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Review
. 2019 Sep 16;31(4):207-210.
doi: 10.4103/tcmj.tcmj_54_19. eCollection 2019 Oct-Dec.

Diagnosis and interventional pain management options for sacroiliac joint pain

Affiliations
Review

Diagnosis and interventional pain management options for sacroiliac joint pain

Ching-Wei Chuang et al. Tzu Chi Med J. .

Abstract

The sacroiliac (SI) joint is among the most common sources of chronic low back pain, accounting for 15%-30% of patients presenting chronic low back pain. The complex anatomic structures, nerve innervation, and functional biomechanisms of the SI region make it challenging to diagnose and treat the SI joint as a pain source. In addition to physical therapy and medication for treating SI joint pain, multiple interventional measures including steroid injection, radiofrequency ablation, prolotherapy, and SI joint fusion have been proposed with various efficacies. This article describes the etiology, risk factors, and diagnostic methods as well as the different treatment modalities, focusing on interventional pain management options for patients suffering from SI joint pain.

Keywords: Diagnostic block; Low back pain; Radiofrequency; Sacroiliac joint injection; Sacroiliac joint pain.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: A comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother. 2013;13:99–116. - PubMed
    1. Cohen SP. Epidemics, evolution, and sacroiliac joint pain. Reg Anesth Pain Med. 2007;32:3–6. - PubMed
    1. Katz V, Schofferman J, Reynolds J. The sacroiliac joint: A potential cause of pain after lumbar fusion to the sacrum. J Spinal Disord Tech. 2003;16:96–9. - PubMed
    1. DePalma MJ, Ketchum JM, Saullo TR. Etiology of chronic low back pain in patients having undergone lumbar fusion. Pain Med. 2011;12:732–9. - PubMed
    1. Unoki E, Abe E, Murai H, Kobayashi T, Abe T. Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion. Spine (Phila Pa 1976) 2016;41:999–1005. - PubMed