How is osteitis condensans ilii (OCI) treated?
· The primary aim of treatment is to reduce the intensity and duration of pain, stiffness, and improve the patient's quality of life. The first step in the management of osteitis condensans ilii (OCI) is to reassure the patient regarding the benign nature of the disease and the lack of progression of disease clinically and radiographically.
What is the pathophysiology of condensans ilii osteitis?
Osteitis condensans ilii is a noninflammatory condition of an uncertain etiology, characterized by sclerotic bone lesions located mainly in the iliac region of the sacroiliac joints. In many patients, osteitis condensans ilii remains an incidental imaging finding; however, it has been associated with lower back pain and may mimic inflammatory rheumatic conditions such as axial …
Is osteitis condensans ilii (OCI) an uncommon cause of back pain?
Treatment includes rest, ice, reduced activity, anti-inflammatory drugs followed by an extensive rehabilitation program. The main aim is to correct mu... Read More Reviewed Jul 01, 2021 Thank Dr. John Son agrees 1 thank A 55-year-old female asked:
What causes sacroiliac joint instability in osteitis condensans ilii?
Treatments for the condition are primarily conservative (therapies, non-steroidal anti-inflammatory medications, and steroid injections), with surgical resection being reserved for refractory cases. Publication types Review MeSH terms Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Diagnosis, Differential Humans Ilium / diagnostic imaging
Is osteitis Condensans ILII painful?
Osteitis condensans ilii (OCI) is often asymptomatic, but can also present as nonspecific lower back pain. If present, pain symptoms are usually reported as worsened with exertion and improve with rest. In contrast, the lower back pain symptoms in spondyloarthritis commonly improve with activity.
What does osteitis Condensans ILII mean?
Osteitis Condensans Ilii (OCI) is a rare condition causing low back pain. It is generally seen in women related to pregnancy. Well defined triangular. sclerotic area on the iliac part of the sacroiliac articulation can be seen on x-rays. The most accepted hypothesis is the extra mechanical loading.
Is osteitis Condensans ILII rare?
Osteitis Condensans Ilii (OCI) is an uncommon cause of backache predominantly affecting females during pregnancy or in the post partum period.
Is the sacrum a joint?
Anatomy of the Sacroiliac Joint The sacroiliac joint connects the hip bones (iliac crests) to the sacrum, the triangular bone between the lumbar spine and the tailbone (coccyx). The primary function of the sacroiliac joints is to absorb shock between the upper body and the pelvis and legs.
What is the best treatment for sacroiliac joint pain?
Treatment Options for Sacroiliac Joint DysfunctionPain medication. Over-the-counter pain relievers (such as acetaminophen) and anti-inflammatory medications (NSAIDs, such as ibuprofen or naproxen) may be recommended for mild to moderate pain relief. ... Manual manipulation. ... Supports or braces. ... Sacroiliac joint injections.
Is walking good for SI joint pain?
When pain in your SI joint flares up, your doctor can bring you relief, but a few moves at home can help, too. It helps to be active, but start slowly, like with a few minutes of daily walking, swimming, or riding a stationary bike. If your pain level doesn't go up, work up to 20 or 30 minutes of exercise at a time.
What causes Spondyloarthritis?
The specific causes of most types of spondyloarthritis are unknown, although medical experts have found genetic factors. People who have a gene known as HLA-B27 are at a higher risk of developing ankylosing spondylitis, enteropathic arthritis, psoriatic arthritis, and reactive arthritis.
Where is the iliac bone?
pelvisIliac Bone is the upper crest or "wings" on the pelvic girdle. The uppermost and widest of the three bones constituting either of the lateral halves of the pelvis. Iliac bone is commonly used for autogenous bone grafts in spine surgery.
What is chronic sacroiliitis?
Sacroiliitis is the inflammation of one or both of your sacroiliac joints. These two joints are located where the sacrum (the triangular last section of the spine) meets the ilium (a part of the pelvis). Sacroiliitis is a common source of lower back pain or pain in the buttocks or thighs.
What kind of doctor do you see for SI joint pain?
What kind of doctor should I see to treat sacroiliac joint pain? Physiatrists – These specialists of rehabilitation specialize in treating injuries or illnesses that affect range of motion. Including the pain of facet joint syndrome, they manage non-surgical approaches to back pain.
How long does it take for sacroiliac joint pain to go away?
In many cases acute SI joint pain occurs suddenly and usually resolves within several days to weeks. SI joint pain is considered chronic if it persists for more than three months. Chronic SI joint pain may be felt all the time and may increase with certain activities.
