scholarly journals The reliability of motion palpation versus a traditional chiropractic method for the analysis of chronic mechanical sacroiliac joint syndrome

2000 ◽  
Author(s):  
◽  
Paul Craig Birdsey
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Reliable Method ◽  
Common Cause ◽  
Sacroiliac Joint Dysfunction ◽  
Lower Back

Sacroiliac joint syndrome represents a common cause of lower back pain (Cassidy and Burton 1992:3). However, much controversy exists regarding the most reliable method used to diagnose and determine sacroiliac joint dysfunction (Wiles and Faye 1992).

scholarly journals Mechanical lower back pain and sacroiliac joint dysfunction in golfers at two golf clubs in Durban, South Africa

2018 ◽  
Vol 74 (1) ◽  
Author(s):  
Siyabonga H. Kunene ◽  
Hlengiwe Luthuli ◽  
Mthandeni Nkosi ◽  
Maqsood Haffejee ◽  
Iftikaar Jooma ◽  
...  
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Strong Association ◽  
Musculoskeletal Symptoms ◽  
Management Approach ◽  
Years Of Experience ◽  
Sacroiliac Joint Dysfunction ◽  
Lower Back ◽  
Golf Clubs

Background: Mechanical lower back pain (MLBP) and sacroiliac joint dysfunction (SIJD) are common problems among golfers. There are currently few studies on golfers regarding the relationship between MLBP and SIJD.Objective: The objective of this study was to determine the prevalence of MLBP and SIJD and their association in golfers at two golf clubs in Durban, South Africa.Method: A correlation design included convenience sampling. The Standardised Nordic Questionnaire for the analysis of musculoskeletal symptoms determined the prevalence of MLBP. Sacroiliac joint pain provocative tests determined the prevalence of SIJD. Institutional ethical clearance was granted and consent from participants was obtained. Data were collected over 3 weeks and SPSS was used to calculate descriptive and inferential statistics.Results: There were 271 participants dominated by males (86.7%) aged between 39 and 47 years (33.2%). A total of 123 (45%) of the participants presented with MLBP and 62 (23%) with SIJD. The MLBP prevalence was moderately associated with age (χ2 = 71.22, p = 0.004) and years of experience (χ2 = 69.93, p = 0.001). The SIJD prevalence was moderately associated with age (χ2 = 55.49, p = 0.003) and poorly associated with years of experience (χ2 = 44.93, p = 0.005). Twenty-two per cent (60) had both MLBP and SIJD and 54% (146) had neither. A strong association (χ2 = 88.234, p = 0.000) between MLBP and SIJD was observed.Conclusion: There was a high prevalence of MLBP and SIJD and a strong association between them. A comprehensive management approach is recommended for golfers with MLBP and SIJD.Clinical Implications: This study will provide valuable knowledge that will assist clinicians, especially physiotherapists, in their clinical management of golfers with MLBP and SIJD. Intervention studies are needed to address lower back and sacroiliac joint problems reported in this study.

scholarly journals Back pain is a common cause of treatment to a neurologist

2016 ◽  
pp. 39-41 ◽  
Author(s):  
N. Svyrydova
Keyword(s):  
Nervous System ◽  
Back Pain ◽  
Sensory Neurons ◽  
Lower Back Pain ◽  
Common Cause ◽  
Electrical Signals ◽  
Lower Back ◽  
Wide Range ◽  
Potential Damage ◽  
Peripheral Sensory

Pain - one of the most common reasons for handling to a neurologist. Approximately 80% of the population is plagued at one time or another by back pain, especially lower back pain. Nervous system detects and interprets a wide range of endogenous and environmental irritants. Pain mediated by nociceptors, through the peripheral sensory neurons that signal potential damage to the skin via stimulus conversion into electrical signals that are relayed to higher brain centers.

Sacroiliac Joint Pain

2021 ◽  
Author(s):  
Alaa Abd-Elsayed ◽  
Dawood Sayed
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Educational Resources ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Lower Back ◽  
Evidence Based Treatments ◽  
Emerging Treatments

Lower back pain attributed to the sacroiliac joint (SIJ) is prevalent but historically has been frequently underdiagnosed. Even when the SIJ is properly identified as a source of lower back pain, individuals suffering from SIJ dysfunction are often not treated effectively. Improved educational resources for clinicians based on effective evidence-based treatments for SIJ dysfunction are critical in improving the current gap in diagnosis and treatment. Several established and emerging treatments exist for patients with SIJ dysfunction, but prior to this text, no comprehensive resource has existed that addressed management of SIJ dysfunction. This text presents a full and up-to-date review of all the available treatments for SIJ dysfunction, with the aim of providing clinicians with a single comprehensive resource for treatment of their patients.

Sacroiliac joint arthrodesis for chronic lower back pain

1987 ◽  
Vol 106 (4) ◽  
pp. 238-240 ◽  
Author(s):  
H. Waisbrod ◽  
J. -U. Krainick ◽  
H. U. Gerbershagen
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Chronic Lower Back Pain ◽  
Lower Back

scholarly journals Study protocol for a randomised controlled trial on the effect of local analgesia for pain relief after minimal invasive sacroiliac joint fusion: the ARTEMIS study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e056204
Author(s):  
Sem M M Hermans ◽  
Jorm M Nellensteijn ◽  
Henk van Santbrink ◽  
Rob Knoef ◽  
Mattheus K Reinders ◽  
...  
Keyword(s):  
Back Pain ◽  
Postoperative Pain ◽  
Randomised Controlled Trial ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Controlled Trial ◽  
Lower Back ◽  
Joint Fusion ◽  
Randomised Controlled ◽  
Sacroiliac Joint Fusion

