Sacroiliac joint pain (ISG, sacroiliac-iliac joint) is a widespread condition that can have a variety of causes. The sacroiliac joint is a joint that is located in the pelvis and connects the sacrum to the ilium. It connects the pelvis with the lower part of the spine and is therefore essential for a variety of movements.
It is secured by a tight ligamentous apparatus and is therefore relatively stable. Especially when walking and bending, the functionality of the joint is essential for pain-free movement. Sacroiliac joint syndrome or sacroiliac joint blockage is often referred to as ISG-induced pain, which can take on different forms and manifestations.
The diseases are not dangerous and can to a certain extent be well treated. At the time of diagnosis, a herniated disc of the lumbar spine should be excluded as a trigger for the pain. The individual complaints can be very different and can vary in localization, radiation and intensity. The cause of the pain in the sacroiliac joint or even whether an ISG syndrome is present is best assessed by an orthopedic surgeon.
Symptoms
When pain emanates from the sacroiliac joint, it can vary in some ways depending on the cause and severity of the condition. Sacroiliac joint pain can vary in duration, quality, localization, radiance, and intensity. ISG pain typically radiates into the buttocks or groin and into the thigh.
The pain often occurs on one side. The pain is typically alleviated somewhat by movements and exercises, although it tends to become stronger when there is little movement and especially when sitting for long periods of time. Warmth also usually has a pleasant effect. The characteristics of the pain described can give the attending physician an indication as to which cause is responsible for the development of ISG pain and which therapy seems to be individually suitable.
Pain when walking
Since the sacroiliac joint is the essential connection between the pelvis and the spine, it is not surprising that the complaints also occur particularly when walking and running. The pain when walking can occur in the back or hip and radiate to the thigh, buttocks or groin. Typical for pain in ISG, however, is an improvement of pain while walking.
For this reason, pain that mainly occurs during walking and becomes stronger with additional duration of the movement should be looked for another cause if necessary. After a precise description of the pain, the treating physician can in many cases find the cause of the pain with additional modern diagnostic methods and initiate a suitable therapy. If pain occurs while walking, the cause may also be a herniated disc, which is why a visit to a doctor is recommended, especially in cases of very severe pain and additional paralysis of the leg or foot.
