Diagnosis and Current Treatments for Sacroiliac Joint Dysfunction: A Review

Hamidi-Ravari, Behdad; Tafazoli, Sharwin; Chen, Hamilton; Perret, Danielle

doi:10.1007/s40141-013-0037-7

Cited by 17 publications

(17 citation statements)

References 47 publications

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“…The SIJ is an important link between the upper and lower body segments. It transfers the whole upper extremity weight to lower limbs and also is a shock absorber during the heel strike (4). Another important role for SIJ is to transfer the ground reaction forces from lower limbs to the trunk (4).…”

Section: Introductionmentioning

confidence: 99%

“…It transfers the whole upper extremity weight to lower limbs and also is a shock absorber during the heel strike (4). Another important role for SIJ is to transfer the ground reaction forces from lower limbs to the trunk (4). The integrated function and stability of SIJ are very crucial for playing a unique role in human body stability in daily activities, including walking.…”

Section: Introductionmentioning

confidence: 99%

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Postural Stability in Individuals with and without Sacroiliac Joint Dysfunction Before and After Pelvic Belt Application

et al. 2021

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Background: Sacroiliac Joint Dysfunction (SIJD) is considered an origin of low-back pain. It can change the motor control strategy and postural control (PC). Objectives: We aimed to find any probable differences in PC between subjects with and without SIJD and determine the effects of the pelvic belt (PB) on PC. Methods: Thirty-eight subjects were assigned into two equal groups with and without SIJD. They started to walk from the place marked on a force plate for 10 seconds after hearing an auditory signal and performed three attempts for each foot. They repeated six more ones with PB. Raw data were imported to an excel software (version 2007) spreadsheet to calculate the reaction time (RT) and anticipatory postural adjustment (APA) as the components of PC. Results: Our results showed a significant difference in RT between the SIJD-affected and non-affected sides (P = 0.035), but there was no significant difference in APA (P = 0.057). There were significant differences in RT and APAs between the control and SIJD-affected side groups (P = 0.001 and P = 0.010, respectively). The PB application showed a significant difference in RT and APAs of the SIJD-affected side (P = 0.001 and P = 0.047, respectively). Conclusions: It seems pain could lead to the postural sway into instability and change the motor control strategy. The proprioception signals from the neuromuscular system of SIJ improved after PB. Therefore, PB, as a feasible tool, can be recommended for PC improvement.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postural Stability in Individuals with and without Sacroiliac Joint Dysfunction Before and After Pelvic Belt Application

et al. 2021

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“…Sacroiliac joint (SIJ) pain is a common cause of low back and buttock pain given that it presents in many ways 1,2 . The SIJ is a diarthrodial synovial joint that is maintained by a ligamentous network, connects the sacrum and ilium, and stabilizes the lumbopelvic junction.…”

Section: Introductionmentioning

confidence: 99%

“…Tumor and treatment can cause SIJ dysfunction. In SIJ dysfunction or instability, the ligamentous portion of the joint is commonly implicated 1,2 . Generally, tumors invading the sacrum and/or ilium represent metastatic disease, and treatment is targeted toward palliation for better quality of life (QOL).…”

Section: Introductionmentioning

confidence: 99%

Inferior and Intra‐/Peri‐Articular Superior Sacroiliac Joint Injection Approaches Under Ultrasound Guidance to Treat Metastasis‐Related Posterior Pelvic Bone Pain

First

Rakesh

et al. 2020

Pain Practice

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Background Numerous mechanical and pathologic variables contribute to sacroiliac joint (SIJ) pain. The oncologic population has additional considerations, including tumor burden causing fracture, nerve compression, joint instability, and periosteal inflammation. Post‐treatment changes may also restrict joint mobility, causing transitional pain. Currently, fluoroscopically guided SIJ injections, aimed at the inferior one third of the SIJ, are the gold standard for treatment but have only been described in the nononcologic population. Ultrasound (US) guidance may confer several benefits, including positioning, ease of procedure, lower costs, and, importantly, guidance to avoid neovascularization, metastatic disease, and other soft tissue structures. Objectives We aim to describe the advantages of US‐guided SIJ injections for refractory malignant SIJ pain from extra‐articular tumors. We then describe our technique and decision framework for accessing the superior or inferior SIJ in patients with metastatic sacroiliac pain. Methods A retrospective review was performed on 5 patients with refractory malignant SIJ pain who underwent US‐guided superior or inferior approach SIJ injection. Using imaging and outcomes, we developed a decision framework. Results Patients received either inferior or superior approach SIJ injections depending on location of tumor, extent of tumor invasion, and stability of the SIJ as per our framework. All patients reported improvement in pain and function without complications. Conclusions We propose a decision framework for inferior vs. superior approach US‐guided SIJ injections in the oncologic population with SIJ pain from metastases to the pelvis or sacrum. Having multiple techniques to approach the SIJ is important in the oncologic population, in whom metastatic tumor burden poses a technical challenge to performing these injections.

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“…History, physical examination, and imaging often have low sensitivity and specificity for the diagnosis of SIJD. For these reasons, diagnosis and treatment often remains a challenge [6] .…”

mentioning

confidence: 99%

Comparative Study of Sacroiliac Joint Dysfunction and Lumbar Flexibility between Normal Subjects and Sacroiliac Joint Dysfunction Patients

El-Khozamy¹,

Baky

2019

The Medical Journal of Cairo University

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Background: Low Back Pain (LBP) is a symptom rather than a disease diagnosis. Pathology in the low back might affect the pattern of movement rather than only the range of movement ROM. Approximately 10% with LBP do not respond to treatment and develop chronic LBP. The cause for this nonresponse to treatment is lack of specific diagnosis and inability to distinguish, in some people, pain arising from the Sacroiliac Joints (SIJs) or the lumbar spine. Aim of Study:This study was conducted to identify the relationship between Sacroiliac joint dysfunction SIJD and lumbar spine movement in sagittal and frontal plan. Subjects and Methods:Forty participants aging 20:40 years divided into 2 groups. Group (A) consisted of 20 healthy participants, Group (B) SIJD consisted of 20 subjects were positive of at least 3 SIJ provocative test. All the participants on the study, pelvic asymmetry was measured by PALM device also spinal flexibilityof lumbar spine was assessed in sagittal and frontal plan.Results: There was negative weak significant correlation between mean difference of pelvic inclination and Extension-Flexion E-F of lumbar ( r=-0.405, p=0.014*). While, no significant correlation between mean difference of pelvic inclination and lumbar flexion, left side bending, right side bending, and over all side bending L-R of lumbar.Conclusion: There was change of lumbar spine mobility in sagittal plan on extension and overall sagittal ROM with SIJD patients, though in comparison between groups it showed that patient with SIJD had less overall frontal plan ROM.

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Diagnosis and Current Treatments for Sacroiliac Joint Dysfunction: A Review

Cited by 17 publications

References 47 publications

Postural Stability in Individuals with and without Sacroiliac Joint Dysfunction Before and After Pelvic Belt Application

Postural Stability in Individuals with and without Sacroiliac Joint Dysfunction Before and After Pelvic Belt Application

Inferior and Intra‐/Peri‐Articular Superior Sacroiliac Joint Injection Approaches Under Ultrasound Guidance to Treat Metastasis‐Related Posterior Pelvic Bone Pain

Comparative Study of Sacroiliac Joint Dysfunction and Lumbar Flexibility between Normal Subjects and Sacroiliac Joint Dysfunction Patients

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