IntroductionChronic lower back pain is a common report in the general population. A dysfunctional sacroiliac joint (SIJ) is estimated to be responsible for one in five patients with lower back pain. Minimally invasive sacroiliac joint fusion (MISJF) is a surgical procedure to treat SIJ dysfunction. During the procedure, the SIJ is stabilised by implants inserted percutaneously under fluoroscopy guidance. Postoperatively, patients often report a lot of pain, which contributes to patients taking high doses of painkillers (opioids for example,) and preventing early mobilisation. In several orthopaedic procedures, intraoperative infiltration of the wound bed results in decreased consumption of analgesics, earlier mobilisation and shorter hospitalisation time. The aim of this study is to investigate the effectiveness of intraoperative SIJ infiltration with analgesia in reducing postoperative pain after MISJF.Methods and analysisWe will perform a two-centre, prospective, double-blind, randomised controlled trial to determine whether SIJ infiltration with 1.5–5 cc bupivacaine 0.50% is superior to 1.5–5 cc placebo (NaCl 0.9%) in reducing postoperative pain in patients after MISJF, and to determine whether bupivacaine significantly reduces opioid use in the direct postoperative period. Patients will be randomised with 1:1 allocation for either bupivacaine (intervention) or placebo SIJ infiltration. Postoperative pain will be measured by the Visual Analogue Scale pain score at entry and exit recovery, 2, 4, 6, 24 and 48 hours postoperatively.Ethics and disseminationThis is the first trial that investigates the effectiveness of intraoperative SIJ infiltration with bupivacaine 0.50% in reducing postoperative pain after MISJF. If intraoperative SIJ infiltration with bupivacaine 0.50% proves to be effective, this might have important clinical implications, such as postoperative analgesics (opioids for example,) consumption, earlier mobilisation and potentially shorter hospitalisation time.Trial registration numberNL9151.

scholarly journals Ultrasound-Guided Sacroiliac Joint Injection Technique

2008 ◽  
Vol 4;11 (8;4) ◽  
pp. 543-547
Author(s):  
Professor Dominic Harmon
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Chronic Lower Back Pain ◽  
Transverse Orientation ◽  
Ultrasound Guided ◽  
Lower Back ◽  
Numerical Rating

We describe a case report and technique for using a portable ultrasound scanner and a curvilinear transducer (4-5MHz) (SonoSite Micromaxx SonoSite, Inc. 21919 30th Drive SE Bothwell W. A.) to guide sacroiliac joint (SIJ) injection. A 42-year-old male presented with chronic lower back pain centered on his left SIJ. His pain averaged 7 out of 10 (numerical rating scale). For the ultrasound-guided SIJ injection the patient was placed in the prone position. The ultrasound transducer was oriented in a transverse orientation at the level of the sacral hiatus. Here the sacral cornuae were identified. Moving the transducer laterally from here, the lateral edge of the sacrum was identified. This bony edge was followed in a cephalad direction with the transducer maintained in a transverse orientation. A second bony contour, the ileum, was identified. The cleft between both bony contours represented the sacroiliac joint. This was found at 4.5 cm depth. Real-time imaging was used to direct a 22G spinal needle into the SIJ, where solution was injected under direct vision. The patient’s pain intensity decreased to a 2 out of 10 (numerical rating scale). Function improved and the patient was able to return to work. These improvements were maintained at 16 weeks. Ultrasound guidance does not expose patients and personnel to radiation and is readily accessible. Ultrasound-guided SIJ injections may have particular applications in the management of chronic lower back pain in certain clinical scenarios (e.g. pregnancy). Future studies to demonstrate efficacy and reproducibility are needed. Key words: Technique, visualization, real-time, ultrasound, sacroiliac joint.

scholarly journals Sacroiliac Joint Pain: A Study of Predisposing Factors in an Indonesian Hospital

2019 ◽  
Vol 12 (1) ◽  
pp. 1-5
Author(s):  
Yusak M.T. Siahaan ◽  
Vinson Hartoyo
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Predisposing Factors ◽  
Office Worker ◽  
Female Ratio ◽  
Sacroiliac Joint Pain ◽  
Lower Back ◽  
Anaesthetic Block

Background: Sacroiliac joint pain has been one of the most common causes of lower back pain, regardless of gender. Diminished pain after an anaesthetic block has been the only gold standard diagnostic procedure, making the diagnosis become challenging due to the needs of fluoroscopic procedure. Thus, a study to find predisposing factors of sacroiliac joint pain is pivotal for primary prevention and prognosis predictor. Objective: Our study aims to find predisposing factors of sacroiliac joint pain in Indonesian patients. Methods: We conducted a prospective study on patients with a chief complaint of lower back pain whose pain diminished after anaesthetic block. Results: We found 99 subjects, with a male to female ratio of 1:2.19, aged from 21 to 75 years old (mean: 42.88). In addition to multiparous pregnancy and obesity, office-based occupation and prolonged sitting duration are also becoming major predisposing factors of sacroiliac joint pain (50.5% and 51.51% respectively). We also found majority of the patients with a history of vertical trauma with the onset of pain 1 year post trauma. Conclusion: We found some factors that can be considered to trigger sacroiliac joint pain that are: female gender, advancing age, pregnancy history, long sitting duration and office worker occupation.

A systematic review of the clinical efficacy of sacroiliac joint stabilization in the treatment of lower back pain

2019 ◽  
Vol 82/115 (6) ◽  
pp. 655-663
Author(s):  
Jan Lodin ◽  
Jan Procházka ◽  
Marek Jelínek ◽  
Petr Waldauf ◽  
Martin Sameš ◽  
...  
Keyword(s):  
Systematic Review ◽  
Back Pain ◽  
Clinical Efficacy ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Joint Stabilization ◽  
Lower Back
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