Sakroyile: what is it? symptoms and treatment

Characteristics of sakroileitis: causes, symptoms, diagnosis and treatment

Sacroiliitis is an inflammatory lesion of the sacroiliac joint. It arises as an independent disease or manifestation of an infectious or autoimmune disease. More often it is one-sided.

Two-sided is characteristic for Bechterew's disease and brucellosis, rarely observed with tuberculosis.

Among the reasons: trauma, prolonged joint overload, congenital anomalies of joints, infectious or systemic diseases, tumors.

This is a serious disease, leading to severe consequences: the destruction of bone, cartilage, tendons, ligaments, blood vessels.As a result, severe structural disturbances and articulation functions are formed, severely restricting any movement.

Complications of purulent inflammation - the breakthrough of pus in the gluteal region, the cavity of the small pelvis or the vertebral canal with the defeat of the spinal cord itself and (or) its membranes. Therefore, for any patient, the disease represents a certain danger and can result in disability.

The doctor-rheumatologist or the orthopedist-traumatologist treats sakroileit. Purulent process eliminates the surgeon by surgery.

Further, in the article you will receive a full description of the disease, learn more about the causes, types of sakroileitis and their characteristic clinical manifestations, diagnostic methods and methods of treatment.

Causes of sacroiliitis

• Injuries to the ligamentous apparatus and bones (eg, ligament rupture);
• regular overload of the sacroiliac joint with heavy weights, pregnancy;
• congenital anomalies of joint development: congenital dislocation or subluxation of the hip joint, incomplete fusion of the sacral vertebrae;
• metabolic disorders;
• benign tumors: cysts, proliferation of bone or cartilaginous tissue;
• oncopathology: primary tumors in the region of the sacroiliac connection or secondary metastasis of the existing malignant process;
• infectious diseases specific and nonspecific: brucellosis, tuberculosis, syphilis;
• different types of arthritis: psoriatic, enteropathic, rheumatoid, and ankylosing spondylitis;
• autoimmune diseases: lupus erythematosus and other pathologies.

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Sacroiliitis is primary, more often with traumatic injury or tumor, and secondary - infectious-allergic, developing against infection or systemic disease.

The cause of purulent specific inflammation are the causative agents of such infections as tuberculosis, syphilis, brucellosis, the cause of aseptic - autoimmune diseases.

The pathology of a noninfectious cause occurs when the joint is destroyed, the joint is abraded due to a metabolic disorder, congenital anomalies, traumatic damage to bones and ligaments.

Common symptoms of all types of sacroiliitis

The main symptom is the appearance of pain in the lower back, increasing with pressure on the area of ​​inflammation and irradiating (giving off) the corresponding side of the pathology of the thigh or buttock.

The intensity and nature of pain varies with different types of illness.

Pain increases from a prolonged stay in a static state: a prolonged standing, sitting with crossed or retracted legs.

Spread of pain with sacroiliitis (orange areas)

Other symptoms:

• a rise in body temperature over a long time in the range of 37-3 degrees;
• increased fatigue;
• irritability;
• pain in the peripheral joints;
• visual impairment (characteristic of only one eye) with the appearance of fog or haze before the eyes, lacrimation, increased sensitivity to light.
• defeat of the respiratory, cardiovascular system with the possible occurrence of arrhythmia or respiratory failure in lung lesions.

The disease occurs in three stages. At the first symptoms are poorly expressed, with the second - paroxysmal pain intensifies to the cutting, irradiates into the buttocks or thigh, with the third - the mobility in the corresponding pathology is sharply limited, there is radiculitis, convulsions.

The course and characteristic symptoms of different types of sacroiliitis

Nonspecific purulent sacroiliitis

This inflammation is usually one-sided. Causes - osteomyelitis, the breakthrough of the purulent cavity into the joint region, the entry of the pathogen through the open wound.

The onset of the disease is acute: the body temperature sharply rises to 39-40 degrees, there are cutting pains in the lower back and lower abdomen on the side corresponding to inflammation. Then they become throbbing. The development of severe intoxication greatly worsens the general condition of the patient.

Pain increases with any movement of the foot and with pressure on the area of ​​the sacroiliac joint. Therefore, the patient is forced to take the most comfortable position for him with legs clenched under himself. Pus can break through into adjacent tissues, pelvic organs, spinal canal.

