Sleeping position si joint pain



by Nathan Wei, MD, FACP, FACR

Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.

Click here: Second Opinion Arthritis Treatment Kit




The sacroiliac joints are the joints where the sacrum of the spine joins the ileum of the pelvis.

Low back pain centered in the sacroiliac joints may be due to injury, degenerative conditions such as arthritis or disc disease, osteoporosis or other metabolic bone diseases, viral infections, or congenital disorders of the spine.

Obesity, smoking, weight gain, stress, poor physical conditioning, and poor sleeping position also may contribute to low back pain.



Ankylosing spondylitis (AS) is a chronic inflammatory form of arthritis that affects the spinal joints. The hallmark feature of AS is the involvement of the sacroiliac (SI) joints.

The inflammation can cause an overgrowth of bone around the affected joints and lead to fusion of these joints.

The disease is characterized by acute painful episodes and remissions.

The most common symptom of AS is chronic low back pain. The pain is typically worse in the morning.

The back pain is usually dull and diffuse rather than sharp and localized.

If a patient has AS it is very important that they sleep on a firm supportive surface to maintain good spinal alignment. A saggy mattress can aggravate the tendency to develop spinal deformity. The neck should be supported in a good position.

Sacroiliac sprain syndrome is characterized by the acute onset of pain during twisting movements and tenderness over the affected joint.

Pain may be located at the sacroiliac joint, or it may be referred to the groin and the posterior thigh, and less often to the leg. The pain often gets worse when the patient lies on the affected side. Leg pain may radiate over the lateral aspect of the hip and down the front of the thigh.

The patient is most comfortable while sitting. Tenderness is present over the involved sacroiliac joint and may also be found over the buttock or the posterior superior iliac spine. Muscle spasm is common. Unlike sciatica, patients with sacroiliac sprain syndrome do not have tenderness in the sciatic notch area.




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