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Sacroiliac Joint Injections for the Treatment of Pain in the Rehabilitation Patient

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Comprehensive Pain Management in the Rehabilitation Patient

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Abstract

Pain originating from the sacroiliac joint (SIJ) is estimated to affect from 15% to over 30% of patients with axial low back pain (LBP), and sacroiliac joint dysfunction (SIJD) occupies an important place in the generation of these syndromes. The joint’s internal structure, supporting ligaments, surrounding musculature, and neural structures all contribute to its function and dysfunction, and therefore, become targets for disease prevention and therapy. History, physical examination, and radiological imaging alone are insufficient to diagnose SIJ pain; only combining multiple tests can increase diagnostic validity. The management of this potentially disabling entity involves multiple disciplines and specialties. The chapter discusses the anatomy, biomechanics, pathophysiology, diagnosis, and treatment of sacroiliac joint dysfunction (SIJD), with a special focus on the interventional aspect of pain management. It describes technical aspects, presents the supporting evidence, and discusses possible complications while taking into consideration the intricate relationship of conservative and alternative treatment methods with rehabilitation-based approaches.

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Authors and Affiliations

  1. Tampa Pain Relief Center, 3488 East Lake Road, Suite 403/404, Palm Harbor, FL, 34685, USA

    Miguel D. Attias M.D. & Olena Zhukova A.R.N.P.-C

  2. Department of Neurology/Pain Medicine USF, Sarasota Orthopedic Associates, 2750 Bahia Vista St. Suite 100, Sarasota, FL, 34239, USA

    Nomen Azeem M.D.

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  1. Miguel D. Attias M.D.
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Correspondence to Miguel D. Attias M.D. .

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  1. Department of Neurosurgery, Brown University, Warren Alpert Medical School, Providence, USA

    Alexios Carayannopoulos DO, MPH

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Attias, M.D., Zhukova, O., Azeem, N. (2017). Sacroiliac Joint Injections for the Treatment of Pain in the Rehabilitation Patient. In: Carayannopoulos DO, MPH, A. (eds) Comprehensive Pain Management in the Rehabilitation Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-16784-8_37

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