Aseptic

Infectious-allergic sakroileitis is observed in systemic autoimmune diseases: rheumatoid arthritis, lupus erythematosus, Reiter's disease, Bekhterev or others. Symptoms of this species are not bright compared to a purulent process. With Bekhterev's disease (inflammation of the intervertebral joints), the process is bilateral.

The aseptic form of the disease proceeds with mild or moderate soreness in the sacrum, which gives back to the hips.

It differs from other types in that pain intensifies at rest, weakening during movements, and not vice versa, as in other cases.

Stiffness in the morning also passes after physical activity.

Secondary Tuberculosis

Such sakroileitis occurs subacute or chronically on the background of tuberculosis. More often it is one-sided, rarely - two-sided. Patients are concerned about moderate absent-minded pain in the pelvis or sciatic nerve region, stiffness of movements.

Perhaps their reflection in the knee or hip joints. There is a consolidation of soft tissues over the inflammatory focus and a local increase in temperature. Palpation is painful.

With prolonged course, deformities are possible, such as a decrease in lumbar lordosis, scoliosis.

A common complication is the formation of a sore abscess in the thigh area with the formation of a fistula.

Specific brucellosis

Brucellosis sacroiliitis differs from tuberculosis by simultaneous involvement of both sacroiliac joints, but it is not only bilateral but also one-sided. Characteristic of volatile arthralgia with transient joint damage. There may be persistent inflammation in the form of osteoarthritis, synovitis, arthritis.

Symptoms - persistent sacral pain, the intensity of which increases with flexion and extension in the spine, there is soreness along the nerve trunks, stiffness, rigidity (stiffness, hardness, inelasticity spine).

Diagnosis of symptoms

When setting the diagnosis, "sakroileitis" takes into account the symptoms, the data of the medical examination, the results of laboratory and instrumental studies.

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X-ray changes with different sakroileitis are different.

Thus, with rheumatic pathology, the narrowing of the gap of the affected joint is determined, until it is absent, the densification of the bone, the blurriness and uneven contours of the surfaces of the joints.

In Bekhterev's disease of the first stage - the expansion of the joint gap with moderate subchondral sclerosis, the second - narrowing of the slit, pronounced sub chondrosis, the appearance of single erosions.

Treatment of different types of sacroiliitis

The treatment of sacroiliitis is mostly conservative. The general scheme of complex medicamentous therapy consists of:

1. non-steroidal anti-inflammatory drugs (nimesulide, diclofenac);
2. antagonists of tumor necrosis factor (infliximab);
3. hormones (dexamethasone, methylprednisolone);
4. antibiotics (streptomycin, clarithromycin, ceftriaxone).

In severe pain syndrome, blockades with insertion into the joint, trigger points in the muscles (areas of hypersensitivity) or the vertebral canal of lidocaine, kenalog, diprospan are made.

The main means in eliminating the cause of specific inflammations are the agents that are detrimental to specific pathogens, for example, antituberculous drugs (thioacetazone, isoniazid) for tuberculous sacroilete.

To restore the mobility of joints, therapeutic exercise is used.

When the acute process abates, various physiotherapy procedures are effective: laser therapy, pulse magnetotherapy, UHF, phonophoresis with an anti-inflammatory agent or anesthetic, massage, mud therapy, applications with paraffin and etc.

Also, doctors recommend wearing a lumbosacral corset.

Features of therapy of purulent form of pathology

Purulent sakroileitis is treated early in the early stages with the use of antibacterial and detoxification therapy. A purulent focus is opened, drained or surgically removed.

Elimination of the brucellosis inflammatory process in the sacroiliac joint is the treatment of the underlying disease.

The symptoms are helped by immobilization of the joint with the help of a bandage, specific medication with a combination of several antibiotics and symptomatic therapy.

Also shown is vaccine therapy, with subacute or chronic course - physio-and sanatorium-resort treatment. In severe cases, resection of the articulation.

Only an integrated approach to pathology will help not to start the disease, avoiding severe complications and disability.

A source: http://SustavZdorov.ru/raznoe/sakroileit-274.html

Sakroyileit - what is it? Symptoms, treatment and prognosis

• Decoding of online tests - urine, blood, general and biochemical.
• What do bacteria and inclusions in urine analysis mean?
• How to understand the analysis of the child?

• Features of MRI-analysis
• Special tests, ECG and ultrasound
• Pregnancy rates and variance values ​​..

