Doctor's Library, Rajshahi

21/10/2025

15/10/2025

is inflammation of one or both sacroiliac joints, which connect the sacrum (base of the spine) to the ilium (pelvic bone).
It may occur as an isolated condition or as part of a systemic inflammatory disorder.

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Causes

1. Inflammatory (Autoimmune)

Ankylosing spondylitis

Psoriatic arthritis

Reactive arthritis

Inflammatory bowel disease–related arthritis

2. Infectious

Bacterial infection (e.g., Staphylococcus aureus)

Tuberculosis (rare)

3. Mechanical / Traumatic

Injury, overuse, leg-length discrepancy

4. Pregnancy-related

Ligamentous laxity and altered load during pregnancy

5. Degenerative

Osteoarthritis of sacroiliac joint

Clinical Features

Pain: Dull, aching pain in the lower back, buttocks, or posterior thigh

Aggravating factors: Standing, walking, or sitting for long periods

Morning stiffness (in inflammatory causes)

Tenderness over sacroiliac joint (positive FABER or Gaenslen’s test)

Reduced spinal movement if associated with spondyloarthritis

Occasionally fever (in infectious sacroiliitis)

Investigations

X-ray / MRI of sacroiliac joint – shows joint space narrowing, sclerosis, or erosion

Blood tests:

↑ ESR, ↑ CRP (in inflammatory or infective causes)

HLA-B27 positivity (in spondyloarthropathies)

Joint aspiration – for culture if infection suspected

Treatment

1. Medical Management

NSAIDs – for pain and inflammation

Corticosteroid injections – intra-articular for severe pain

DMARDs / Biologics – in autoimmune conditions (e.g., sulfasalazine, TNF inhibitors)

Antibiotics – if infection present

2. Physiotherapy

Stretching and strengthening exercises

Posture correction

3. Lifestyle Measures

Avoid prolonged standing or sitting

Weight management

Regular low-impact exercise

06/10/2025

components

04/10/2025

01/10/2025

Risk Factors of Ectopic Pregnancy

16/09/2025

Phases of Seizure

11/09/2025

Lichen Nitidus

10/09/2025

Extensive Tinea Corporis

09/09/2025

Infected Scabies

09/09/2025

Tinea Versicolor

29/08/2025

প্রেগনেন্সিতে কৃমির ঔষধ খাওয়া যাবে কিনা?

কৃমিনাশক ঔষধ 1st trimester এ আমরা দিবনা। পরবর্তী সময়ে দিতে কোন বাধা নেই।

WHO recommendation অনুযায়ী - যে এলাকায় কৃমি হওয়ার প্রবণতা ২০% বা তার চাইতে বেশি/ রক্তশূন্যতার হার বেশি সেসকল এলাকায় গর্ভাবস্থায় ২য়/৩য় ট্রাইমেস্টারে কৃমিনাশক দিতে হবে। ডোজটা নিম্নরূপ

Single dose Albendazole (400 mg)
Or
Single dose Mebendazole (500 mg)

কেন 1st trimester এ মানা করা হচ্ছে?
- কিছু animal experimental study তে দেখা গিয়েছে হাইডোজে এ ঔষধগুলো teratogenic. যদিও single dose এরকম evidence নেই। তারপরও 1st trimester টা organogenesis এর সময়। যত কম ঔষধ এ সময়টা দেওয়া যায় ততই ভালো

Lactation Period এ দিতে কোন বাধা নেই

10/08/2025

Causes of Oedema