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Definition

By Mayo Clinic staff

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Illustration showing sacroiliac joints 
Sacroiliac joints

Sacroiliitis (say-kroe-il-e-I-tis) is an inflammation of one or both of your sacroiliac joints — the places where your lower spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back, and may even extend down one or both legs. The pain associated with sacroiliitis is often aggravated by prolonged standing or by stair climbing.

Sacroiliitis can be difficult to diagnose, because it may be mistaken for other causes of low back pain. It's been linked to a group of diseases that cause inflammatory arthritis of the spine. Treatment of sacroiliitis may involve a combination of rest, physical therapy and medications.

References
  1. Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-6/0/1678/0.html. Accessed Nov. 20, 2012.
  2. Vora AJ, et al. Functional anatomy and pathophysiology of axial low back pain: Disc, posterior elements, sacroiliac joint and associated pain generators. Physical Medicine & Rehabilitation Clinics of North America. 2010;21:679.
  3. Anderson BC. Evaluation of the adult with hip pain. http://www.uptodate.com/index. Accessed Nov. 20, 2012.
  4. Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed Nov. 20, 2012.
  5. Bope ET, et al. Conn's Current Therapy. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4377-0986-5..C2009-0-38984-9--TOP&isbn=978-1-4377-0986-5&about=true&uniqId=236797353-5. Accessed Nov. 20, 2012.
  6. Yu DT. Clinical manifestations of ankylosing spondylitis in adults. http://www.uptodate.com/index. Accessed Nov. 20, 2012.
  7. Imboden JB, et al. Current Rheumatology Diagnosis & Treatment. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=38. Accessed Nov. 21, 2012.
  8. Wu DT. Assessment and treatment of ankylosing spondylitis in adults. http://www.uptodate.com/index. Accessed Nov. 21, 2012.
DS00726 Jan. 9, 2013

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