such activities as:

• Reception of medicines. The list of recommended medications includes analgesics, vitamins, hormonal and non-steroidal anti-inflammatory drugs.
• Execution of blockades with the use of such drugs as "Lidocaine "Hydrocortisone" and others.
• Physiotherapy.
• Manual therapy. This technique is aimed at improving blood circulation and restoring lost joint functions.
• UHF, infrared radiation and other physiotherapy procedures.
• Acupuncture.

Prevention

To prevent the development of arthrosis in the sacroiliac joint, you must adhere to an active lifestyle.

An important condition is the exclusion of stressful situations, emotional overstrain. Of particular importance is the diet.

Do not overeat, because with excessive body weight, an additional load is created on the spinal column.

A source: http://.ru/article/164428/kresttsovo-podvzdoshnoe-sochlenenie-simptomyi-i-shema-lecheniya