Explanation of analyzes

Many of us know the word "sacral which can be translated into Russian as "sacred". By the way, in translation from the Latin language the sacrum bone of our skeleton is called "os sacrum". What can be sacred in the sacrum?

According to ancient beliefs, it was believed that this one bone can resurrect a person. In some modern religious movements of pseudo-Hinduism it is believed that it is within this bone (naturally, on the astral or subtle plane) that the energy of the Kundalini is located.

Our task is simpler. We will not look for sacred images in the skeleton, but we will tell what sakroileit is, what causes to it, how it manifests itself and is treated.

Sakroyileit - what is it?

Sacroiliitis is an inflammation of the sacroiliac joints. Theoretically, the connection between the sacrum and the iliac bones is referred to the joints, but the connection between them is very tight, called amphiarthrosis.

It is this position of the sacrum, "stretching" between the iliac bones, that allows the pelvic bones to be closed into a single ring. The role of these "stretch marks" is played by the sacroiliac joints.

The closest analogue of such a connection in the pelvic ring is the lonnoe articulation, the rupture of which sometimes occurs with rapid delivery. This is a serious complication requiring urgent surgery.

• The importance of the sacroiliac joint is very large: it centers and stabilizes the sacrum, which allows make it a reference point of the entire vertebral column, head, trunk, internal organs and upper girdle extremities.

If you consider that a person puts on a lower, upper and winter clothes, and yet suffers loads - you can understand what loads are on the sacrum and on the sacroiliac articulation.

• Why is the significance of this inflammatory process so great for doctors?

Yes, because these joints (both left and right) belong to the axial skeleton.

And with the defeat of other joints (rheumatoid or psoriatic arthritis) involvement in the process of the sacroiliac joint (also, as well as temporomandibular joints) speaks of an increase in the severity of the process, and also allows for more serious measures to be taken in the treatment.

The causes of the development of sacroiliitis

There are two large groups of causes that lead to inflammation.

The first is autoimmune diseases, in which symmetrical inflammation occurs.

This group stands apart, because there are no special problems in these joints, just inflammation is a "marker" of the system process.

The second group consists of diseases that cause common arthritis and other localizations, but on the one hand. More often right-handed people develop right-sided sakroileitis (since their supporting leg is also right, and is loaded more), and left-handers have left-sided sacroiliitis.

In this case, this group of reasons includes:

• violation of joint biomechanics (for example, increased overload associated with limb shortening in inflammatory processes);
• pregnancy;
• osteoporosis in the postmenopausal period in women;
• congenital malformations (subluxations);
• prolonged sedentary work, which leads to weakening of the pelvic ring;
• tumors of pelvic bones, retroperitoneal space and pelvic cavity;
• infectious lesions (syphilis, Lyme disease).

Bilateral sakroileitis

If bilateral sakroileitis is detected, on the one hand, the diagnostic search is significantly narrowed, but on the other hand, it "turns" the other way.

So, most likely, traumatic, congenital and tumor disorders are excluded, and most of the arthritis is infectious. After determining bilateral sakroileitis, the patient is likely to identify either an autoimmune disease (psoriasis complicated by arthritis), or Bechterew's disease.

Classification

Like many other joint lesions, sacroiliitis is divided into the following variants:

• Specific. This means that the inflammation has some characteristic features, by which you can determine the cause with great certainty. Such sakroileitis include tuberculosis, syphilitic and brucellosis arthritis;
• Nonspecific. A common inflammatory process with the development of classical inflammation and the attachment of suppuration. Usually, it requires surgery, or a massive antibacterial and anti-inflammatory therapy, to dispense with operative treatment in the early stages of the disease;
• Aseptic process. It is he who underlies autoimmune inflammation, in which there is no microbial infection and suppuration.

Degrees of sacroiliitis

Since the main and the fastest preliminary method of diagnosing sakroileitis is an x-ray, any pathological process in this joint can be "decomposed" into stages. There are four degrees of sacroiliitis:

1. The first degree: there is a moderate fuzziness of the joint space, but still it is determined;
2. The appearance of sclerosis, a symptom of "strands of pearls or signs of usurization (uneven expansion of the gap);
3. The aggravation of the signs and the appearance of the closure of the articular fissure - ankylosis;
4. On the fourth degree the articular cleft is completely closed, and the sacroiliac joint acquires a single bone character. Full ankylosis develops.

