Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment specialist Home Care pain control warning signs Outlook Underlying Cause Anatomy

Injured Sacroiliac Joint Home Care

Home care for a SI joint injury includes:

  • Avoid pressure against the sacrum.
  • Apply cold compresses:
    • Wrap ice in a moist hand towel. Do not apply ice directly to the skin.
    • Apply for 20-30 minutes, every 1-2 hours, for the first few days.
  • Apply warm compresses:
    • Apply for 20-30 minutes, every 4 hours, after 2 days
  • Rest the injury.
    • Use a walker.
    • Use crutches.
  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.
  • Nonsteroidal anti-inflammatory medications for pain:

Injured Sacroiliac Joint Pain Control

Medications commonly used to control pain and inflammation in adults with an SI joint injury include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Injured Sacroiliac Joint Warning Signs

Notify your doctor if you have an SI joint injury and any of the following:

Continue to Injured Sacroiliac Joint Outlook

Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Injured Sacroiliac Joint References
  1. Borrelli J Jr, Koval KJ, Helfet DL. Operative stabilization of fracture dislocations of the sacroiliac joint. Clin Orthop Relat Res. 1996 Aug;(329):141-6. [8769445]
  2. Major NM, Helms CA. Pelvic stress injuries: the relationship between osteitis pubis (symphysis pubis stress injury) and sacroiliac abnormalities in athletes. Skeletal Radiol. 1997 Dec;26(12):711-7. [9453104]
  3. Stevens KJ, Preston BJ, Hahn DM.Bilateral fracture dislocation of the sacroiliac joint. Skeletal Radiol. 1997 Sep;26(9):556-8. [9342818]
  4. Wright V, Zelle BA, Prayson M. Bilateral sacroiliac joint dislocation without associated fracture or anterior pelvic ring injuries. J Orthop Trauma. 2004 Oct;18(9):634-7. [15448454]
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