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 Biomechanical Sacroiliac Joint Pain: Diagnosis [Clinical Review Discussion]

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Biomechanical Sacroiliac Joint Pain: Diagnosis [Clinical Review Discussion] Wednesday, July 07, 2010 10:12 AM (permalink)
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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.
 
Full Clinical Review - Biomechanical Sacroiliac Joint Pain: Diagnosis
 
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