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Sacroiliac Joint Pain 

Sacroiliac Joint Pain
Sacroiliac Joint Pain

Samuel L. Holmes

, Steven P. Cohen

, Michael-Flynn L. Cullen

, Christopher D. Kenny

, Harold J. Wain

, and S. Avery Davis

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date: 18 March 2019

This chapter presents a clinical case of sacroiliac (SI) joint pain. The SI joint primarily functions to limit motion while transmitting and dispersing truncal loads through the lower extremities via three linear (translational) axes of movement in the transverse, longitudinal, and sagittal planes. SI joint function is kinetically interdependent with adjacent joints. The joint and supporting structures are further acted upon by a network of muscles and fascia. Injury and production of pain generally result from a failure of these stabilizing mechanisms and an alteration of these anatomical relationships. The chapter discusses how to confirm a diagnosis of SI joint pain, as well as the incidence, prevalence, pathophysiology, natural history, and long-term prognosis of the condition and related disability. Techniques for managing SI joint pain include pharmacotherapy, core strengthening and flexibility training, manual therapy, osteopathic manual treatment, chiropractic adjustments, prolotherapy, cognitive and behavioral therapies, neuromodulation, and surgery.

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