Low back ache is a disturbing disease in people of all ages now and sacroiliitis is one cause of inflammatory-type low back ache. It is an inflammation of one or both of the sacro-iliac joints in a person. Sacroiliitis is one of the important symptoms in patients attending infectious diseases and rheumatology clinics. Some patients with sacroiliitis are asymptomatic, and some have unspecific symptoms.
SIGNS AND SYMPTOMS
Pain in the buttocks, lower back, and back of one or both legs
Slight fever
Stiffness in the hips and lower back
Pain in the hips and feet
CAUSES
Espondilitis anquilosante
Osteoartritis
Trauma
Pregnancy
Infection
FISIOPATOLOGÍA
The exact pathophysiology of sacroiliitis is unclear yet. It can start from traumatic event or infection or pregnancy. It comprises of chronic inflammation of SI joints which can lead to fibrosis and ossification within SI joint
DIAGNÓSTICO
Clinical examination
CT
IRM
TREATMENTS
Medicines- Pain relievers, Muscle-relaxants, TNF inhibitors
Electrical simulator implanted into sacrum
Corticosteroid injections into sacroiliac joint
Radiofrequency denervation
Joint fusion
PROGNOSIS
Proper treatment can relieve the pain associated with the condition. Long-term improvement will depend on the cause of the condition. Joint damage and degenerative forms of arthritis will need ongoing treatment to manage symptoms.
COMPLICATIONS
Sacroiliac joint pain may worsen over time. People may have reduced mobility and experience chronic lower back pain.
Disease & Ayurveda
Katigraha
Nidana
Physical
Dry, cold and old food items
Excess travelling & exertion
Trauma/injury
Exposure to wind
Loss of sleep
Psychological
Estrés
Purvaaroopa
Not mentioned
Samprapti
Due to the causative factors, Vaatadosha vitiates and move irregularly all over the body and cause imbalance in circulation & metabolism. Due to either obstruction in the channels or degeneration of body tissues, the movement of Vaata gets in an unbalanced state. This vitiated Vaata gets lodged inside the sacrum and hip joint, causing pain, stiffness and associated problems.
Lakshana
Pain in the low back
Stiffness of the back especially in sacral region
Restricted movements of spine.
- If Saama, loss of appetite, fatigue, swelling and hardness will be there.
- In niraama, only pain and associated symptoms will be present. Appetite and bowel movements will be normal.
Divisions
Saama
Niraama
Pronóstico
Sukhasadya in new and with no restricted movements.
Yaapya in chronic cases
Chikithsa
The ayurvedic treatment depends upon whether the katigraha is saama or niraama. If aama is present, only rooksha therapies are done in the beginning. Application of Vaatahara oils and ghee preparations should wait until the aama is completely cleared and the srotas (channels) are open completely. If the Vaatakopa is due to obstruction, the pain will be relieved once the channels are open and the movement of Vaata is in normal balanced condition.
Samana
In Saama condition
Lepanam with Rookshana dravyas
Soolaharakwathaparisheka
Upanaha
After aamapaachana, Kativasti/Katipichu
Sodhana
Sneha-sweada
Virechana
Asthapanavasti
Anuvasanavasti
Medicamentos de uso común
Maharasnadi kashayam
Guggulutiktakam ghrutam
Dhanwantaram tailam
Marcas disponibles
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Remedios caseros
Over-the-counter pain medications can frequently alleviate the pain.
Take enough rest. Immobilisation is very important in relieving the pain.
Applying ice can help with pain and inflammation.
A hip or low back brace/belt can help immobilisation and support. It should not be tight and should be removed at night.
Dieta
- A evitar
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- Por añadir
Comidas ligeras y alimentos fáciles de digerir
Green gram, soups, sesame oil, ragi.
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Comportamiento:
Protect yourself from cold climate.
Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.
Maintain a regular food and sleep schedule.
Evite aguantar o forzar las ganas de orinar, defecar, toser, estornudar, etc.
Avoid sedentary lifestyle. Be active
posturas de Yoga
In lowback pain, exercises are to be done only under supervision.
Exercises are contraindicated in patients with severe pain and stiffness.
Regular stretching and mild cardio exercises are advised in mild cases. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
El yoga puede mantener la armonía dentro del cuerpo y con el sistema circundante.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only
RESEARCH ARTICLES
doi: 10.19082/2094
A total of 136 patients were evaluated to determine the frequency of sacroiliitis causes. 8.8% had had infectious causes, 88.2% had inflammatory non-infectious causes, and 2.9% had degenerative causes. Based on the results, inflammatory non-infectious causes are placed at the top of the list of sacroiliitis causes, but infectious causes, including brucellosis should always be considered.
Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.
Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.
El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.
A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.
El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com
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