BACKGROUND The sacroiliac joint is a widely described source of low back pain. Therapeutic approaches to relieve pain include the application of pelvic belts. However, the effects of pelvic belts on sacroiliac joint ligaments as potential pain generators are mostly unknown. OBJECTIVES The aim of our study was to analyze the influence of pelvic belts on ligament load by means of a computer mod...

BACKGROUND Degenerative changes of the sacroiliac joint have been implicated as a cause of lower back pain in adults. The purpose of this study was to determine the prevalence of sacroiliac joint degeneration in asymptomatic patients. METHODS Five hundred consecutive pelvic computed tomography (CT) scans, made at a tertiary-care medical center, of patients with no history of pain in the lower...

Pain originating in the sacroiliac joint (SIJ) is one of potential causes axial low back pain. A quarter pain cases can be associated with SIJ damage. The review presents and current clinical data dysfunction, describes specific (provocation) tests used to detect syndrome. Diagnostic their effectiveness for differential diagnosis are described. methods instrumental diagnostics, conservative tre...

BACK pain is the most frequent type of pain reported by adults, with more than one fourth of adults in the United States having had at least one episode of back pain within the past 3 months. In 2002, office visits for back pain in the United States totaled 890 million, comprising 2.3% of all office visits. The economic impact of low back pain is large and seems to be growing. Sacroiliac joint ...

What are the benefi ts of minimally invasive sacroiliac joint fusion? Frank M. Phillips, MD: Traditionally, fusion of the sacroiliac joint has involved open exposure of the joint with direct decortication of the articular surfaces, followed by bone grafting with supplemental fixation. Minimally invasive approaches to sacroiliac joint fusion aim to reduce the morbidity associated with open appro...

BACKGROUND Sacroiliac joint pain is a common cause of chronic low back pain. Different techniques for radiofrequency denervation of the sacroiliac joint have been used to treat this condition. However, results have been inconsistent because the variable sensory supply to the sacroiliac joint is difficult to disrupt completely using conventional radiofrequency. Cooled radiofrequency is a novel t...

Research suggests that clinical examination of the lumbar spine and pelvis is unable to predict the results of diagnostic injections used as reference standards. The purpose of this study was to assess the diagnostic accuracy of a clinical examination in identifying symptomatic and asymptomatic sacroiliac joints using double diagnostic injections as the reference standard. In a blinded concurre...