Where is sacrum pain located?
The pain associated with sacroiliitis most commonly occurs in the buttocks and lower back. It can also affect the legs, groin and even the feet. Sacroiliitis pain can be aggravated by: Prolonged standing.
What is ilii in sacroiliac joint?
Osteitis condensans: (ilii) is benign sclerosis (increased bone density) of the ilium adjacent to the sacroiliac joint. The underlying etiology is believed to be mechanica... Read More
Is Osteitis illii asymptomatic?
Osteitis illii: This is usually asymptomatic and requires no medical intervention.
Can osteomyleitis pubis heal?
Osteitis pubis: Yes you can heal from this problem with proper treatment. I assume it is not osteomyleitis pubis which would be a chronic infection of the bone and a ... Read More
What is OCI in back pain?
Osteitis condensans ilii (OCI) is a benign cause of low-back pain that is self-limiting and has an unknown etiology. It lacks pathological or clinical evidence of inflammation.
What are the developmental malformations associated with osteopoikilosis?
See other definitions of OCI Samples in periodicals archive: Various developmental malformations have been reported to be associated with osteopoikilosis, including: coarctation of the aorta, double ureter, pubertas praecox, urogenital defects, growth [acronymfinder.com]
Does OCI cause articular changes?
In a small group of patients affected with OCI, polyarthralgia in the peripheral joints has been reported. However, significant inflammatory articular changes are usually absent.
What is the radiographic appearance of OCI?
The radiographical appearance of OCI is described as a well defined triangular sclerosis of the iliac bone in the sacroiliac joint. Eburnation can be observed in the inferior part of the bone. Sclerosis can extend to the auricular portion of the iliac bone. Unlike other forms of sacroiliitis, the joint space is not obliterated in OCI and the articular margins remain intact. The radiological features of OCI can resolve over time [9].
Can SIJ relapse?
The pregnancy-associated ligamentous laxity of the sacroiliac joint (SIJ) can result in persistent instability and sclerosis of the joint in some cases. This can later present as SIJ tenderness. The course of the disease is chronic and it may relapse.Therefore, OCI should be differentiated from other inflammatory or non-inflammatory disorders of the sacroiliac joint [2] [3].
Is OCI bilateral or symmetric?
Usually, the iliac bone near the sacroiliac joint is affected in a bilateral and symmetric process. OCI is predominant in women of child-bearing age. However, rare incidents of men and nulliparous women with OCI is possible. OCI may be unilateral [1].
Is OCI a self-limiting disease?
Prognosis OCI is a self-limiting and nonprogressive disease. Most patients with OCI have an excellent outcome. Complications There are no known complications associated with OCI. [ncbi.nlm.nih.gov]
Which view shows significant sclerosis at the iliac border of the sacroiliac joints?
Anterior-posterior view showing significant sclerosis at the iliac border of the sacroiliac joints.
What is OCI on X-ray?
Osteitis condensans ilii (OCI) is one of the benign etiologies of chronic axial low back pain. Most of the time, OCI is an incidental finding on plain X-ray with ileal sclerosis. OCI is predominantly found in women of childbearing age in the prepartum or postpartum period. It can also present in nulliparous women and men [1].
Can OCI be self limiting?
Though OCI symptoms are self-limiting and even radiological findings can disappear with time, it is essential to diagnose OCI as refractory cases can cause a varying degree of disabilities and might require surgical intervention [1,5].
Is OCI asymptomatic?
In general, OCI is asymptomatic, but in a few patients, it manifests with low back pain at a young age which mimicks axial SpA [3]. The pain of OCI might radiate to the bilateral gluteal area and posterior aspect of the thighs along with positive SIJ tenderness as confirmed by a positive Faber's test.
Is ileum stress a cause of OCI?
Still, the pathophysiology of OCI is not clearly understood, but the increased mechanical stress on ileum is considered one of the causative factor of OCI in pregnant women. The increased vascularity in the ileum leads to remodeling of bone causing sclerosis.
What is hallmark of OCI?
Hallmark of OCI is sclerosis of the articular portion of the iliac bone. Despite some exceptional cases, OCI is generally not associated with elevated inflammatory markers and hence not classified as inflammatory arthritis [2].
What is OCI in women?
