How to diagnose, and treat sacroiliac joint inflammation?

basically by medical history and physical examination

Differentiate from other diseases (ankylosing spondylitis,et) by lab work1-NSAD+cold packs over the affected sacroiliac joint.2-exercise for the lower spine(strengthening).3-ultrasound4-avoid sid setting over the affected sacroiliac and leftting heavy objects.5-final you my need to go for intraarticular Inj.

do faber test or fiqure of four test you can find out sacro iliac joint strain.....

Faber Test,  Blood test , MRI

Acute: analgesia, rest and cut activities  then Physio when less painful

Chronic: analgesia and physio, then Injection if not improvemet

Anamnesis, physical exploration, radiographic image of the pelvis, direct infiltration with local anaesthetic and Cortisone as treatment option and diagnostic tool. If the diagnosis of acute sacro-iliac joint inflammation is confirmed further treatment options would be ice, NSAID, physiotherapy, osteopathy. If in doubt blood test, MRI scan and even bone scan might help to calrify the underlying cause.

Diagnosis:History: 

• pain with prolonged standing
• generalized low back pain
• difficulty climbing stairs

Examination:

• Compression test
• Gaenlsen test
• Thigh thrust test
• FABER test: Flexion, abduction and external rotation of the hip

- Tests are considered positive if they reproduces the same pain on the same side

- Compression and thigh thrust tests are the most specific and sensitive combination

 

Investigations:

- Xray may show some calcifications at the SI joint or associated Ankylosing spondylitis

- MRI with gadolinium to detect inflammation of SI joint

 

Treatment:

- Depends on the cause but mostly: rest, activity modification, NSAIDS, corticosteroid injections in the SI joint

 

history/physical exam .pelvic compression /distraction tests/ xrays. ct .mri. finally if still not clear .intraarticular local anaesthetiv injection under image control

w/s fomentation , tab diclofenc with serratiopeptidase and do some ultrasonic therapy