subject: Buttock Pain And Sacroiliitis: Causes, Finding Treatment Possibilities And Medications [print this page] The sacroiliac joints are part of your spinal column. They connect your lower spine to your pelvis. When there's inflammation in these joints, it causes a condition known as sacroiliitis, which results in buttock pain and lower back pain.
Sacroiliitis can be hard to diagnose. It can easily be mistaken for a strained muscle, herniated disc or sciatica. A disease called spondyloarthropathies is also similar. Spondyloarthropathies causes inflammatory arthritis in the spine.
Someone with sacroiliitis is likely to experience buttock pain, back stiffness,and possibly pain in the thighs. Even small movements can cause discomfort in the buttock area, lower back and sometimes, even the thighs.
Sacroiliitis makes it painful for you to walk because strain is being put on your sacroiliac joints. You'll probably find yourself limping.
There are a number of possible causes for sacroiliitis. Often, it results from an accident or incident that injures the spine, pelvis, buttocks or lower back. Pregnancy and certain kinds of infections are also causes of sacroiliitis. As mentioned above, arthritis associated with spondyloarthropathies can be another cause.
If you have sacroiliitis, your doctor will discuss several possible treatment options with you. The most appropriate option usually depends on the severity of your case.
Resting is always a good idea. It not only allows your body time to heal, but it reduces any chance of aggravating your condition.
Exercises may help reduce pain while increasing your range of motion.
Several kinds of medications are generally prescribed for sacroiliitis treatment. Typically, these medications include NSAIDs, DMARDs corticosteroids, and TNF inhibitors.
Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs) to bring down the swelling and inflammation. NSAIDs are safe, but they occasiomally cause side effects, so they should be used with caution. Side effects include stomach bleeding, indigestion, high blood pressure and kidney and liver damage. Stroke and heart attack can also be a side effect in some individuals, so NSAIDs should only be taken only when recommended by your doctor.
Two common NSAIDs used for treating sacroiliitis are naproxen and indomethacin.
DMARDs are another type of medication used for treating sacroiliitis. DMARD stands for disease modifying antirheumatic drugs. They work to limit joint damage. They work best when used in the early stages because they slow down the disease and help prevent permanent joint damage.
Corticosteroids are effective in reducing pain and limiting inflammation. They also slow down damage to the joints. But if you use them for an extended period of time, there may be side effects.
Lastly, there are TNF inhibitors. These reduce stiffness, swelling and pain by blocking a cell protein that can cause inflammation.
Unfortunately, these medications can cost a lot of money, so theyre usually used only as a last resort.
However, sometimes buttock pain and back pain caused by sacroiliitis can be so severe that patients will pay the expense.
Many people who endure aches and pains as they get older simply assume such pains are a natural part of getting older. This can be a dangerous assumption. Anyone suffering any type of back pain or buttock pain, especially sacroiliitis should see their health care provider for a diagnosis.
As is the case with so many other disorders, sacroiliitis is easier to treat in the beginning before permanent joint damage occurs.
by: Neal Kennedy
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