Treatment
It is especially important to know the individual cause of the complaints in order to initiate a suitable therapy. In most cases, “acute therapy” through physical exercises and physiotherapy, heat treatment as well as the administration of painkillers is a good way to treat the problem. Typical, however, is a recurring problem.
In order to prevent these relapses, the exercises recommended by the doctor or physiotherapist should be carried out regularly and a targeted muscle build-up of the region should be aimed for. In addition to the oral intake of analgesic and anti-inflammatory medications, infiltration therapy can also be used, in which the treating physician injects the medication in liquid form directly into the site of the complaints. This painless treatment loosens the muscles and after the medication has worn off, the patient is pain-free even without treatment. In rare cases, surgery may be necessary to remove loose pieces of cartilage.
Prognosis
The prognosis for pain in ISG is very good in many cases. Thus, with the help of exercises and modern therapy options, pain relief can be successfully achieved. In many cases there is also a spontaneous improvement of the symptoms.
In general, chronic pain of the sacroiliac joint has a much worse course than acute pain, which usually improves within a few days. The cause responsible for the pain also has an influence on the individual prognosis. Pain during pregnancy is not uncommon in ISG and improves at the latest when the hormonal balance normalizes, while pain caused by rheumatic diseases is much more difficult to treat and therefore has a worse prognosis.