ISG blockage (sacroiliac joint)The sacroiliac joint is located in the pelvis. If it is restricted in its mobility or blocked, this can hurt. It feels like a one-sided pain in the lower back. Athletes are often affected. But also during pregnancy a blockage in the sacroiliac joint – ISG for short – can occur. ISG blockage is also known as ISG syndrome or sacroiliac blockage.
ISG blockage is often triggered by unaccustomed movements. Bad posture or injury can also be a cause. Diagnosis is usually made with the help of clinical examinations and orthopedic tests. ISG blockage cannot be detected by imaging studies. The complaints can usually be treated well, z.B. by painkillers or physiotherapy.
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What is an ISG blockage? What is an ISG blockage?
The IS joint is located in the pelvis between the sacrum and the ilium. It is also called sacroiliac joint, sacroiliac joint or short: ISG. It is done by bands. Muscles stabilized. Experts suspect that in the case of an ISG blockage, the joint surfaces are tilted or not properly aligned with each other. Others speak of a negative prere phenomenon in the joint.
What causes an ISG blockage? What causes ISG blockage??
Triggers of an ISG blockage are often sudden, intense movements. For example, stepping into a void, lifting heavy loads or twisting movements. This can easily happen during sports. Injuries in the pelvis, differences in leg length or malpositions of the spine can also promote such a blockage. During pregnancy, it can be due to the weight gain. The hormonally induced loosening of the ligaments can also lead to pain in the ISG. Certain diseases of the musculoskeletal system that affect mobility can also lead to a blockage. However, an ISG blockage can also occur for no reason at all.
Causes of an ISG blockage at a glance
– Injuries caused by falling on the buttocks, , z.B. due to a car accident, – injuries caused by sudden and violent movements (lifting, twisting, etc.). ) – incorrect posture, as in the case of z.B. Scoliosis or leg length discrepancy, , – Diseases, z.B. Spondyloarthritis (inflammation of stiffened joints), enthesiopathy (tendon disorder) or osteoarthritis (bone inflammation),
– Operations on the spine, z.B. Stiffening of a vertebral body.
Which symptoms can occur? Which symptoms can occur?
The complaints are described as deep-seated back pain, usually unilateral. The source of pain is over the buttocks, at the lateral pelvis. It is also possible that the pain radiates to the back of the thigh or to the knee. Patients also complain of pain when sitting and climbing stairs.
This is what an ISG blockage feels like:
– One-sided pain,
– deep-seated" back pain,
– something is "stuck" in the pelvis,
– migrating, radiating pain.
How is the diagnosis made?? How the diagnosis is made?
The following examinations are possible:
– Palpation of the sacroiliac joint and surrounding area, as pain is triggered by prere. – Twisting and stretching movements on the legs and hips to provoke a possible pain in the ISG joint.
– grasping the iliac crest with the hands. The doctor places his or her thumbs on both iliac bones above the buttocks. If you now bend forward, the movement of the iliac bones provides information about any blockages or misalignments.
It is not possible to detect a blockage in the IS joint using imaging techniques such as z.B. X-ray or magnetic resonance imaging (MR) to determine. However, to exclude other diseases, the doctor may order such.
Note If pain in the area of the ISG occurs more frequently at a younger age, even or even especially at rest, a rheumatological clarification is necessary.
What is the treatment of an ISG blockage?? How to treat an ISG blockage?
The symptoms of an ISG blockage can usually be treated well. Bed rest should be avoided. Affected persons should remain active. Pain in the ISG during pregnancy usually improves on its own within twelve weeks after birth.
In order to restore mobility in the joint, manual-therapeutic treatments are primarily used. The therapist tries to loosen the blockage by certain hand movements. Strengthening and stretching exercises to strengthen the muscles and stabilize the pelvis and trunk (back and abdomen) can also help. These exercises can be learned during physical therapy. For more information and instructions, see ISG blockage: HIhelpful exercises.
To treat the pain, the doctor may use painkillers, u.a. prescribe with anti-inflammatory drugs of the group of NSAIDs. Heat applications can also help with the pain. The physician can also perform injections into the affected joint. Injecting painkillers or steroids.
Surgery is rarely performed. These are used if the therapy is not successful. Longer existing complaints at the ISG joint considered.
How to prevent an ISG blockage How to prevent an ISG blockage
Special exercises that you can also do on your own at home prevent ISG blockage. It is a question of stretching-. Mobilization exercises. For more information and instructions, see ISG blockage: helpful exercises and the video: Mobilize.
Where can I turn to? Where can I turn to? Specialist for Physical Medicine. General rehabilitation.
How is coverage provided? How to cover the costs?
The e-card is your personal key to the benefits of statutory health insurance. All necessary and appropriate diagnostic and therapeutic measures will be covered by your responsible social insurance carrier. For certain services, a deductible or cost contribution may apply. For detailed information, please contact your social security provider.
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The literature used can be found in the bibliography.
last updated 21.03.2022 Released by Editorial Board Health Portal Last expert review by OA Dr. Raphael Scheuer To the expert pool
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