What is Sacroiliac Joint Pain?
The sacroiliac joint is in the low back where the spine meets the pelvis. Sacroiliac joint pain is discomfort in this area. This pain is a symptom that may come from a number of conditions or diseases. As with most other joints in the body, the SI joints have a cartilage layer covering the bone. The cartilage allows for some movement and acts as a shock absorber between the bones. When this cartilage is damaged or worn away, the bones begin to rub on each other, and degenerative arthritis (osteoarthritis) occurs. This is the most common cause of SI joint dysfunction. Degenerative arthritis occurs commonly in the SI joints, just like other weight-bearing joints of the body.
This affects children under the age of 3 and has a whole range of causes. It could be due to an abnormally developed back bone at birth. It can also develop as a result of other serious congenital or neurodegenerative disorders (cerebral palsy, tethered spinal cord, myelomeningoceles, etc.).
Juvenile or Adolescent Scoliosis
This occurs in the 3 to 10 year age group. Since this coincides with a period of rapid growth in the life of an individual, Juvenile Scoliosis tends to advance rapidly. It may slow down as growth slows. However, given the delicate state of the child’s body, surgery might not be possible at this age.
Adolescent Idiopathic Scoliosis
The most common form of scoliosis occurs in patients in the age group of 10 to 17 years. As the word ‘idiopathic’ implies, there is (thus far) no identifiable cause for it. Adolescent Idiopathic Scoliosis has a broad variety of symptoms and affects patients with varying degrees of severity. It tends to occur in the thoracic spine (above lower back and below the level of the neck) and is not usually painful except in some extreme cases.
Adult Degenerative Scoliosis
This is a form of scoliosis which seems to be on the rise. It occurs in adults with the onset of degenerative arthritis in the lumbar spine. It is not a relapse of any kind since these are patients who never had scoliosis as children. As time progresses, it becomes worse with pain and compression of the nerve(s) from spinal stenosis.
Parents should watch out for warning signs – a little hump on the back or rib, hair along the spine or perhaps a foot problem. A school screening program has been able to detect most of these problems early. Some of the symptoms are: