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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 1

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Acta Ortop Mex 2021; 35 (1)

Sacroiliac pain: diagnosis and treatment

Cahueque M, Ardebol J, Armas J, Azmitia E

Language: Spanish
References: 29
Page: 85-91
PDF size: 252.07 Kb.


ABSTRACT

The purpose of this review is to provide an overview of current literature on the diagnosis and treatment of sacroiliac pain. Designation as a source of lower back pain has been controversial; However, as knowledge about the joint increases, its role as a generator of chronic pain has become better elucidated. The literature states that sacroiliac joint is the cause of pain in up to 30% of patients. Clinically, diagnosing sacroiliac pain can be difficult to assess; However, pain semiology, patient posture/movement and manual testing are useful for making the presumptive diagnosis of sacroiliac dysfunction. The most effective diagnostic test is image-guided injection of anesthetic solutions into the joint, which is considered positive if there is at least 75% acute symptom relief. Treatment begins with physiotherapy and/or intra-articular infiltration of steroids. If these fails, a possible option is radiofrequency (rizotomy) denervation of the joint. If this does not provide adequate relief, surgery may be considered, in the form of fusion; various work supports favorable outcomes in selected patients.


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