Causes
The causes of ISG pain can be very different. In addition to a wear and tear of the joint, arthrosis, there can be inflammation, muscle stiffening, joint blockages or weakness of the ligamentous apparatus. Arthrosis of the ISG is very common, especially at an advanced age, but does not usually cause pain.
Nevertheless, it is possible that arthrosis of the joint is responsible for the occurrence of the symptoms. Frequently, a blockage of the joint is responsible for the symptoms. This results in a restriction of movement in the joint.
This can be caused by unfavorable movement patterns but also by free cartilage pieces or signs of wear and tear of the joint. A blockage is often caused by acute stress on the joint. The hormone level changes during pregnancy cause the ligamentous apparatus to loosen, which otherwise ensures the necessary stability of the joints.
ISG Pain during pregnancy is therefore a common complaint, which can be temporarily improved by muscle building training. After pregnancy, the symptoms should improve with a normalization of the hormone balance. Inflammations in ISG can occur in different ways.
For example, inflammatory rheumatic diseases such as ankylosing spondylitis can cause such inflammation in the joint. Reactive arthritis can also cause inflammation of the sacroiliac joint as a secondary result of infection with certain pathogens. In this case, structures of the joint are attacked by the immune system although there is no primary infection of the joint, it is an autoimmune disease. Please also try our self-test for ISG Blockade.
Gut
Since pain in the sacroiliac joint can be caused by a number of different factors, the treating physician should perform a comprehensive diagnosis. In addition to the necessary expertise, orthopedic surgeons usually have access to the necessary medical imaging equipment. Initially, the focus is on a comprehensive anamnesis.
During this conversation, the pain should be described in all its qualities. Especially important for the treating physician is the radiation as well as the exact localization of the pain. This is followed by a physical examination.
By palpating the affected region and carrying out certain movement tests, the examining physician can assess which structures trigger the pain. It is also important to find out whether sensitivity is restricted in certain areas and whether paralysis occurs. In some cases, imaging diagnostics must follow in order to determine the individual cause of the pain.
In most cases, magnetic resonance imaging is used to assess not only bony structures but also ligaments, cartilage and nerves. Especially if autoimmune diseases or other systemic diseases are possible causes, it may also be necessary to examine different blood values. An increase in inflammation values, in particular, can provide an indication of the cause of the disease.
