Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Abdominal Regions and Quadrants

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...

Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

Irritable Bowel Syndrome

Irritable Bowel Syndrome

DefinitionIrritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by recurrent combinations of abdominal pain, bloating, diarrhea, or constipation.Pathophysiology of irritable bowel syndromeIts pathophysiology is multifactorial, involving disturbances in motility, sensory processing, microbial balance, barrier integrity, and gut–brain communication. These mechanisms interact to produce symptoms that vary across IBS subtypes.Altered Motility PatternsDisordered...

Irritable Bowel Syndrome I: Introduction

Irritable Bowel Syndrome I: Introduction

Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:

Spinal Nerves: Plexus II

Spinal Nerves: Plexus II

The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Pain prevalence and intensity in advanced pancreatic cancer: a nationwide cohort study.

Pain·2026

Same author

Accuracy in spinal level determination, including transitional vertebrae: an ASReview supported systematic review.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2026

Same author

Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group.

Pain medicine (Malden, Mass.)·2025

Same author

Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group.

Regional anesthesia and pain medicine·2025

Same author

14. Discogenic Low Back Pain.

Pain practice : the official journal of World Institute of Pain·2025

Same author

The GENIFEM Pilot Randomized Trial: Genicular Nerve Block vs Femoral Triangle Block vs Local Infiltration Analgesia for Total Knee Arthroplasty.

Anesthesia and analgesia·2025

Search research articles

Related Experiment Video

Updated: Jun 10, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

13. Sacroiliac joint pain.

Pascal Vanelderen¹, Karolina Szadek, Steven P Cohen

¹Department of Anesthesiology, Intensive Care Medicine, Multidisciplinary Pain Centre, Ziekenhuis Oost-Limburg, Genk, Belgium. pascal.vanelderen@gmail.com

Pain Practice : the Official Journal of World Institute of Pain

|July 30, 2010

Summary

Sacroiliac joint pain causes significant chronic low back pain. Effective treatments include injections and radiofrequency procedures, often within a multidisciplinary approach for best results.

Related Experiment Videos

Last Updated: Jun 10, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

Area of Science:

Pain Medicine
Musculoskeletal Disorders
Interventional Pain Management

Background:

Sacroiliac joint (SIJ) pain is a common cause of chronic mechanical low back pain, affecting 16-30% of patients.
SIJ pain presentation is variable, often perceived in the gluteal region but referred to the back, groin, abdomen, or lower limbs.
Distinguishing SIJ pain from other low back pain sources is challenging due to overlapping symptoms and limited diagnostic accuracy of clinical tests.

Purpose of the Study:

To review diagnostic and treatment strategies for sacroiliac joint pain.
To evaluate the efficacy of various interventions for managing chronic SIJ pain.

Main Methods:

Review of diagnostic modalities including provocative maneuvers, imaging, and diagnostic blocks.
Analysis of treatment options, including conservative management, intra-articular injections, and radiofrequency ablation techniques.
Assessment of evidence ratings for different treatment modalities.

Main Results:

Diagnostic blocks are the gold standard but require cautious interpretation due to frequent false positives/negatives.
Intra-articular sacroiliac joint infiltrations with local anesthetic and corticosteroids have the highest evidence rating (1 B+).
Cooled radiofrequency treatment of lateral branches (S1-S3/S4) is recommended if injections fail (2 B+), with alternative pulsed radiofrequency options available (2 C+).

Conclusions:

A multidisciplinary approach is optimal for managing sacroiliac joint pain.
Interventional procedures, particularly corticosteroid injections and radiofrequency ablation, offer effective treatment options for refractory SIJ pain.
Accurate diagnosis and tailored treatment are crucial for improving outcomes in patients with chronic low back pain attributed to the sacroiliac joint.