SIJ: What is the sacroiliac joint and what does it do?

The sacroiliac joint (SIJ) is a joint in the human body that is located between the pelvic bone (ilium) and the sacrum. This joint belongs to the category of amphiarthrosis joints, which means that its mobility is limited.

The sacroiliac joint has two important functions:

Providing stability
The joint plays a crucial role in maintaining the correct position of the pelvis. It also controls the movements between the pelvis and the spine. This stabilization is crucial for the upright posture and balance of the body.

Shock absorption
The sacroiliac joint also acts as a shock absorber. It absorbs shocks and stresses during activities such as walking, running or jumping. The joint distributes these forces evenly across the pelvis and spine to prevent injuries.

Various problems can cause SIJ pain

There are different types of problems that can be associated with the sacroiliac joint (SIJ). They can be accompanied by a wide range of complaints and symptoms. In most cases, there is sometimes severe pain in the lower back, buttocks, hips or legs. The pain is often worse when you stand, walk, bend or turn. Sometimes numbness or tingling can also occur.

The most common SIJ problems and clinical pictures include:

Dysfunction of the sacroiliac joint
In sacroiliac joint dysfunction, the joint does not function as it should, often due to overuse, trauma or misalignment. This can lead to pain, stiffness and limited mobility. This finding occurs quite frequently.

Arthritis of the SI joint
In arthritis, a joint is inflamed. This clinical picture can also affect the sacroiliac joint.

Pregnancy-related SIJ problems
During pregnancy, the connective tissue in a woman’s body loosens to make room for the growing baby. This can lead to the sacroiliac joint becoming unstable. This can be accompanied by pain.

Injuries to the sacroiliac joint
Traumatic injuries such as falls or accidents can affect the sacroiliac joint.

These are often referred to as SIJ syndrome. This term is used as a collective term for the various problems that can affect the sacroiliac joint.

Diagnosis of SIJ pain

Medical history and physical examination
First, we take a careful, detailed medical history. We will ask you about your symptoms, your medical history and possible injuries or traumatic events (such as accidents or falls). We will then carry out a physical examination. We will have you make certain movements, palpate you and carry out tests with you to determine the exact location of the symptoms. By applying pressure to the sacroiliac joint, for example, we can check whether this is already causing pain. This is an indication of SIJ syndrome.

Exclusion of other causes using imaging procedures
As the symptoms of SIJ syndromes can be similar to those of other lower back conditions, it is important to rule out other possible causes. These include, for example, bulging discs, slipped discs or hip problems.

For differential diagnoses, we use imaging techniques such as ultrasound and X-rays. If these are not informative enough, we can use MRI (magnetic resonance imaging) or CT scans. These diagnostic methods can help to detect structural anomalies or changes in the area of the sacroiliac joint.

SIJ pain: treatment options in our practice in Frankfurt

The treatment of sacroiliac joint problems depends on your exact diagnosis and your individual circumstances and needs. In principle, the following treatments are possible at our private practice for orthopaedics and traumatology in Frankfurt:

Drug therapy
For acute and basic treatment, we can prescribe painkillers or anti-inflammatory medication to alleviate your symptoms. In some cases – especially if the muscles surrounding the SI joint are particularly tense – muscle relaxants are also useful. These are medications with special active ingredients that reduce and relieve muscle tension and muscle spasms.

Injections
For severe pain, we can inject local anesthetics and/or anti-inflammatory medication into your SI joint. There are various options for this in spinal therapy (e.g. neural therapy, segmental therapy, infiltrations close to the spine). The aim of the treatment is to relieve your pain and reduce any existing inflammation.

Chiropractic therapy
Chiropractic treatment is a form of manual therapy that we also offer at our practice in Frankfurt. Chiropractic treatment can help with SI joint problems in various ways: Firstly, it can restore the flexibility of your joint and thus improve your mobility. If the sacroiliac joint is displaced or misaligned, we can bring it back into the correct position. This can relieve pain and discomfort. Furthermore, the targeted manual techniques can help to relieve muscle tension around the sacroiliac joint.

Traction treatments
Traction is a method in which we apply controlled traction forces to your spine and the affected joint. Traction treatments can be particularly helpful if compression or misalignment of the sacroiliac joint is causing the symptoms. This can lead to unusual pressure on the joint. We can reduce the pressure through traction. We can also improve mobility if the function of the SIJ is restricted, e.g. due to adhesions. The treatment can also help to relax the muscles around the sacroiliac joint. In many cases, this all helps to improve the symptoms.

Acupuncture
Another option for treating SIJ pain is acupuncture. This is a traditional Chinese healing method in which we insert thin needles into your skin at specific points. Your body then releases endorphins – your body’s own pain-relieving substances. We can also use the needles to help relieve muscle tension. Acupuncture also improves blood circulation, which can further promote healing.

Complementary methods to treat SIJ problems

Physiotherapy
Physiotherapists can support the treatment of SIJ pain. They use targeted manual techniques and show you exercises to strengthen your muscles and improve the mobility of the sacroiliac joint. This can help to stabilize the joint and increase your freedom of movement.

Osteopathy
This holistic medical approach uses special manual techniques to diagnose, treat and prevent functional disorders and imbalances in the body. This concept can also be used to support the treatment of SI joint pain.

Sport or MTT
With a targeted training plan tailored to your symptoms, you can strengthen the muscles surrounding the SI joint and achieve improved stability. Medical training therapy (MTT for short) is also ideal for this.

