Evaluation and Management of Sacroiliac Dysfunction Utilizing an Evidence-Based Algorithmic Approach: A Case Study.
David P Newman1, Brian C McLean2, Alexandra M Scozzafava3
1Pain Management-Physiotherapy, Interdisciplinary Pain Management Center, Tripler Army Medical Center, Honolulu, USA.
Cureus
|September 24, 2020
Summary
Sacroiliac joint (SIJ) pain is a common cause of lower back pain. A novel interdisciplinary treatment algorithm shows success in managing SIJ dysfunction in young, active patients.
Area of Science:
- Pain Management
- Orthopedics
- Physical Therapy
Background:
- Sacroiliac joint (SIJ) dysfunction is a significant cause of chronic lower back pain.
- Current treatment guidelines lack high-level evidence for conservative, interventional, or surgical management of SIJ pain.
- Standard conservative treatments for general lower back pain often prove ineffective for SIJ-specific pain.
Observation:
- Diagnosis of SIJ as the pain generator is achievable via physical examination and diagnostic blocks.
- Management of diagnosed SIJ dysfunction presents a significant clinical challenge.
- A specific patient subset, young and active individuals, often presents with SIJ dysfunction.
Findings:
- An interdisciplinary, evidence-based treatment algorithm was applied to patients diagnosed with SIJ dysfunction.
- This novel treatment approach demonstrated significant success in the studied patient population.
- The described treatment algorithm has not been previously documented in existing literature.
Implications:
- This study introduces a potentially effective, previously undescribed treatment strategy for SIJ dysfunction.
- The findings suggest a new direction for managing persistent lower back pain originating from the SIJ.
- Further research is warranted to validate this interdisciplinary approach for broader clinical application.
