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    Sacroliitis (Sacroiliac Arthritis), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Sacroliitis (Sacroiliac Arthritis), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Sacroliitis (Sacroiliac Arthritis), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook115 pages1 hour

    Sacroliitis (Sacroiliac Arthritis), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Sacroiliitis is a medical disorder of any inflammation in the sacroiliac joint located where the lower spine and pelvis are connected.
    Sacroiliitis is often found as part of a feature of inflammatory disorders of the spinal column.
    Considered as a group, these disorders are termed a "spondyloarthropathy" and have disorders such as ankylosing spondylitis, psoriatic arthritis, and reactive arthritis, among others.
    Sacroiliitis may also be a disorder of other types of arthritis, such as ulcerative colitis, Crohn’s disease, or osteoarthritis.
    Sacroiliitis can produce pain in the buttocks or lower back, and can radiate down one or both legs
    Prolonged standing or stair climbing can make the pain worse.
    Causes:
    1. Spondyloarthropathy
    This group of inflammatory bone disorders consisting of ankylosing spondylitis, arthritis linked with psoriasis, and other rheumatologic diseases, such as lupus can cause sacroiliitis
    2. Arthritis
    Any wear-and-tear arthritis (osteoarthritis) can occur in sacroiliac joints.
    3. Traumatic injury
    A sudden impact, such as a motor vehicle accident or a fall, can injure the sacroiliac joints.
    4. Pregnancy
    The sacroiliac joints must loosen and stretch to provide room for childbirth.
    5. Infection of the sacroiliac joint
    In rare cases, the sacroiliac joint can become infected.
    a. Osteomyelitis (infection of the bone) can occur in other bones and spread to the sacro-iliac joint
    b. Urinary tract infection due to its proximity to the sacroiliac joint can spread to the joints.
    c. Endocarditis (infection of the heart valves) may also pass an infected blood clot through the blood to the sacroiliac joint
    d. IV drug use or drug addiction
    Symptoms
    Pain and stiffness in the lower back, thighs or buttocks, particularly in the morning or when sitting for a long duration of time
    Pain that worsens with walking because the swinging movement of the hips stretches and strains the sacroiliac joints
    Diagnosis
    The medical history and physical examination are important to arriving at an accurate medical diagnosis and plan of treatment.
    CT and MRI scan may be done to better reveal the adequacy of the spinal canal and surrounding structures.
    CT scan may also have myelography, which requires an x-ray contrast dye injected into the spinal column to show issues such as a bulging disc or bone spur pressing on the spinal cord or nerves.
    If such an anesthetic injection into the sacroiliac joint stops the pain, it is likely that the cause is in the sacroiliac joint.
    Treatment
    Treatment is dependent on the signs and symptoms, and the cause of the sacroiliitis.
    In most patients rest, anti-inflammatory medicine, and physical therapy relieve symptomology.
    Physical therapy should direct on mobilization (exercise and manipulation by the therapist), and stabilization (muscle strengthening).
    Pain relievers
    If over-the-counter pain medicines do not provide adequate relief, the doctor may prescribe stronger types of these drugs.
    Muscle relaxants.
    Medicines such as cyclobenzaprine (Amrix, Fexmid) might help decrease the muscle spasms often linked with sacroiliitis.
    Tumor necrosis factor (TNF) inhibitors
    These medicines block a cell protein (cytokine) that works as an inflammatory agent.
    1. Etanercept (Enbrel),
    2. Infliximab (Remicade),
    Blocking the TNF cytokine may help decrease pain, stiffness and tender or swollen joints.
    They often help alleviate symptoms of sacroiliitis that is also linked with ankylosing spondylitis.
    Disease-modifying anti-rheumatic drugs (DMARDs).
    These medicines are sulfasalazine and methotrexate.
    Sacroiliac joint injections of steroid under fluoroscopic guidance
    Sacroiliac joint fusion surgery and denervation

    TABLE OF CONTENT
    Introduction
    Chapter 1 Sacroiliitis
    Chapter 2 Cause
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    C

    LanguageEnglish
    PublisherKenneth Kee
    Release dateMar 17, 2017
    ISBN9781370546916
    Sacroliitis (Sacroiliac Arthritis), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Sacroliitis (Sacroiliac Arthritis), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Sacroliitis

      (Sacroiliac Arthritis),

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the disease Sacroiliitis (Sacroiliac Arthritis), Diagnosis, Treatments and Related Diseases or in vernacular terms

      (What You Need to treat Sacroiliitis)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from the reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Sacroiliitis (Sacroiliac Arthritis)

      What is Sacroiliitis?

      Sacroiliitis is a medical disorder of any inflammation in the sacroiliac joint located where the lower spine and pelvis are connected.

      Sacroiliitis is often found as part of a feature of inflammatory disorders of the spinal column.

      Considered as a group, these disorders are termed a spondyloarthropathy and have disorders such as ankylosing spondylitis, psoriatic arthritis, and reactive arthritis, among others.

      Sacroiliitis may also be a disorder of other types of arthritis, such as ulcerative colitis, Crohn’s disease, or osteoarthritis.

      Sacroiliitis can produce pain in the buttocks or lower back, and can radiate down one or both legs

      Prolonged standing or stair climbing can make the pain worse.

      Sacroiliitis can be not easy to diagnose, because it can be mis-diagnosed for other causes of low back pain.

      Sacroiliitis is also a term that is occasionally used interchangeably with the term sacroiliac joint dysfunction, as either term can be used to describe pain that stems from the sacroiliac joint (SIJ).

      Sacroiliitis vs. Sacroiliac Joint Dysfunction

      Both sacroiliitis and sacroiliac joint dysfunction have a universal cause of sacroiliac pain, low back pain, and leg pain.

      But there are differences between the two disorders:

      Sacroiliitis.

      In medicine, the term itis indicates inflammation, and sacroiliitis means inflammation of the sacroiliac joint.

      The inflammation may or may not be produced by sacroiliac joint dysfunction.

      Sacroiliac Joint Dysfunction

      This disorder normally indicates pain in the sacroiliac joint region produced by abnormal movement in the sacroiliac joint, either too much movement or too little movement.

      It normally leads to inflammation of the SI joint, or sacroiliitis.

      What are the causes of Sacroiliitis?

      Causes

      Sacroiliitis (inflammation of the SI joint) is often produced by degenerative arthritis, traumatic injury, motor vehicle accident, or blow to the buttock or pelvic region.

      Women are at danger for forming sacroiliitis from childbirth, as the female pelvis must stretch wide enough to permit the child’s head to pass through the birth canal.

      The ligaments around the joint, which attach one bone to another, may become torn or inflamed.

      Tearing of these ligaments can result in too much movement in the joint, producing degenerative changes and chronic pain.

      A wide variety of factors may produce sacroiliitis or predispose one to forming sacroiliitis:

      1. Spondyloarthropathy

      This group of inflammatory bone disorders consisting of ankylosing spondylitis, arthritis linked with psoriasis, and other rheumatologic diseases, such as lupus can cause

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