Treating SIJ pain in Frankfurt

Pain originating from the sacroiliac joint can be very stressful and grueling – especially if it is particularly severe. At our practice in Frankfurt, we carry out a thorough diagnosis to determine the source of your pain and then draw up a treatment plan that is tailored to your individual situation.

We are here for you and won’t leave you alone with your pain! Simply contact us to make an appointment!

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What is a calcareous shoulder?

It is also known as bursitis calcarea: the calcareous shoulder. This is a condition in which calcium deposits consisting of calcium salts form in the tendons of the shoulder.

These deposits can cause pain, restricted movement and inflammation. The pain often comes on suddenly and can be severe. They can get worse when you lift your arm or move it sideways. The limited movement makes it difficult to perform certain daily activities.

The exact cause of calcareous shoulder is not fully understood. However, influences such as repeated micro-injuries to the tendons, circulatory problems, metabolic disorders and degenerative changes in the tissue seem to play a role. Certain repetitive activities or stresses on the shoulder (such as lifting or overhead movements) may also be associated with the disease.

Calcareous shoulder treatment: How we can help you

Treatment for calcareous shoulder can vary depending on the severity of symptoms and individual factors. It can initially be conservative, i.e., non-surgical. In our private practice for orthopedics and traumatology in Frankfurt, we offer the following measures:

Pain medication
We can prescribe anti-inflammatory medications such as non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation. These are usually tablets, but ointments or gels are also available.

Injections
In our practice in Frankfurt, we also offer corticosteroid injections. These help to reduce inflammation and pain in the shoulder. We inject the active ingredients directly into the affected area using a fine needle. This can provide relief, especially in acute cases.

Shock wave therapy
In this non-invasive treatment method, we direct high-energy sound waves at the affected area. This allows us to reduce inflammation in the shoulder and promote healing. You can learn more about this calcareous shoulder treatment option here: Shockwave Therapy Frankfurt

Kinesio taping
Kinesio taping is a method in which we stick special elastic tapes on your skin to support certain muscle groups and promote blood circulation. It should be seen as a complementary measure to conventional treatment. Kinesio taping can help relieve pain, improve mobility, and promote wellness – including calcareous shoulder.

Prescription of physical measures
Targeted exercises and physical therapy can help improve shoulder mobility and strength. In physical therapy, you will learn customized exercises and techniques that can relieve your discomfort and improve shoulder function.

When is surgery necessary to treat calcareous shoulder?

Surgery to treat calcareous shoulder is considered if conservative measures do not provide sufficient relief of your symptoms and the extent of your limitations is particularly pronounced. As a rule, this is done by arthroscopic removal of the calcium deposits (arthroscopy). Open surgery is also possible in some cases.

Typical indications for calcareous shoulder surgery may include:

Severe and persistent pain
If your pain continues to be severe and bothersome despite rest, medication, shock wave therapy and/or kinesio-taping, and physical therapy, surgery may be appropriate.

Impaired function and mobility
If calcareous shoulder significantly limits the mobility of your arm, it may be possible to restore function via surgery.

Size and location of calcium deposits
In some cases, large or awkwardly located calcifications can lead to an increased likelihood of surgery.

Treatment of calcareous shoulder in Frankfurt

You see: If you suffer from calcareous shoulder, this condition is by no means “hopeless”. There are various treatment options that we can use to combat your symptoms. After a thorough examination, we will work with you to create your individual treatment plan.

Simply contact us to make an appointment!

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Cause: Overload

A heel spur is always the result of overloading. It develops when muscles and fasciae are repeatedly exposed to strong tension – be it due to one-sided strain, overweight, foot malpositions, sports or uncomfortable footwear. If this condition persists over a longer period of time, the body tries to relieve the foot and contain inflammatory reactions.

The small tears and inflammation in the tissue caused by the overload are then compensated for by calcification to shorten the tendon. If this overuse occurs at the plantar fascia, it is called a lower plantar calcaneal spur. If the calcification occurs at the attachment of the Achilles tendon, it is called a dorsal heel spur.

Plantar or dorsal heel spur?

Which type of heel spur a patient has can be determined on the one hand by X-rays and on the other hand by applying pressure to the affected area. In the case of a lower calcaneal spur, affected persons primarily experience pain on the sole of the foot directly below the heel. In the case of an upper heel spur, it is more the rear upper area of the heel around the base of the Achilles tendon that reacts painfully to pressure.

First aid for heel spurs

Affected persons wish for one thing above all: to finally be able to move again without restrictions and pain. Particularly in the case of acute pain, those affected should initially refrain from activities that place a strain on the foot and from sports. In the short term, cooling sessions, for example with a cooling pad, can also bring relief. The cold has an analgesic, anti-inflammatory and decongestant effect. Pain-relieving ointments and creams or the administration of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, diclofenac or paracetamol can also help in acute cases. However, medications should not be taken over a longer period of time, as they increase the risk of systemic side effects.

Move freely again: shockwave therapy for heel spurs

If the pain persists, shockwave therapy is recommended. Shockwaves are short, high-energy acoustic waves that are transmitted painlessly by our muscles and fatty tissue. However, when the focused waves hit the bony outgrowth, it is “shattered.”

Shockwaves activate self-healing process

At the same time, the body’s own self-healing powers are activated. This is because the stimulated, stronger blood circulation also improves the metabolic activity in the tissue. As a result, calcium particles and inflammatory substances are transported away more quickly and the healing process is promoted. As a rule, complaints improve significantly after just three to five sessions. This procedure has a particularly positive effect on pain-free walking time and pressure pain.

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