Sacral Iliac Pain

What is

The sacroiliac joint is the joint that joins the sacrum, the final bone of the spine in the form of a triangle, with the pelvis, the rest of the hip. This joint is responsible for allowing the transmission of forces from the lumbar spine to the hips and from there to the rest of the legs to the feet. Its function is essential to allow us to perform daily gestures such as getting up, walking, climbing stairs or running. Its pain can radiate to the gluteal region, end of the spine and back of the thigh.

Causes

This pain does not usually manifest itself on its own, but arises as a consequence of particular anatomical situations that lead to an overload of the joint:

Pregnancy and childbirth
Overloading after spinal surgery
Overloading due to disc and joint involvement in the lumbar region.
Scoliosis

Symptoms

This pain is located at the end of the lumbar spine, a little on the sides of the region at the end of the spine where it articulates with the pelvis. The pain worsens when sitting, squatting or going from standing to sitting.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential for a comprehensive, personalized approach, focused on achieving a prolonged relief of pain depending on the phase in which it is found.

Complementary tests

MRI and CT.

Treatment

Interventional medical treatment: the treatments are aimed at de-inflaming the joint and treating the nerves that pick up the sensitivity of the area, for this purpose the following options are available:

- Sacroiliac joint blockage
- Radiofrequency of the innervation of the sacroiliac joint.
- Regenerative medicine treatments
  - Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
  - Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
  - Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.
Maintenance: after the treatment, the patient will be able to resume his usual activities, achieving a situation of less pain that will allow him to recover his muscle tone and improve his quality of life.

Here begins your life without pain

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Angeles Serrano Redondo

Response from the owner:Gracias Ángeles por las 5 estrellas. En MIVI Salud estamos para ayudar a nuestros pacientes de la mejor forma posible. Un saludo!

Paula Aleixandre

Tengo fibromialgia y he tenido dolores insoportables durante años. Nunca me han dado una solución hasta llegar aquí. He vuelto a vivir y a hacer cosas que ya no podía como disfrutar con mis peques en un parque acuático. Mil gracias

Response from the owner:Paula, gracias por su comentario y por confiar en MIVI Salud.
Esperamos seguir siendo su primera opción a la hora de cuidarse. Saludos

Free Espinosa

Response from the owner:Muchas gracias por tu valoración Free!
Saludos

Francisco Acosta

Response from the owner:Gracias por tu valoración de 5 estrellas Francisco!
Saludos

Carmen Peña

Gracias Erika por tu profesionalidad y el cariño con el que más atendido.

Response from the owner:Muchas gracias Carmen ! Nos alegra saber que su experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro, siempres que nos necesite. Saludos

Francisco Javier Trigo Hunt

Andrea me ha tratado estupendamente. Es una pedazo de profesional. La recomendaría 100%.

Carmen Garcia Gomez

Todo maravilloso especialmente el doctor Santiago muy amable y gran profesional así como a las enfermeras,todo del 10 GRACIAS...

Response from the owner:Muchas gracias Carmen!, encantados de poder atenderte. Un saludo

Bruce Grindley

Recientemente me sometí a un procedimiento para aliviar un dolor considerable en mi espalda, después de caerme por un tramo de escaleras y dañarme la columna en tres lugares. Este procedimiento lo realizó el Dr. Santiago con la asistencia de Patricia Rodríguez Mederos de Mivi Salud Tenerife, en un quirófano del Hospital Quirón de Adeje, Tenerife, lo que me resultó mucho más cómodo que tener que subir a Sta Cruz. .

Desde que llegué fui muy bien atendido, primero por Atanay quien me preparó para el procedimiento y por Erika quien asistió al Dr. Santiago y Patricia en el quirófano. Me ofrecieron un gotero para ponerme en el brazo, con un sedante para mantenerme relajado, ya que el procedimiento se iba a realizar con anestesia local, en lugar de ponerme a dormir.

Sin embargo, rechacé el sedante porque las sonrisas de bienvenida y las garantías de todos los involucrados me tranquilizaron y no tenía ninguna preocupación. Realmente hace una gran diferencia ser tratado por estas personas tan profesionales, que me mantuvieron tranquila y relajada durante todo el tiempo que estuve allí.

Realmente no puedo elogiarlos lo suficiente y la buena noticia es que lo que hicieron fue muy exitoso y mi dolor de espalda se ha reducido considerablemente.

I recently underwent a procedure to relieve substantial pain in my back, after falling down a flight of stairs and damaging my spine in three places. This procedure was carried out by Dr Santiago with the assistance of Patricia Rodriguez Mederos of Mivi Salud Tenerife, in an operating room in the Quiron Hospital in Adeje, Tenerife, which was much more convenient for me, rather than having to go up to Sta Cruz.

From the moment I arrived, I was very well taken care of, firstly by Atanay, who prepared me for the procedure and by Erika who assisted Dr Santiago and Patricia in the operating room. I was offered a drip to be put in my arm, with a sedative to keep me relaxed, as the procedure was to be done using a local anaesthetic, rather than putting me to sleep.

However, I declined to have the sedative because the welcoming smiles and assurances from all concerned put me perfectly at ease, and I had no concerns whatsoever. It really makes a huge difference when being treated by these very professional people, who kept me calm and relaxed throughout the whole time I was there.

I really cannot praise them enough, and the good news is that what they did was very successful, and my back pain has been greatly reduced.

Response from the owner:Thank you Bruce for the 5 stars and for trusting our services and Dr. Santiago and his team. At MIVI Salud, we're here to help our patients in the best way possible. Best regards.