ChiroACCESS Clinical Review



Biomechanical Sacroiliac Joint Pain: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

June 25, 2007

Text Size:     
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 (1).

A carefully taken history, with particular attention to the mechanism of injury, and a thoughtful and thorough examination of the area can provide the physician with sufficient information to strongly suspect, but not confirm, a sacroiliac lesion.

AttentionIn order to view the full content of this review, which includes information broken down by topic, you must be a registered user of ChiroACCESS. The primary mission of ChiroACCESS is to disseminate accurate user-friendly information to practicing chiropractors, faculty and students of chiropractic in order to ensure the best possible patient care.

Please click on the following link in order to register at ChiroACCESS and view the full detail of this clinical review.

If you already have an account, you may log in at this time.



References

1. 

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.

 [ Full-Text Link ]

2. 

van der WP, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil 2006; 87(1):10-14.



3. 

Kokmeyer DJ, van der WP, Aufdemkampe G, Fickenscher TC. The reliability of multitest regimens with sacroiliac pain provocation tests. J Manipulative Physiol Ther 2002; 25(1):42-48.



4. 

Laslett M, Young SB, Aprill CN, McDonald B. Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests. Aust J Physiother 2003; 49(2):89-97.



5. 

Slipman CW, Jackson HB, Lipetz JS, Chan KT, Lenrow D, Vresilovic EJ. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil 2000; 81(3):334-338.



6. 

Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine 1995; 20(1):31-37.



7. 

Fortin JD, Aprill CN, Ponthieux B, Pier J. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part II: Clinical evaluation. Spine 1994; 19(13):1483-1489.



8. 

van der WP, Buijs EJ, Groen GJ. Intensity mapping of pain referral areas in sacroiliac joint pain patients. J Manipulative Physiol Ther 2006; 29(3):190-195.



9. 

Meijne W, van Neerbos K, Aufdemkampe G, van der WP. Intraexaminer and interexaminer reliability of the Gillet test. J Manipulative Physiol Ther 1999; 22(1):4-9.



10. 

Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg 2005; 101(5):1440-1453.

 [ Full-Text Link ]

11. 

Hansen HC, Helm S. Sacroiliac joint pain and dysfunction. Pain Physician 2003; 6(2):179-189.

 [ Full-Text Link ]