Symptoms of sacroiliitis

Symptoms of sacroiliitis photos

Since it is an inflammatory disease, the main symptoms of sacroiliitis are pain and impaired function. Most patients are concerned about the following complaints (the process can be either one-sided or symmetric):

• There is pain in the buttock, with irradiation in the thigh. With the retraction of the straight leg back from the tension of the gluteus muscle, the pain intensifies;
• Often there is a phenomenon of pain intensification at a load with pronounced signs of arthritis;
• There is stiffness in various parts of the spine, most often in the mornings and in the lumbar spine;
• There may be pain in the sacrum, especially after a load;
• Facilitates lying on the back with bent at the knees and dilated legs. This posture weakens the pressure on the sacroiliac ligaments.

Other signs of inflammation, such as redness, swelling of soft tissues, local feeling heat with sacroiliitis may be invisible, since this joint is "hidden" away from the surface body. Therefore, pain and impaired function are the backbone of clinical diagnosis.

Diagnostics

In order for the doctor to send the patient to the examination, in addition to the above signs, inflammation should be confirmed with the help of routine laboratory tests. For example, it can be revealed:

• leukocytosis in peripheral blood;
• shift of the leukocyte formula to the left, to young, or even myelocytes;
• increased ESR;
• positive immunodiagnostic data for a specific microorganism (in the case of a specific pathogen);
• damage to distant joints, presence of skin eruptions, dactylitis, damage to nail plates (this occurs with psoriatic arthritis);
• the expressed general reaction of an organism: a fever, an intoxication, a hypostasis of soft fabrics, speaking about a diffused inflammation - a phlegmon in intermuscular spaces of a basin.

The most rapid and informative method of diagnosis, as already mentioned, is the radiography of pelvic bones with a targeted, a large survey of sacroiliac joints in a direct projection with the obligatory capture of two joint cracks on all their length.

Treatment of sacroiliitis - drugs and techniques

The treatment of sacroiliitis is not always directed to the sakroileitis itself, and this is an important point. In the event that it is a marker of autoimmune inflammation, then they treat "all at once according to international schemes.

So, for example, with psoriatic arthritis, the presence of sakroileitis indicates the involvement of axial joints in the autoimmune process, which serves as an indication for the appointment of cytotoxic agents (for example, "Methotrexate") and monoclonal antibodies (for example, "MabThera").

In the case of Bechterew's disease (ankylosing spondylitis), in which sakroileitis is one of the leading symptoms of defeat, specific therapy is also prescribed.

In the event that the patient has signs of sakroileitis on the roentgenogram, he needs urgent consultation of a rheumatologist.

To begin treatment in the form of massages and physiotherapy at the therapist with this disease, or, even more so, declare a narrowing articular fissures on the roentgenogram "sign of osteochondrosis" is illiterate, because the precious time.

Sacroiliitis, whose treatment is started, can lead to disability and the development of ankylosis quite elsewhere.

Forecast

As a rule, with infectious causes and timely treatment of sakroileitis, against the background of immunity, the prognosis is favorable.

If the biomechanics of the joint and muscle fatigue are disturbed, with the development of the aseptic process, the treatment is longer, including both massage, exercise therapy, and physiotherapeutic procedures.

Finally, "rheumatic" sakroileitis - symptoms, treatment, the prognosis of which indicates a lesion of connective tissue - can last for many years. Everything will depend on the activity of the autoimmune process.

A source: http://medknsltant.com/sakroileit-simptomy-lechenie-prognoz/

Methods of diagnosis and treatment of sacroiliitis

Sacroiliitis is an inflammation of the sacroiliac joint. This disease occurs due to infections and injuries. Treatment of sacroiliitis is urgent, because this ailment can lead to the development of severe complications and even disability.

The inflammatory process in the articulation of the sacrum and iliac region can be both an independent pathology and one of the symptoms of other diseases.

To understand how to treat sacroiliitis, you need to understand the causes, forms and symptoms of this disease.

Why does sakroileitis occur?

Most often the inflammation of the sacroiliac joint develops against the background of other pathological conditions. In medicine, it is customary to distinguish between primary and secondary sacroileitis.

Primary sakroileitis occurs due to injuries. Even a minor bruise can sometimes lead to an inflammatory process. Another frequent cause of sakroileitis is excessive physical stress on the joint.

