Sacroiliac Joint Pain

  • William Henry Márquez-Arabia
  • Francisco Javier Monsalve
  • Juan Gómez-Hoyos
  • Hal D. Martin


The sacroiliac joint (SIJ) as a source of symptoms has been controversial; however, as knowledge about the joint increased, its role as a pain generator in patients complaining of symptoms that are often attributed to spinal pathology has become better appreciated. The literature reported that 10–25% of chronic low back pain is attributable to the sacroiliac joint. Provocative physical examination maneuvers and confirmatory intra-articular injections can help diagnose SI joint pain. The most definitive evaluation is image-guided injection of anesthetic solutions into the joint which is diagnostic if there is at least 75% symptom relief acutely. Treatment modalities include medications, physical therapy, manual therapy, injections, radiofrequency denervation, and arthrodesis. SI joint fusion may be performed using a variety of approaches and techniques, both open and minimally invasive. Several implant devices are available that promote fusion by simply crossing the joint space, but according to several authors, SI joint fusion should be considered unproven. To help guide selection of the appropriate treatment, further studies need to be conducted to establish which approach or technique is best.


Sacroiliac joint Low back pain Diagnostic injection Physical therapy Sacroiliac joint fusion 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • William Henry Márquez-Arabia
    • 1
    • 2
  • Francisco Javier Monsalve
    • 3
  • Juan Gómez-Hoyos
    • 4
    • 5
    • 6
  • Hal D. Martin
    • 7
  1. 1.Clínica Las Americas, Orthopedic SurgeryMedellinColombia
  2. 2.Sports Medicine ProgramSchool of MedicineMedellinColombia
  3. 3.Orthopedic DepartmentMedellinColombia
  4. 4.International Consultant, Hip Preservation Center / Baylor Scott and White Research InstituteBaylor University Medical CenterDallasUSA
  5. 5.Department of Orthopaedic Surgery - Health ProviderClínica Las Américas / Clínica del CampestreMedellinColombia
  6. 6.Professor - School of Medicine - Sports Medicine ProgramUniversidad de AntioquiaMedellínColombia
  7. 7.Medical and Research Director, Hip Preservation Center, Baylor University Medical CenterDallasUSA

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