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

Book appointment

Lili

5 days ago

Hace muchos años que comencé a ir por distintas dolencias, y a otro sitio nunca fui. Hay MUY BUENOS PROFESIONALES Y TODOS MUY CERCANOS CON LOS PACIENTES. También en la recepción hay un personal muy amable y resolutivo al momento de tener que sacar citas y aclara alguna duda que pueda tener.

Begotxu

5 days ago

Atención muy cordial y agradable

Oscar Scolaro

5 days ago

"Una experiencia de 10 en la Clínica de Fisioterapia MIVI Fuengirola. Son unos buenos profesionales de los pies a la cabeza, con instalaciones modernas y un trato impecable. Quiero destacar de forma muy especial la atención de Carmen: su trato es sencillamente espectacular, súper empática, cercana y pendiente de cada detalle. Da gusto ponerse en manos de gente así. ¡Recomendadísimo al 100%!"

Matteo Cudicio

2 weeks ago

Estoy encantado con el trato recibido tanto en recepción como por parte del equipo médico. Llevo más de un año acudiendo al centro por una hernia discal y, cada vez que comienza el dolor, sé que puedo contar con ellos. Desde la primera sesión de tratamiento noto una mejoría importante. El otro día acudí al centro con mucho dolor y sin cita previa. Aun así, hicieron todo lo posible por encontrarme un hueco ese mismo día, y lo consiguieron. Además, revisaron personalmente mi cobertura del seguro para que el tratamiento pudiera ser más completo y efectivo, adaptándolo a mis necesidades. Quiero agradecer especialmente su profesionalidad, empatía y dedicación. Sin duda, recomiendo este centro.

Juan Ramon Riquelme

2 weeks ago

Una gran atención y excelente equipo médico. Me asesoraron muy bien y pendientes de mi infiltracion lumbar.

Stig Herbern

3 weeks ago

Very professional and the treatment has helped me to survive the summer. I had one injection in May but due to too much tension it did not work as well and I was offered a new treatment mid July that worked much better. The injection are done at the Kiron hospital in a very professional setting. Both the doctor and the assistant are client oriented and make you feel taken care of.