Weight transfer, pregnancy, overweight can trigger inflammation. But a sedentary lifestyle is also not useful for the musculoskeletal system.

Long sedentary work weakens the pelvic bone and leads to pathological processes in the sacrum. As well as primary sacroileitis may occur due to a spinal tumor or infection of an open trauma.

The disease can lead to some pathologies of intrauterine development, for example, congenital dislocation of the hip joint.

Secondary sacroileitis is a symptom of other diseases. The cause of pathology is a malfunction in the immune system, in which the body begins to produce antibodies against the tissues of the joints.

Similar disorders are observed with Bechterew's disease, psoriasis, rheumatoid arthritis, systemic lupus erythematosus.

In such cases, inflammation of the sacroiliac joint is a manifestation of these diseases.

What are the forms of the disease?

Physicians classify sakroileitis according to various signs. Depending on the area of ​​inflammation, the following types of disease are distinguished:

• synovitis (inflammation of the joint membrane);
• osteoarthritis (inflammation of the joint surface);
• Panartritis (extensive inflammation of the entire joint area).

But more often doctors classify sakroileitis by other signs.

Classification by origin of the disease

Sacroiliitis can be of both an infectious and an autoimmune origin. In this regard, the following types of disease are distinguished:

1. Nonspecific infectious form of the disease. This kind of inflammation is accompanied by suppuration. The cause of the pathology is an infected open trauma to the sacrum. If the purulent focus breaks into the joint area, infectious sakroileitis occurs. Another cause of development of purulent inflammation can become osteomyelitis.
2. Specific infectious form of the disease. It occurs with tuberculosis, syphilis, brucellosis. The infection enters the area of ​​the sacrum with blood flow. The defeat of joints with tuberculosis and syphilis usually disappears when treating the underlying disease. Possible development of sacroiliitis in intestinal and genito-urinary infections. This form of the disease is called reactive.
3. Non-infectious (aseptic) autoimmune sakroileitis. It occurs with Bechterew's disease, systemic lupus erythematosus, psoriasis and other diseases associated with the formation of pathological antibodies.
4. Non-infectious (aseptic) sacroileitis due to impaired joint function. It develops due to traumatization or heavy loads on the sacroiliac joint.

Classification by localization of inflammation

Defeat can capture both the entire joint, and its right or left side. Depending on the localization of the inflammatory process, the following types of sacroileitis are distinguished:

• Right-sided sacroiliitis. Most often it develops after trauma and physical stress. This form of the disease often suffers from right-handers, since they have most of the burden on the right leg.
• Left-sided sacroiliitis. The cause of this disease is also traumatization. It is observed in lefties due to a greater load on the left leg.
• Bilateral sakroileit. This form of the disease is observed infrequently and develops in patients with brucellosis or Bekhterev's disease. More common in men under the age of 30.

How is sakroileitis manifested?

In the early stage of sakroileitis, symptoms are usually mild. They can be taken for signs of other pathologies of the spine, because of this, the diagnosis of sakroileitis can cause difficulties for doctors.

At the onset of the disease, the following symptoms may occur:

• Periodically the body temperature rises, there is a general malaise. Usually, patients do not associate such manifestations with joint disease. Fever and general intoxication of the body are especially pronounced in the purulent form of the disease.
• There are pains in the lower back and buttocks, not depending on the position of the body. Some patients mistakenly take this as a sign of radiculitis. However, at the onset of the disease there are no "shooting" pains, as with inflammation of the nerve roots.
• If sacroileitis is caused by autoimmune diseases, the pain may increase at rest.
• In the morning, there is a stiffness in the lower back.
• The gait is broken, especially with the left or right-sided form of the disease. When walking, the patient tries to spare the leg from the side of the lesion.

If you start treatment at the first stage of the disease, you can easily eliminate all unpleasant manifestations.

If you do not start treatment in the early stages, the disease progresses and irreversible changes occur in the joint. In the late stages of sacroileitis the following symptoms are observed:

1. Aching pain grows and becomes more and more intense. It is no longer limited only to the area of ​​the lower back and buttocks, but passes to the hips. Now every movement of the patient is accompanied by painful sensations.
2. Strengthened stiffness in the lower back. It becomes difficult for a person to bend over and lift an object from the floor. The mobility of the spine is severely limited.
3. The bends of the back are smoothed out due to the defeat of the joints of the spine.
4. With further development of the disease, cramps in the extremities and changes in blood pressure are possible.

