The Center for the Study of IBD is a research center focused on IBD-oriented research at Massachusetts General Hospital and affiliated institutions. Since its establishment in 1991, CSIBD has advanced the understanding of inflammatory bowel disease through the study of relevant basic biological processes and the directed study of the diseases themselves. Find inflammatory joint disease on Sacroiliac joint disease.
You must enter at least one keyword. The sacroiliac joint is a firm, small joint that lies at the junction of the spine and the pelvis. Most often when we think of joints, we think of knees, hips, and shoulders—joints that are made to undergo motion. The sacroiliac joint does not move much, but it is critical to transferring the load of your upper body to your lower body. The first method of diagnosis is to feel for the joint and see if the sacroiliac area is tender. Certain tests can place pressure across the joint, and may indicate a problem in that region.
One test, called the FABER test, is done by lying down, flexing the hip, abducting the leg, and externally rotating the hip. This maneuver places pressure directly across the sacroiliac joint. If the diagnosis is still unclear, an injection into the SI joint can be diagnostic. If the injection alleviates the symptoms, then the test is positive for the sacroiliac joint as a source of the problem. This test may be performed in conjunction with a cortisone injection for treatment of SI joint problems. Sacroiliac joint inflammation tends to respond well to conservative therapy.
The first step in treatment is to avoid the activities that cause symptoms. For athletes, this may mean avoiding their sport to let the inflammation subside. Second, an anti-inflammatory medication can help to minimize the inflammation. It is important to understand that the anti-inflammatory medication is not given as a pain medicine, but rather to decrease the inflammation.