Where does bilateral sacroiliitis cause pain?

Bilateral sacroiliitis mainly causes pain in the lower back, buttocks and back of the thighs, which may affect walking and daily life in severe cases. This pain is usually related to inflammation and limited joint function. Timely medical treatment and medication, physical therapy and lifestyle adjustments can help relieve symptoms.

1. Pain location of bilateral sacroiliitis

The pain of bilateral sacroiliitis is mainly concentrated around the sacroiliac joints, including the lower back, buttocks and groin areas. The pain may radiate to the back of the thigh, especially after standing, walking or sitting for a long time. Some patients also feel morning stiffness, that is, joint stiffness when getting up in the morning, which is relieved after movement. The nature of the pain is mostly dull or sore, and in severe cases, it may be accompanied by local swelling and tenderness.

2. Causes of pain

The pain of sacroiliitis is mainly caused by inflammation. Inflammation causes the tissues around the joints to swell, compressing the nerves and causing pain. Degeneration of the joint cartilage and bone hyperplasia can also aggravate the symptoms. Genetic factors, immune system abnormalities, long-term poor posture or trauma may induce or aggravate sacroiliitis. Women are also more likely to experience symptoms of sacroiliitis during pregnancy due to hormonal changes and increased pelvic pressure.

3. Treatment methods

Drug therapy is the main means of relieving pain. Nonsteroidal anti-inflammatory drugs such as ibuprofen and diclofenac can effectively reduce inflammation and pain. For patients with more severe symptoms, doctors may recommend glucocorticoid injections or biological agents such as tumor necrosis factor inhibitors. Physical therapy includes hot compresses, ultrasound therapy, and low-frequency electrical stimulation, which can improve local blood circulation and relieve muscle tension. Appropriate exercise such as swimming, yoga, and core muscle training can help enhance joint stability and relieve pain.

4. Lifestyle Adjustment

Avoid staying in the same position for a long time, especially sitting or standing for a long time. Use ergonomic chairs and mattresses to reduce the pressure on the sacroiliac joints. Keep warm and avoid cold, especially in cold seasons. Eat more foods rich in Omega-3 fatty acids, such as deep-sea fish and flax seeds, which can help fight inflammation. Quitting smoking and limiting alcohol consumption, and maintaining good living habits can also play a positive role in controlling the disease.

Although the pain of bilateral sacroiliitis affects the quality of life, most patients can effectively relieve the symptoms through comprehensive treatment and lifestyle adjustments. If the pain continues to worsen or is accompanied by other abnormal symptoms, you should seek medical attention in time for further examination and treatment.