At the late stage, the manifestations of the disease are noticeable with an external examination of the patient. If you look at the photos of patients with sacroiliitis, you can see a pronounced curvature of the spine.

What are the consequences of sacroileitis?

When the first signs of sakroileitis occur, treatment should be started as early as possible.

The neglected form of the disease leads to dangerous complications. On the nerve roots, the inflammatory process can pass to internal organs.

The consequences in the absence of treatment of sacroiliitis may be as follows:

• violation of the function of the sphincter in the rectum;
• disturbance of kidneys;
• destruction of the tissue of the bone system;
• getting purulent contents from the sacrum into the canal of the spine;
• violation of blood circulation.

How is sakroileitis diagnosed?

Which doctor heals sakroileitis? If you have pain in the lumbosacral area, you should contact a traumatologist-orthopedist or rheumatologist. These specialists are engaged in the treatment of joint diseases. With a purulent form of sakroileitis, a surgeon's consultation may be required.

Diagnosing sakroileitis sometimes causes difficulties. The doctor must separate the sakroileitis from other diseases with similar symptoms.

The pain in the gluteal region can, for example, be observed in diseases of the intestine. Condensating osteitis of the ilium is also accompanied by pain in the lumbar and gluteal region.

To clarify the diagnosis, the following studies are prescribed:

1. Conduct X-ray of the sacroiliac region. This is one of the main ways to diagnose sakroileitis. It is this method that helps to study the condition of the joint and bone tissue. Before the X-ray, the patient is recommended to empty the intestine and not eat food that promotes the formation of gases. It is possible to distinguish the following X-ray signs of sacroiliitis: a change in the size of the joint gap, changes in the contours of the joint, with a purulent form of the disease, enlargement of the joint gap, bone compaction, the presence erosion.
2. The second important diagnostic procedure is MRI. Carrying out a magneto-resonance tomography can reveal the presence of inflammation and edema. This is a more sensitive method of examination than X-rays. MRI can detect even small joint changes.
3. The blood test is prescribed as an additional method of diagnosis. If an increase in the number of leukocytes and ESR is found in the general clinical study, this indicates inflammation. If you suspect an infection, an analysis is made for the presence of antibodies to microbes. If sacroileitis is caused by Bechterew's disease, then a blood test is performed on the B-27 antigen.

As the disease develops, the signs of joint damage increase. Based on the results of the X-ray examination, the following stages of the pathological process are distinguished:

• The first stage. The incision of the joint on the x-ray is not clearly visible, but it is still determined. Symptoms of the disease are weak. The pains are moderate, and the movements are not violated.
• The second stage. The joint gap undergoes further changes, it is unevenly expanded. Sacroiliitis of the 2nd degree is characterized by sclerotic changes in the fibers of the spinal cord.
• The third stage. The narrowing of the joint gap is progressing. Sclerosis of nerve fibers increases, movements in the joint are severely limited. The patient is concerned about constant pain.
• The fourth stage. The joint gap is almost closed. Pain is felt with any movement. Appears ossification and complete immobility of the sacroiliac joint.

Methods of treatment

The treatment of sacroiliitis is a difficult task and takes a lot of time. It is divided into two stages. First, drugs are used to relieve pain and inflammation. Then a long recovery therapy is needed.

Pharmacological methods of treatment

The doctor selects drugs depending on the cause of sacroiliitis. If the inflammation of the joint is caused by another disease, then it is necessary to cure the underlying pathology. In some cases, this leads to the disappearance of signs of sacroileitis.

If the disease runs in a purulent form, then the treatment will be directed to fight infection. For this purpose, antibiotics are prescribed:

1. Vancomycin;
2. Ceftriaxone;
3. Clarithromycin;
4. Streptomycin.

Simultaneously with antibacterial drugs, Enterosgel is used to remove toxic substances from the body.

To relieve pain use non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics:

• Diclofenac;
• Indomethacin;
• Nimesulide;
• Ibuprofen;
• Paracetamol;
• Analgin.

These drugs are first administered as injections, and then the patient is transferred to tablets.

In the early stages, you can do only the prescription of pain medication, this can lead to a significant improvement in the condition.

But if the disease has gone far, then the treatment with hormonal drugs: Dexamethasone or Prednisolone. With very severe pain, injections of anesthetics (Lidocaine, Diprospan) are injected into the joint.

