Stephen J. Schueler, M.D.

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

Sacroiliac Sprain 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:

Sacroiliac Sprain 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

Sacroiliac Sprain Warning Signs

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

Continue to Sacroiliac Sprain 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 Sacroiliac Sprain 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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