[2025 Multidisciplinary International Working Group Consensus Practice Guidelines: Sacroiliac joint complex pain
Siwei Chen1, Zuyuan Yang1, Jingyi Zhang1
1Department of Trauma Medicine, East Hospital Affiliated to Tongji University, Shanghai, 200120, P. R. China.
Summary
Significant progress in sacroiliac joint (SIJ) pain diagnosis and treatment has occurred, yet a unified protocol is missing. A new multidisciplinary guideline aims to standardize care for SIJ complex pain.
Area of Science:
- Pain Medicine
- Orthopedics
- Neurosurgery
Background:
- Recent decades show advancements in sacroiliac joint (SIJ) complex pain diagnosis and treatment.
- Progress includes neural innervation studies, extra-articular factor research, radiofrequency ablation, and minimally invasive surgery.
- A unified, standardized protocol for SIJ complex pain management is still lacking.
Purpose of the Study:
- To interpret the 2025 multidisciplinary clinical practice guideline for SIJ complex pain.
- To compare the guideline with Chinese expert consensus documents.
- To analyze consistencies and divergences in diagnosis and treatment for clinical reference.
Main Methods:
- Comprehensive interpretation of the 2025 AAPM and ASRA-PM guideline.
- Comparative analysis with relevant expert consensus documents from China.
- Identification of consistencies and divergences in diagnostic and therapeutic approaches.
Main Results:
- The 2025 guideline offers a multidisciplinary approach to SIJ complex pain.
- Comparison reveals both commonalities and differences between the guideline and Chinese consensus documents.
- Specific areas of diagnostic and treatment variation are identified.
Conclusions:
- The 2025 guideline represents a significant step towards standardizing SIJ complex pain management.
- Understanding international and national consensus differences is crucial for global clinical practice.
- This analysis provides valuable insights for clinicians managing SIJ complex pain.