Rehabilitation therapy

After removing the expressed symptoms of sacroiliitis, the patient needs to undergo a rehabilitation course. To this end, the following restoration procedures are prescribed:

1. A therapeutic massage is performed. This is necessary to improve blood circulation and relieve muscular spasm.
2. Patients undergo electrophoretic sessions with hormonal drugs on the area of ​​inflammation.
3. An important part of rehabilitation is therapeutic gymnastics. The course of exercise therapy includes exercises related to the slopes and stretching of the spine. Training of breathing is useful. Gymnastics helps to cope with the morning stiffness in the lower back and promotes the restoration of movements.
4. After the course of rehabilitation, the patient is recommended to have a sanatorium treatment, where rehabilitation measures will be continued under the supervision of the medical staff.

Folk methods

Many patients are interested in the question of how to treat sacroiliitis with folk remedies. You can say that at home, it is impossible to eliminate the cause of the disease.

The use of traditional medicine should be used only as an adjunct to therapy, which was prescribed by the attending physician.

With sacroiliitis, the following home recipes are used:

• To strengthen the bone tissue is useful to take, g crushed eggshell.
• Before meals 2 times a day, drink a solution of mummy.
• On the sacrum area put compresses with sea buckthorn oil. You can use decoction of chicory herb or celandine juice.

Prognosis and prevention of disease

The outcome of the disease largely depends on the cause and form of inflammation. With the infectious form of sakroileitis, the prognosis is usually favorable. After elimination of the focus of infection, all signs of the disease pass.

The function of the joint is completely restored. With autoimmune diseases and degenerative changes in the joint, the prognosis is more serious.

In this case, the possibility of restoring the motor function will depend on the stage of inflammation.

1. In time, treat infectious diseases and injuries.
2. With sedentary work, periodically perform a set of gymnastic exercises.
3. Avoid excessive physical exertion on the spine.
4. In autoimmune diseases, regular and constant intake of immunosuppressive drugs is necessary.
5. With an inclination to joint diseases, the use of chondroprotectors, as well as a diet with a high content of collagen, is useful.

It can be concluded that sakroileitis can be easily treated in the early stages.

Therefore, when there is a feeling of stiffness and pain in the lower back, you should not tolerate this condition and engage in self-medication.

Timely appeal to an orthopedist or rheumatologist will help to maintain the health and mobility of the joint.

A source: https://OrtoCure.ru/kosti-i-sustavy/artrit/lechenie-sakroileita.html

Sakroyileit - what is it? Sacroiliitis: symptoms, causes, treatment

Back pain is a nuisance, and sometimes even a dangerous one. Very often, such discomfort is felt not only by the elderly, but also by rather young people.

With pains at the bottom of the back, sakroileitis can be diagnosed.

What it is? This is the name for the defeat of the sacroiliac joint and the inflammatory processes in it.

The structure of the sacroiliac joint

This joint is the place of connection of the pelvis and the spine of a person. As a consequence, it experiences huge loads, both dynamic and static.

The sacroiliac joint includes the sacrum, iliac, joint capsule and ligaments. It is this structure that provides the necessary strength and some mobility, which plays a significant role in the damping of the tremors that arise when moving.

The posterior and interosseous ligaments additionally reinforce the sacroiliac joint. It is worth noting and another group of ligaments that connect the pelvis with the spine: sacro-tubercular, sacral-awning, ilio-lumbar.

They are not directly related to the joint, but sacroiliitis (what is it, mentioned above) often affects these ligaments.

Types of disease

Depending on the cause of the onset and a number of characteristic features, it is possible to distinguish such types of disease. The first of these is purulent sacroiliitis. Still it is called nonspecific. Distinguish sakroileitis with exacerbations, acute and subacute.

If the infection is directly in the joint, bilateral sakroileitis may develop. This is a rather dangerous condition. A large amount of pus accumulates, which can enter the vertebral canal or other cavities.

The next type of disease is infectious-allergic sakroileitis. What it is? Such an inflammatory process can accompany autoimmune diseases. Specific form of sacroiliitis is secondary for diagnoses such as syphilis, tuberculosis.

Another group combines states that are non-infectious in origin.

Degrees of sacroiliitis

The first stage of the disease is characterized by a mild manifestation of clinical symptoms. The pain is not strong, rarely there are unpleasant sensations in the lower back.

