SACROILIAC JOINT PAIN


Facts:

  1. X-ray, CT or MRI may be negative or show degenerative changes.
  2. Patients usually have co-existing facet and/or disk abnormalities.

Symptoms:

  1. Patients may have mechanical low back pain.
    Pain is often worse in the morning and improves during the day.
    Pain may radiate into the hip and buttock areas.
    Pain is aggravated with flexion and extension.
  2. Pain is aggravated by sitting.

Diagnosis:

  1. Physical exam - tenderness over SI joint.
    Physical exam often misleading.
    Sacroiliac joint arthrogram.
  2. Diagnostic blocks when the source of pain is uncertain.

Treatment:

  1. Intra-articular injection of local anesthetic and steroid.
  2. Radiofrequency procedures for the SI joint.