We write to make some comments and pertinent observations regarding a recent presentation at the American Academy of Pain Medicine 28th Annual Conference by Cheng [1]. In an article titled “Sacroiliac Steroid Injections Do Not Predict Ablation Relief,” he found in a retrospective analysis of 80 cases of sacroiliac joint (SIJ) pain that steroid injection into the joint did not predict the subseq...

Long-term steroid use has a well-documented risk of myopathy that imposes functional limitations for patients and challenges for health care providers. Proximal weakness from steroid myopathy affects support structures around the pelvic girdle and likely predisposes patients to somatic dysfunction. To the authors' knowledge, there are no prior reports in the literature that describe an osteopat...

Seronegative spondyloarthritides (SpA) is a group of inflammatory rheumatic diseases characterized by inflammation of the sacroiliac joints and/or the spine, enthesitis and peripheral arthritis. MRI is the imaging method of choice for visualization of the sacroiliac joint and spine according to the new ASAS classification criteria for axial SpA. It can visualize both active inflammation and str...

OBJECTIVES Sacroiliac joint (SIJ) injections have been used to provide short-term relief of SIJ pain. In this study, the authors investigated a new technique using a superior approach. METHODS Twenty four patients with chronic SI joint paint were recruited. Each patient was treated with a single SIJ intra-articular injection plus a periarticular injection of local anesthetic and corticosteroi...

Background Magnetic resonance imaging (MRI) is the most sensitive modality for detection of sacroiliitis. Diagnosing sacroiliitis on MRI not always straightforward and can be challenging in some cases. Objectives To evaluate prevalence (according to ASAS criteria) other diagnoses sacroiliac MRI. analyse/compare these by sex, age service requesting study. Methods This a cross-sectional, multicen...