Sometimes, discomfort is felt in the area of ​​the Achilles tendons. In the second stage, the pain passes into the buttocks and thighs. The mobility of the joint is somewhat limited, often a curvature of the lumbar zones is observed.

If the iliac bones and sacrum are significantly limited in movement, radiculitis develops, cramps in muscles are observed, then we can speak about the third stage of the disease.

The main causes of the development of sacroiliitis

Inflammatory process in the joint can occur with a number of factors. The first is heavy loads. This can be observed during pregnancy, wearing heavy objects, sedentary work.

Various bruises and injuries are also capable of provoking the development of the disease. Also, sakroileitis occurs in the presence of infectious diseases (tuberculosis, brucellosis). In this case, he can get a chronic form.

Infection of the joint can cause other groups of bacteria. They can enter the cavity with blood flow, and in the presence of an open wound and a fracture on their surface, microorganisms from the environment accumulate.

Infection is possible from the neighboring affected bones of the sacrum, pelvis. Another reason for the development of sakroileitis is the tumor process.

The clinical picture of the disease is sacroiliitis

Symptoms of this disease are rather multifaceted. However, the first and main of them is a feeling of pain in the lower back. It is worth noting that often unpleasant sensations are observed in the peripheral joints.

If you push into the area of ​​pain localization, it will only increase. Also to the deterioration of the condition leads to a long stay in a standing or sitting position, when crossing and leading the legs. There are often cases when pain gives to the buttocks, hips.

Also sakroileit symptoms can have and such: increased fatigue, insignificant (subfebrile) temperature. There are other signs of the disease. Often the inflammatory process affects neighboring joints and ligaments. Often the eyes are affected.

You can also observe the pathology of the cardiovascular system: breathing is difficult, an arrhythmia is possible. Rare sakroileitis leads to lung damage.

Infectious Joint Affection

The purest sakroileitis has the brightest clinical picture. What is it and what are the main signs? First of all, an active inflammatory process causes acute pain in the joint. It increases with pressure or any movement.

The body temperature rises (to 38 ° C). This is facilitated by bacterial cells that multiply in the area of ​​the sacroiliac joint. You can also observe abscesses in the buttock area.

They appear because of the accumulation of pus, which can pour into the surrounding tissue. Most microorganisms cause also such signs of intoxication as headaches, excessive sweating, aches in joints, chills.

However, tuberculosis (and brucellosis) does not give such a vivid clinical picture: the pain is not expressed, the body temperature rises slightly.

How to diagnose sakroileitis

When the main symptoms occur (pain in the lower back area), it is first of all necessary to consult an orthopedic trauma specialist. After the examination, he appoints a series of tests and sends to the X-ray study.

With its help you can see the compaction of bone tissue, uneven and fuzzy contours of the joint, the presence of erosion, narrowing of the joint gap. Magnetic resonance imaging is often used.

As a rule, leukocytes are increased 2 or more times, the rate of erythrocyte sedimentation also increases (the second and third degree of the disease).

Treatment of sacroiliitis

Therapy of this disease is aimed at eliminating the cause of the onset. If sakroileit provoked by tuberculosis, then the treatment of the underlying disease is performed.

Special antibacterial drugs are prescribed, which affect pathogenic microorganisms. Also with the help of medicines, inflammatory processes and pain syndrome are removed.

To restore the mobility of the joint, physical exercises are extremely useful. A physician can prescribe a therapeutic exercise, a massage course, paraffin therapy, electrophoresis.

In the presence of purulent formations, surgical intervention may be necessary.

Bechterew's disease. Treatment

This disease can affect both the spine and sacroiliac joint. As a rule, it has a chronic course.

Bekhterev's disease is characterized by such symptoms: minor pain in the spine (at an early stage), stiffness of movements after a night's sleep.

As well as sakroileit 2 degrees, the disease over time begins to acquire more pronounced signs: pain in the buttock, thigh, down the leg. Systemic symptoms include increased fatigue, sweating, and inflammation of the iris.

The exact cause of the disease is not established. It is believed that an important role is played by the environmental factor.

Bechterew's disease is referred to autoimmune diseases (that is, the human immune system attacks the tissues of its own organism, which causes their defeat). Diagnosis is carried out using X-ray, laboratory tests, assessment of the patient's condition. Bechterew's disease treatment has the following: taking anti-inflammatory drugs, physical exercises.

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