Sacroiliac Dysfunction and Piriformis Syndrome

The sacroiliac joint is the joint between the pelvis (ilium) and the sacrum, the last part of the spine. It has two symmetrically and works in harmony with each other. It is one of the main joints that transfers the load of our body from top to bottom. If the harmony between the two symmetrical sides is disturbed and if one moves less than the other, the load transfer will also be impaired, so dysfunction, that is, dysfunction occurs. As a result, many problems begin to appear that are thought to be unrelated. Headache, low back pain, fatigue, leg pain, and sometimes unexplained numbness can be caused by sacroiliac joint dysfunction. Dysfunction is more common in people who work in an ergonomically poor position, always sit in the same way, or who are anatomically predisposed.
The piriformis muscle, on the other hand, is a muscle that lies between the sacrum (the lowest part of the spine) and the hip bone (femur) and allows the thigh to turn inward. The sciatic nerve passes through this eyebrow. In cases where this muscle contracts excessively and goes into spasm, complaints similar to herniated disc may occur due to the compression of the sciatic nerve in it. Pain in the hip region and numbness in the leg are the most common findings. Piriformis Syndrome is usually seen in people who spend most of their time sitting, do not do sports, and have a high stress load.
For Sacroiliac Dysfunction and its associated Priformis Syndrome, it is important to first consider the physician and the diagnosis is made by physical examination. X-ray, MRI, EMG are mostly done to rule out other possibilities.
In the treatment, it is obligatory to regulate and change the general posture habits and to make exercise programs. In the next stage, physical therapy methods, injections, psychological help, dry needle acupuncture, drug treatments can be used. In these diseases, which can sometimes be confused with rheumatism, it is very important to be disciplined and stick to the treatment. It can cause years of pain and may require unnecessary treatments.

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