Biomechanical Sacroiliac Joint Pain




Review Sections

Biomechanical Sacroiliac Joint Pain Icon    Biomechanical Sacroiliac Joint Pain

Biomechanical sacroiliac joint pain (BSJP) is closely related to biomechanical low back pain and differentiating between the two is difficult. Until 1934 the sacroiliac joint was considered the source of most low back pain. In 1934 the concept of the herniated disc as the primary low back pain was developed (1) and the sacroiliac joint was largely forgotten. However during the last decade the sacroiliac joint has again been recognized as a significant contributor to low back pain. Up to 27% of chronic low back pain may be attributed to the sacroiliac joint (2).

(1) Hansen HC, Helm S. Sacroiliac joint pain and dysfunction. Pain Physician 2003; 6(2):179-189.; (2) Hansen HC, McKenzie-Brown AM, Cohen SP, Swicegood JR, Colson JD, Manchikanti L. Sacroiliac joint interventions: a systematic review. Pain Physician 2007; 10(1):165-184.

Clinical Reviews

Biomechanical Sacroiliac Joint Pain: Prevention

Rather lengthy searches for information relating to risk factors and prevention strategies for biomechanical sacroiliac joint pain (BSJP) has produced very limited results. Almost all risk factors identified are as a result of expert opinion or limited scientific study.

Biomechanical Sacroiliac Joint Pain: Diagnosis

Diagnosis of biomechanical sacroiliac joint pain (BSJP) is indeed a difficult task. The closest procedure that can be considered a “gold standard” for diagnosis is injection, with fluoroscopic guidance, of a local anesthetic. Even this method has its shortcomings. A recent systematic review found only moderate evidence for the specificity and validity for diagnostic sacroiliac joint injections.

Biomechanical Sacroiliac Joint Pain: Therapy

Prior to 1934, when Mixter and Barr published their paper suggesting rupture of the intervertebral disc as a major source of low back pain, the sacroiliac joint (SIJ) was considered as the primary source of low back pain. The SIJ was rapidly forgotten as a significant pain source in the rush to embrace the disc. In the 1990’s interest in the SIJ was revived as technology provided new insights into diagnosis and treatment. Today 10% to 27% of chronic low back pain is attributed to the SIJ. Although this represents a rather large population of chronic low back pain sufferers, understanding, diagnosing and treating the SIJ is still awaiting many research answers. The innervation of the joint is argued in the literature, diagnostic tests are wanting, the evidence for the gold standard for diagnosis is limited and treatment options are poorly investigated. Much needs to be accomplished from a research prospective in order to provide the physician with better tools to treat patients.

Medical Subject Heading (MeSH) Information

MeSH Term: Low Back Pain

Scope Note: Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.

MeSH Synonyms:
  • Low Back Pain
  • Back Pain, Low
  • Back Pains, Low
  • Low Back Pains
  • Pain, Low Back
  • Pains, Low Back
  • Lumbago
  • Lower Back Pain
  • Back Pain, Lower
  • Back Pains, Lower
  • Lower Back Pains
  • Pain, Lower Back
  • Pains, Lower Back
  • Low Back Ache
  • Ache, Low Back
  • Aches, Low Back
  • Back Ache, Low
  • Back Aches, Low
  • Low Back Aches
  • Low Backache
  • Backache, Low
  • Backaches, Low
  • Low Backaches
  • Low Back Pain, Postural
  • Postural Low Back Pain
  • Low Back Pain, Posterior Compartment
  • Low Back Pain, Recurrent
  • Recurrent Low Back Pain
  • Low Back Pain, Mechanical
  • Mechanical Low Back Pain
Applicable MeSH Subheadings:
  • analysis
  • anatomy and histology
  • blood
  • cerebrospinal fluid
  • chemically induced
  • classification
  • complications
  • congenital
  • diagnosis
  • diagnostic imaging
  • drug therapy
  • economics
  • embryology
  • enzymology
  • epidemiology
  • ethnology
  • etiology
  • genetics
  • history
  • immunology
  • metabolism
  • microbiology
  • mortality
  • nursing
  • organization and administration
  • parasitology
  • pathology
  • physiology
  • physiopathology
  • prevention and control
  • psychology
  • radiotherapy
  • rehabilitation
  • statistics and numerical data
  • surgery
  • therapy
  • urine
  • veterinary
  • virology
See Related MeSH Terms:

Informative Links

Arrow Back Pain Information

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MedlinePlus: Back Pain

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