How is sacroiliitis treated?

Most people with sacroiliitis benefit from physical therapy. This treatment helps strengthen and stabilize the muscles surrounding your sacroiliac joints. Physical therapy also makes it easier for you to move your sacroiliac joints through full range of motion.

In some cases, doctors prescribe medications like NSAIDs (Advil®) to help manage pain in the early stages of sacroiliitis. In some cases, doctors inject steroids into your sacroiliac joints to help decrease inflammation and pain. Radiofrequency ablation is considered only if pain relief is temporarily achieved after sacroiliac joint injection. This procedure uses radio waves to heat a small area of nerve tissue to stop it from sending pain signals, thereby reducing pain.

What complications are associated with sacroiliitis?

Left untreated, sacroiliitis causes a loss of mobility for some people. Untreated pain also can disrupt your sleep and lead to psychological conditions like depression.

Sacroiliitis associated with ankylosing spondylitis can progress over time. Over time, this type of arthritis causes the vertebrae (bones) in your spine to fuse together and stiffen.

Last reviewed by a Cleveland Clinic medical professional on 03/13/2018.


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