Relief for SI Joint Pain


Sacroiliitis (SI) joint pain is an inflammation of the sacroiliac joints, which connect your spine to your pelvis, according to the Mayo Clinic. Similar to lower back pain, common symptoms of SI joint pain include decreased range of motion, limping, fever, psoriasis and back stiffness. Treatment for this condition includes corticosteroids, disease-modifying anti-rheumatic drugs (DMARDs) and tumor necrosis factor inhibitors (TNF).


Corticosteroid injections are used to reduce inflammation and are usually intended for short-term pain relief, as their long-term use can cause serious side effects, including weight gain, bone thinning, infections and easy bruising, according to the Mayo Clinic. These injections are usually administered around the pain area, and relief often lasts for three to four months, according to Anthony B. Carey, author of "The Pain-Free Program."


Sulfasalazine and methotrexate are disease-modifying rheumatic drugs that reduce joint damage caused by SI joint pain, according to the Mayo Clinic. This type of medication is given during the early stages of the disease because it slows down the condition, which can save joints and bones from degeneration. Non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids are often used with the DMARD due to the drug's slow effect on the healing process. The NSAIDs and corticosteroids provide instant relief while the DMARD works its way into the body, according to "The Pain-Free Program."


Tumor-necrosis factor inhibitors block cell proteins such as cytokine from causing pain, stiffness and inflammation, according to the Mayo Clinic. Although they decrease inflammation, swollen joints and stiffness they are usually the last resort due to the high cost, the Mayo Clinic says. TNFs are typically administered if other medications are unsuccessful after three months of use.

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