OCI is a rare etiology of chronic low back pain which has an incidence rate of 0.9%-2.5%, mostly among women in the prepartum and postpartum period [1]. Initially, OCI was considered as one variety of ankylosing spondylitis though human leukocyte antigen (HLA) B27 is predominantly negative among the patients. Hallmark of OCI is sclerosis of the articular portion of the iliac bone. Despite some exceptional cases, OCI is generally not associated with elevated inflammatory markers and hence not classified as inflammatory arthritis [2].
Where is osteitis condensans ilii located?
Here, however, the area of condensation is usually much smaller and is located at the most caudad portion of the sacroiliac joint.
What percentage of women have Osteitis condensans ilii?
Osteitis condensans ilii is a benign sclerosis of the ilium that is commonly seen in young women and has an estimated prevalence of between 1.0% to 3%.
Can a fractured ilium be infected?
If the ilium is fractured, there is a chance it could become infected . If this happens, and if the infection resists antibiotics, it is sometimes necessary to undergo surgery. In some cases, part of the ilium is removed, and a tube is placed into the pelvic region and grafted over to hold it in place, which allows the infection to drain from the body.
What are the radiological criteria for a sacroiliac joint?
The radiological criteria for diagnosis were: (a) the presence of a homogeneous triangular area of increased density involving the ilium adjacent to the sacroiliac joint and located at the lower border of the articulating surface of the ilium; (b) normal appearing sacroiliac articulating surfaces and joint space; (c) little or no radiologic evidence of involvement of the sacrum; (d) minimal or no spurring at the lower margin of the sacroiliac joint.
What causes sacroiliac joints to remodel?
Bone remodeling due to stress induced vascularity across sacroiliac joints is also be the possible causative factor. Similar isolated changes can occur in pubic bones, medial end of clavicle and other sites.
Is osteitis condensans ilii related to pregnancy?
While usually an incidental finding, patients with osteitis condensans ilii are more likely ...
What is benign osteosclerosis?
Symmetric benign osteosclerosis of the portion of the iliac bones adjacent to the sacroiliac joints. Osteitis condensans ilii is a bone sclerosis characterized by nonspecific inflammation, highly dense bone hardening phenomenon, particularly in the ilium by 2/3 of the more obvious, but you do not change the joint space.
What is osteosis condensans ilii?
Osteitis condensans ilii is a nonspecific, self-limited inflammatory disease of the iliac bone in women more typically of childbearing age . This condition may be seen in older women, and even in men although rarely. One study revealed its incidence to be 1.6% (Numaguchi 1971). It is mostly bilateral and symmetrical, although unilateral cases are not rare. The cause is unknown, but, as with osteitis pubis, it has been related to abnormal stress of pregnancy and delivery, which cannot explain its occurrence in men.
Where is the condensing of the ilia located?
The radiographic features of osteitis conden-sans ilii in the classic cases are simple yet unique, presenting triangular or spinnaker-like condensation of the ilia at the sacroiliac joints bilaterally and symmetrically (Fig. 7.1A). The condensation is localized to the lower anterior aspects of the ilia. Unlike in osteoarthritis, infective arthritis, or seronegative arthropathy, the sacroiliac joints in this condition are little affected and sacral involvement is minimal if any. The shape changes according to the degree of sacral inclination in relation to the radiographic projection (Fig. 7.2A). Regional osteophytic beaking is a common accompaniment.
Is osteitis pubis bilateral or unilateral?
It is mostly bilateral and symmetrical, although unilateral cases are not rare. The cause is unknown, but, as with osteitis pubis, it has been related to abnormal stress of pregnancy and delivery, which cannot explain its occurrence in men.
What to do if you suspect osteitis pubis?
If you suspect that you have osteitis pubis, see your doctor to confirm a diagnosis. Your doctor will review your medical history and symptoms before performing a physical examination.
How to treat a swollen thigh joint?
To ease pain, apply an ice pack or a package of frozen vegetables wrapped in a thin cloth to the joint. Do this for about 20 minutes every three to four hours. For further pain relief, your doctor may recommend nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen (Advil) or naproxen (Aleve).
How do you know if you have osteitis pubis?
Symptoms of osteitis pubis. The most obvious symptom of osteitis pubis is pain in the groin and lower belly. You may also feel pain or tenderness when pressure is applied to the area in front of your pubic bones. The pain tends to start gradually, but it can eventually reach a point where it’s constant.
Can a soccer player have osteoporosis pubis?
Osteitis pubis tends to affect athletes and other people who are very physically active. Soccer players, hockey players, and distance runners. are especially vulnerable to this injury. Repeating the same actions can stress the pubic symphysis.
