<p>A Review and Algorithm in the Diagnosis and Treatment of Sacroiliac Joint Pain</p>

• DOI: 10.2147/jpr.s279390
• Publication Date: 2020-12-07T22:03:05Z
• Authors: Steven Falowski; Dawood Sayed; Jason Pope; Denis Patterson; Michael Fishman; Mayank Gupta; Pankaj Mehta
• Keywords: Sacroiliac joint; Joint pain

Introduction: The sacroiliac joint (SIJ) has been estimated to contribute pain in as much 38% of cases lower back pain. There are no clear diagnostic or treatment pathways. This article seeks establish a clearer pathway and algorithm for treating patients. Methods: literature was reviewed order review the biomechanics, well various options. Diagnostic factors addressed include etiology, history, physical exam, imaging studies. Treatment options conservative measures, interventional surgical Results: Proposed criteria diagnosis dysfunction can area joint, reproducible with provocative maneuvers, relief local anesthetic injection into SIJ. Conventional non-surgical therapies such medications, therapy, radiofrequency denervation, direct SI injections may have some limited durability therapeutic benefit. Surgical fixation be by lateral posterior/posterior oblique approach supporting minimally invasive improving function maintaining low adverse event profile. Conclusion: SIJ is felt an underdiagnosed undertreated element LBP. emerging disconnect between growing incidence diagnosed pathology underwhelming efficacy medical treatment. led increase fixation. We created patients that measures techniques once identified. Keywords: pain, dysfunction, sacroiliitis, fusion