Treatment
Treatment of sacroiliitis can vary depending on the severity of the condition and the amount of pain the patient is currently experiencing. However, it typically falls into one of two categories non-surgical and surgical:

Non-surgical
In most cases sacroiliitis can be treated without surgery. Often patients will find relief through a combination of rest, heat / ice therapy, physical therapy and anti-inflammatory medication, like ibuprofen. Together these simple treatments help reduce inflammation in the affected SI joints.For more severe forms of sacroiliitis, sacroiliac joint injections might be recommended to help combat symptoms. If chosen, a physician will inject a numbing agent, usually lidocaine, and a steroid containing powerful anti-inflammatory medication into the joint using fluoroscopic guidance. These steroid injections can be delivered up to three or four times a year and should be accompanied with physical therapy to help rehabilitate the affected joint. Surgical
Surgery is often the last resort when dealing with sacroiliitis and is rarely required. However, it may be a viable option for patients who are suffering from severe pain that is unresponsive to nonsurgical treatments and is significantly impacting their quality of life. In these cases, a minimally invasive procedure known as Sacroiliac Joint Fusion can effectively stabilize the joint and increase its load-bearing capacity by fusing it together. See also
Sacroiliac joint dysfunction
Surgery for the dysfunctional sacroiliac joint

References


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Treatment therapy
50% of patients respond to corticosteroid therapy alone in early phases
Methotrexate or Azathioprine are an alternative to corticosteroid immunosuppressants
There have been studies on Mycophenolate mofetil and anti-TNF therapies
In Takayasu’s arteritis it is vital to combine drug treatments often with low-dose aspirin or statin

Polyarteritis nodosa (PAN)
Symptoms
Systemic illness with fever
General feeling of discomfort or uneasiness with cause difficult to identify
Weight loss
Arthritis
Black discoloration of skin primarily on the extremities
Severe inadequate blood supply to the extremities
Ischemic stroke, hemorrhages and a progressive encephalopathy with or without seizures may occur

Diagnostic Criteria
Three or more of the following ten criteria are required:

More than 4 kg (8.8 lb) weight loss
Lace-like purplish discoloration of the skin (livedo reticularis)
Testicular pain
Pain in a muscle or group of muscles (myalgias)
Damage to peripheral nerves
Elevation of blood pressure by more than 90 mmHg
Creatinine serum levels greater than 1,5 mg/dl
Hepatitis B or C virus antibodies
An aneurysm or occlusion as shown in a pathologic arteriography
Histology findings typical of PAN

Treatment therapy
In PAN not associated with a hepatitis virus: prednisone and cyclophosphamide therapy.