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Sacro- iliac joint is the junction between the corners of the triangle shaped lower part of spine (SACRUM) and the corresponding part (ILIUM) of the hip bone. These joints are there on both sides of the spine. Inflammation to these joints are known as sacroilitis. Excess stress and strain on the joint is the main reason for inflammation.

The pain is mostly localized at the lower back in and around the joint. May radiate to buttock and back of the thigh also. Pain increases while indulging in stressful activities like prolonged standing, walking and climbing stairs.

Ayurveda offers good treatments for this condition and also helps prevent relapse. With appropriate internal medicines, massage of the affected area with selected medicated oils, massage with herbal powder bag (podi kizhi) heated in the appropriate warm medicated oil, massage with herbal leaf bag (ela kizhi) dipped in warm medicated oil, pouring medicated oil all over the body (pizhichil) , cooked medicated rice bag massage (njavara kizhi), keeping medicated oil pool on the affected area (kati vasti), application of the herbal paste on low back, bandage of the low back with medicated oil. Panchakarma therapies like enema with herbal decoction and/or medicated oil are the procedures usually performed in the management of these condition.