Causes and risk factors
Causes for Sacrolitis can be a sudden traumatic injury to the hip bone, arthritis of the joint, pregnancy, infection of the bone. Sacrolitis is a feature of spondyloarthropathies like ankylosing spondylitis, psoriatic arthritis. It is also seen in arthritis related to inflammatory bowel disease like crohn’s disease and ulcerative colitis. It also presents in arthritis due to brucellosis.
Clinical presentation
The pain of Sacrolitis consists of pain in lower back and buttocks. Pain may extend down to groin, legs and feet. The pain is aggravated by prolonged standing, weight bearing on one leg, running, walking, climbing stairs. Pain gets worse on changing the side or rolling in bed. Certain postures like squatting, sitting crossed legs increases the pain. Stiffness around hip and low back is commonly seen.
Investigation
Medical history by the patient and Clinical examination by the doctor helps in diagnosis. Imaging studies such as X ray of pelvis, MRI scan may be useful for further evaluation. Routine blood test to rule out other infections is recommended
Treatment
Treatment involves medications like analgesics, NSAIDs. Corticosteroids injection may be helpful. Surgical treatments such as radiofrequency denervation, electrical stimulation, and joint fusion will also help in managing sacrolitis. Physiotherapy exercises contribute further to the treatment.
Other Modes of treatment
The other modes of treatment can also be effective in treating sacrolitis. Homoeopathy is a science which deals with individualization considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly the ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating sacrolitis.
