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Updated: Dec 21, 2025
05:57
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
3.4K
[The sacroiliac joint and pain]
Martin Schwarze1, Astrid Schenker1, Marcus Schiltenwolf1
1Klinik für Orthopädie und Unfallchirurgie, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.
Schmerz (Berlin, Germany)
|May 17, 2020
Summary
Sacroiliac joint (SIJ) pain is a common cause of low back pain, often stemming from dysfunction. Diagnosis involves history, physical exams, and tests, with conservative treatments as the first line of care.
Area of Science:
- Orthopedics
- Pain Medicine
- Rheumatology
Background:
- Sacroiliac joint (SIJ) pain constitutes a significant portion of low back pain cases.
- The SIJ connects the spine and lower extremities, exhibiting high stability and low mobility.
- SIJ dysfunction can lead to low back pain, potentially radiating to the lower extremities.
Purpose of the Study:
- To outline the causes, diagnosis, and management of sacroiliac joint pain.
- To emphasize the role of SIJ dysfunction in low back pain.
- To differentiate between conservative and interventional treatment approaches.
Main Methods:
- Structured medical history and physical examination.
- Assessment of adjacent joints and neurological status.
- Utilizing movement and provocation tests, along with infiltrations for diagnosis.
Main Results:
- SIJ pain can arise from various specific and non-specific causes.
- Inter-individual variations in SIJ anatomy and function exist.
- Conservative therapies are the primary treatment, with interventional options for chronic cases.
Conclusions:
- Accurate diagnosis of SIJ pain requires a comprehensive approach.
- Conservative management should be prioritized for SIJ pain.
- Interventional and surgical options are reserved for refractory or chronic SIJ pain.
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