HomeAnswersInternal MedicinesacroiliitisShould I get an MRI to rule out sacroiliitis?

Can an MRI be used to confirm sacroiliitis?


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Published At March 11, 2024
Reviewed AtMarch 11, 2024

Patient's Query

Hello doctor,

I am 26 years old. Back pain has been bothering me for almost a year, while hip pain has been bothering me for approximately three years. I spent 20 minutes cleaning the boat a few days ago and ended up in bed for two days with a hurting back. My hip pain makes it difficult for me to perform everyday tasks, affecting my quality of life. My quality of life is awful. I am experiencing horrible thoughts as I am 26 and do not wish to be locked in this cycle of being assured that it is not bad and then being left incapable as a result for the rest of my life. It is bothering me, and they are refusing to let me have an MRI. I also suffer from spondylolisthesis. When I had my most recent CAT scan, the radiologist suggested an MRI since I might have sacroiliitis. Kindly suggest to me if I should take an MRI.

Kindly help.


Welcome to icliniq.com.

Based on your description, you might be suffering from sacroiliitis, which is inflammation of the sacroiliac joint, which connects the spine and pelvis. This disease may be related to spondylolisthesis, a condition in which one vertebra slips forward over the one below it and can cause discomfort and stiffness in the lower back and hip region. An MRI may offer comprehensive pictures of the body's soft tissues, including joints and discs, which can assist in confirming the diagnosis of sacroiliitis and determine the severity of any associated diseases.

In terms of your job, you must communicate openly and honestly with your boss about your health issues and restrictions. They may be able to make concessions or changes to your employment obligations to better meet your requirements. Working collaboratively with your healthcare physician to build a complete treatment plan that includes all elements of your health, including pain management, physical therapy, and lifestyle changes, is necessary.

Remember that seeking help for mental health concerns is also important, as struggling with negative thoughts and feelings can have a significant impact on overall well-being. Your healthcare provider can provide resources and referrals for mental health support as needed.

Treatment for sacroiliitis and spondylolisthesis may involve a combination of medications, physical therapy, and lifestyle modifications. Here are some common treatment options:

Nonsteroidal anti-inflammatory drugs (NSAIDs): These medications can help to reduce inflammation and pain associated with sacroiliitis and spondylolisthesis. Common NSAIDs include Ibuprofen, Naproxen, and Celecoxib.

    1. Corticosteroids: In severe cases, corticosteroids may be used to reduce inflammation and pain. These medications can be taken orally or injected directly into the affected area. Kindly consult a specialist, talk to them, and take medications with their consent.

    2. Physical therapy: Exercises and stretches can help to strengthen the muscles around the affected joints, improve flexibility, and reduce pain. Your healthcare provider or physical therapist can provide specific recommendations based on your individual case history.

    3. Chiropractic care: Chiropractors can provide manual manipulation of the spine and joints to help relieve pain and improve mobility. This type of care may be particularly helpful for individuals with spondylolisthesis.

    4. Surgery: In severe cases, surgery may be necessary to correct spondylolisthesis or address other related conditions. This is typically a last resort option, as surgery carries risks and potential complications.

    5. Lifestyle modifications: Making lifestyle changes such as maintaining a healthy weight, quitting smoking, and engaging in regular exercise can help to reduce the risk of developing sacroiliitis and spondylolisthesis, as well as manage symptoms if they do occur.

It is essential to work closely with your healthcare provider to develop a personalized treatment plan that addresses all aspects of your health and meets your individual needs and goals. They can provide guidance on which treatments are most appropriate for your specific case history and symptoms.

I hope this helps. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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