
Q Are there any warning signs that indicate I absolutely need a detailed examination for my sacral pain?
A If morning stiffness lasts for more than an hour, does not improve with rest and worsens at night, causes pain in both buttocks alternately, or is accompanied by fever, weight loss, or leg numbness, other diseases such as ankylosing spondylitis or infection must be differentiated.
Detailed Answer
If you experience the following signs, it may not be simple sacroiliac joint pain, so a detailed examination is necessary: ① Severe stiffness lasting more than an hour in the morning (morning stiffness), ② Pain that does not improve with rest and actually worsens at night or when at rest, but improves with movement, ③ Pain in both buttocks alternately rather than on one side, ④ Slow progression for more than 3 months without trauma in men under 40 — these are red flags suggesting ankylosing spondylitis. If you experience fever, sudden weight loss, leg paralysis, or bowel and bladder dysfunction, you must suspect an infection, fracture, or nerve compression and seek emergency medical attention. Korean Medicine Clinic Perspective Dongjedang identifies these warning signs during the initial consultation. If necessary, we check inflammation levels through in-house blood tests and provide guidance if detailed examinations by the Rheumatology or Orthopedics departments are required.
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