Sacroiliac joint dysfunction: From a simple pain in the butt to integrated care for complex low back pain

2011 ◽  
Vol 15 (2) ◽  
pp. 40-50 ◽  
Author(s):  
Alfred L. Clavel
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Integrated Care ◽  
Sacroiliac Joint ◽  
Low Back ◽  
Sacroiliac Joint Dysfunction

The role of sacroiliac joint dysfunction in the genesis of low back pain: the obvious is not always right

2007 ◽  
Vol 127 (10) ◽  
pp. 885-888 ◽  
Author(s):  
Natan Weksler ◽  
Gad J. Velan ◽  
Michael Semionov ◽  
Boris Gurevitch ◽  
Moti Klein ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sacroiliac Joint ◽  
Low Back ◽  
Sacroiliac Joint Dysfunction

scholarly journals Pilot Study of Sacroiliac Joint Dysfunction Treated with a Single Session of Fascial Manipulation® Method: Clinical Implications for Effective Pain Reduction

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 691
Author(s):  
Dennis Bertoldo ◽  
Carmelo Pirri ◽  
Barbara Roviaro ◽  
Luigi Stecco ◽  
Julie Ann Day ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sacroiliac Joint ◽  
Rating Scale ◽  
The Body ◽  
Low Back ◽  
Joint Movement ◽  
Single Session ◽  
Assessment Protocol ◽  
Sacroiliac Joint Dysfunction

Background and Objectives: Sacroiliac joint dysfunction (SIJD) generally refers to pain in the lower back due to abnormal sacroiliac joint movement, either from hypomobility or hypermobility. It is considered to be the principal cause in up to 40% of low back pain cases. In literature, it emerges that the “fascia”, by its anatomical continuity, if altered or densified in different regions of the body with respect to the sacroiliac joint and its surroundings, may have a fundamental role in the genesis of SIJD and low back pain. The purpose of the present study is to evaluate the effectiveness of incorporating a single session of Fascial Manipulation®-Stecco method®, treating the muscular fasciae at distance from the painful region. Materials and Methods: Twenty patients with acute and chronic sacroiliac joint dysfunction (SIJD) were recruited (16 males and 4 females, mean age of 46.6 ± 12.98 years). Patients underwent a predefined assessment protocol, followed by an evaluation of myofascial pain and subsequent manipulation of the fascia at points at least 20 cm away from the posterior inferior iliac spines (PIIS). Each patient underwent three pain evaluations: pre-treatment (t0), post-treatment (t1), and at a 1-month follow-up (t2). For the evaluation in t0, t1 the numerical rating scale (NRS) for the intensity of pain and the algometer for the pain threshold at the PIIS were used; in t2 only the NRS scale. Results: The results obtained by comparing the algometer measurements with the NRS values between t0 and t1 were in both cases statistically significant (p < 0.0001), whereas the comparison between the NRS values at t1 and at t2 was not statistically significant (p > 0.05). Conclusions: A single Fascial Manipulation treatment, even when applied at least 20 cm from the PIIS, can potentially decrease pain around the SIJ. The inclusion of this type of approach in SIJD can allow for improved patient management, better tolerance for other treatments and a more rapid application of pain-free exercise programs.

scholarly journals Prevalence of sacroiliac joint dysfunction in college students

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 293-296
Author(s):  
S Sivakumar ◽  
M Kamalakannan ◽  
Arun B ◽  
A.P. Kalpana ◽  
J Prakash ◽  
...  
Keyword(s):  
College Students ◽  
Low Back Pain ◽  
Back Pain ◽  
Sacroiliac Joint ◽  
Joint Involvement ◽  
Full Time ◽  
Low Back ◽  
Sacroiliac Joint Dysfunction ◽  
Musculoskeletal Problems ◽  
Si Joint

Introduction and Aim: Sacroiliac (SI) joint is considered as one of the pain generators in students. Sacroiliac joint dysfunction is one of the common sources of low back pain, and many times the SI joint dysfunction mis-lead as the lumbar problem. Students who sit for longer duration cause stress in the sacroiliac joint. So, this study intended to investigate the prevalence and the contributing risk factors amongst students’ population with work-related musculoskeletal problems and also to identify the percentage of SI joint involvement in them.Materials and Methods: The study was conducted with 590 students from a private paramedical college, involving full time college students, with age group of 17-27 years, no recent falls or those not on current medications related to any musculoskeletal problems, and students without any congenital problems. Evaluation was done using Nordic musculoskeletal questionnaire along with a self-developed demographic questionnaire. The involved students were assessed using questionnaire and sacroiliac joint tests to identify the SI Joint dysfunction. Provocation tests included i) Sacroiliac joint distraction test, ii) SI Compression test iii) Thigh thrust test iv) Faber’s test and v) Gaenslen’s Test. Inference considered was presence of pain in more than 3 test indicates Sacroiliac joint involvement. On completion of assessment, a thank you card was given to all the volunteer students participated in the study. The collected data was filled and analyzed.Results: The study results showed that students with lower back pain also had complaints of neck pain. It was also noted that about 30% of the individuals were positive to the sacroiliac joint tests, among them 93 participants complained of low back pain.Conclusion: This study concluded that 61% of individuals were suffering with musculoskeletal disorders in the selected population. Around 30% of the low back pain participants complained of sacroiliac joint dysfunctions.

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