Sacroiliitis

　　Sacroiliitis can be divided into primary sacroiliitis and secondary sacroiliitis. The joint cartilage cells of primary sacroiliitis are hypolactic, the soft tissue support of the hip muscles is weakened, and the cartilage shows degenerative changes. It is often affected by factors such as age, physique, and heredity. The older the age, the more accumulated injuries, and the content of mucopolysaccharides in the articular cartilage matrix of the elderly decreases, the fiber components increase, the toughness of the cartilage decreases, and it is therefore prone to injury and produce degenerative changes. People with obesity have a higher incidence. However, secondary sacroiliitis can be divided into the following points. Because it has many underlying diseases, the following are common ones.

　　1. Hip dysplasia

　　This can produce biomechanical imbalance, reduce the range of load-bearing area, increase the pressure on the articular cartilage in the load-bearing area, leading to cartilage wear and osteoarthritis.

　　2. Flat hip, slipped capital femoral epiphysis

　　The uneven articular surface and mechanical wear can cause osteoarthritis.

　　3. Certain diseases of the hip joint damage the articular cartilage

　　Such as suppurative hip arthritis, hip joint tuberculosis, hemophilia, neurogenic hip joint disease, etc.

　　4. Iatrogenic factors

　　Such as long-term use of corticosteroids, causing cartilage lesions, etc.

　　5. Femoral head lesions

　　Ischemic necrosis of the femoral head.

　　6. Hip joint trauma

　　Such as dislocation and improper treatment of femoral neck fracture.

　　7. Hip joint crystalline lesions

　　Such as pyrophosphate arthritis and gouty arthritis, etc.

　　8. Endocrine abnormalities and metabolic disorders

　　Such as diabetes, acromegaly, melasma, etc.

　　If sacroiliitis is not treated in a timely manner, it may develop into complete joint stiffness, periostitis, causing inconvenience in movement, pain in the lumbar and leg on the affected side. However, the probability of this after treatment is very low.

　　Sacroiliitis is a branch of osteoarthritis within arthritis. Most sacroiliitis is not a single disease but is caused by other diseases. The common symptoms of this disease are generally as follows:

　　The first point is pain

　　Pain is the main symptom of the disease and also the main cause of dysfunction. The characteristics are hidden onset, persistent dull pain, mostly occurring after activity and can be relieved by rest. With the progression of the disease, joint movement may be limited due to pain, and even pain may occur during rest. When sleeping, due to muscle damage around the joint, the protective function of the joint is reduced, and the activities that cause pain cannot be restricted like during wakefulness, and the patient may wake up in pain.

　　The second point is morning stiffness and adhesiveness

　　Morning stiffness indicates the presence of synovitis. However, it is different from rheumatoid arthritis, and the duration is relatively short, usually not exceeding 30 minutes. Adhesiveness refers to the feeling of stiffness when the joint is stationary for a period of time and begins to move, as if it is stuck, which can be relieved by slight movement. The above situations are more common in the elderly and lower limb joints.

　　The third point is other symptoms

　　With the progression of the disease, joint contracture, instability, rest pain, and increased pain when bearing weight may occur. Due to poor fit of the joint surface, muscle spasm and contraction, joint capsule contraction, and bone spurs, mechanical locking may occur, leading to dysfunction.

　　Control your own dietary structure, avoid excessive intake of acidic substances, and exacerbate acidic constitution. The acid-base balance of diet is an important link in the treatment of arthritis and the prevention and treatment of complications.

　　In terms of diet, eat more foods rich in plant organic active bases and less meat, more vegetables. Jiaomaigu is rich in plant organic active bases, which can quickly expel acidic substances in the body, achieve acid-base balance in body fluids, and thereby prevent and maintain arthritis.

　　It is necessary to engage in outdoor sports frequently, do more exercises and sweat in the sun, which can help to expel excess acidic substances in the body, thereby preventing the occurrence of arthritis.

　　Maintain a good mood, do not have excessive psychological stress, as excessive stress can lead to the deposition of acidic substances, affecting the normal progression of metabolism. Appropriate adjustment of mood and self-pressure can maintain a weak alkaline physique, thereby preventing the occurrence of arthritis.

　　Supplement the components of joint cartilage. The human joint cartilage will no longer grow after the age of 20 and will wear out year by year. Supplementing pure natural shark cartilage powder can restore the joint, which has been medically verified.

　　The sacroiliac joint is formed by the articular surfaces of the sacrum and ilium facing each other, and it belongs to a micro-motion joint. For patients with sacroiliac joint inflammation, the following examinations are generally adopted:

　　1. X-ray examination

　　For X-ray examination of the sacroiliac joint, only the pelvic X-ray film containing the hip joint needs to be taken. Anteroposterior X-ray films are an important method for judging the degree of sacroiliac joint lesions in SpA.

　　2. CT examination

　　Currently, there is no consensus on the timing of CT examination, and there is no CT standard for diagnosing spondylitis ankylosing (SpA), and it may also not have a similar standard in the future, because CT examination of SpA is usually more harmful than beneficial. Some scholars have used a scoring method similar to that of X-ray films in their research, but currently there is no multi-center study to verify the reliability of the CT scoring system. Sometimes CT examination can reveal obvious sacroiliac joint changes.

　　3. Sacroiliac joint MRI examination

　　Many early X-ray films of SpA are negative, only MRI can show positive results.

　　For patients with sacroiliac arthritis, diet is particularly important. First of all, the diet should be selected according to the specific condition of the patient. In general, the diet of patients should include high-protein, high-calorie, and easily digestible foods, and eat less spicy and刺激性 foods as well as cold and greasy foods.

　　Secondly, diet should not be one-sided, and a correct attitude should be taken towards the issues of medicine and food supplement. Fruits, vegetables, fish, chicken, and ducks all have nutrition, and should not be偏食.

　　Sacroiliac arthritis is a branch of osteoarthritis in arthritis. Generally, this disease does not occur alone, but is secondary to other diseases. Then, how should we treat this disease? The following will introduce the common treatment methods for this disease.

　　The first is the drug method

　　When there is pain, you can use aspirin, indomethacin, ibuprofen, and other analgesics. Do not use them for a long time to avoid dependence or reduce efficacy. If it is a local pressure point, you can use 1ml of triamcinolone acetonide or hydrocortisone acetate, add 5-10ml of 1% procaine, and inject it into the pain point, once every 5-7 days, and 3-4 times as a course. There are also traditional Chinese medicine, it is recommended not to choose surgery arbitrarily.

　　The second is physical therapy

　　Therapeutic heat, hydrotherapy, infrared rays, ultra-short waves, electrical stimulation, etc., can enhance local blood circulation, relieve muscle tension, and alleviate pain and other symptoms. The traction therapy is effective for patients with cervical spondylosis and nerve root type, which can relax muscles, relieve pain, and prevent the formation of adhesions between adjacent tissues of nerve roots, but it must be carried out under the guidance of a specialist doctor.

　　The third is the physical exercise method of sports life

　　Prevent excessive movement and bearing of joints, and avoid mechanical joint injuries. In severe cases, immobilization or plaster casting should be used to prevent deformity. Reduce weight, use handles or canes to reduce the load on affected joints. For those related to occupation, a job change should be considered. Exercise related muscle groups can maintain and improve joint movement, try to move joints as much as possible, and maintain joint flexibility.