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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Imprimer: 0896-2960
ISSN En ligne: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v8.i1-2.70
pages 125-152

The Sacroiliac Joint: A Functional Approach

Andrew J. Cole
Department of Physical Medicine and Rehabilitation and Department of Physical Therapy, University of Texas Southwestern Medical Center, Dallas, Texas
Paul Dreyfuss
Department of Rehabilitation Medicine, University of Texas Health Science Center, San Antonio, Texas
Steven A. Stratton
Departments of Rehabilitation Medicine and Physical Therapy, University of Texas Health Science Center, San Antonio, Texas

RÉSUMÉ

The sacroiliac joint (SIJ) is a controversial source of primary low back pain, but recent studies using intraarticular injection techniques have shown it can cause significant pain. The SIJ has been reported to be responsible for approximately 20% of low back and referred pain. A number of treatment techniques from various philosophies have evolved to help rehabilitate SIJ dysfunction. There is no research recognizing one treatment protocol as superior. Likely, the most effective rehabilitation programs integrate appropriate techniques from a variety of disciplines to help provide a patient with the most effective care. If rehabilitation is not progressing, fluoroscopically guided contrast-enhanced injection procedures can be used for both diagnostic confirmation of the pain source and to help provide pain control so that rehabilitation can be facilitated. In situations where both rehabilitation and injections fail, salvage procedures may be considered, although they also are without scientific validation.


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