الفهرس | Only 14 pages are availabe for public view |
Abstract The sacroiliac joint is a synovial articulation between the sacral and iliac articular surfaces. The sacroiliac joint (SIJ) has been implicated as the primary pain source in 10% to 25% of the patients with low back pain. The International Association for the Study of Pain (IASP) has proposed criteria for making the diagnosis of symptomatic SIJ and are: (1) pain is present in the region of the SIJ, (2) stressing the SIJ by clinical tests that are selective for the joint reproduces the patient’s pain and (3) selectively infiltrating the symptomatic joint with local anaesthetic completely relieves the patient of pain The main causes of sacroiliac joint pain are seronegative spondyloarthropathies, infection, tumors, pregnancy and trauma. Treatment of sacroiliac joint pain depends upon the cause. Any underlying condition would receive treatment specific for that disease. Treatment modalities include medications, physical therapy, bracing, manual therapy, injections, radiofrequency, denervation, and arthrodesis. |