A female 10,000 metre runner, aged 28, presented with a 10 day history of pain of insidious onset in the right buttock. She had, 2 weeks before presenting, competed in a track race for selection to an international representative team, which she achieved. Five days after the race she had a 400 metre interval training session, following which she was conscious of the pain in the right buttock. S...

Chiropractors claim to be able to influence sites far removed from the point of application of spinal adjustment. Little scientific research has, however, been conducted showing conclusively that the spine and associated structures have an influence on distal function. Demonstration of such influence on distal tissues would aid in the scientific validation of Chiropractic by other health profes...

A single family is presented in which 2 of the 3 sibs and 3 of 9 first degree relatives had Crohn's disease. Two subjects with Crohn's disease had classical ankylosing spondylitis (AS), and HLA typing revealed HLA B27 in all 5 members of the immediate family. The value of quantitative sacroiliac scintigraphy (QSS) in clinical practice is demonstrated. Both patients with AS had evidence of curre...

Sacroiliac joint septic arthritis is a rare disease entity representing 1-2% of all cases of septic arthritis. Establishment of the diagnosis is often challenging given the non-specific presenting features and the potential cross-over with other pathologies. We report the case of a 50 year old gentleman who suffers with psoriasis and presented with sacroiliac joint septic arthritis complicated ...

PURPOSE To evaluate the benefit of fluoroscopy-guided lumbar spine interventional procedures in treatment of low back pain. METHODS This prospective descriptive study was performed on 60 patients with back/radicular pain after showing no improvement with conservative treatment. RESULTS One hundred and two injection sessions were done (average 1.7 injection per patient). Caudal and lumbar tr...

Introduction Axial spondyloarthritis (SpA) is an inflammatory disease that predominantly affects vertebral and sacroiliac joint. Sarcoidosis is an inflammatory multi-system disease associated with the formation of non-caseating granulomas within involved systems (1). Both diseases can involve ocular manifestations of which anterior uveitis are common feature. Articular involvement has been repo...