A painful unknown: sacroiliac joint diagnosisand treatment

Abstract

„ The sacroiliac joint (SIJ) is a complex anatomical structure located near the centre of gravity of the body. „ Micro-traumatic SIJ disorders are very difficult to diagnose and require a complete clinical and radiological examination. „ To diagnose micro-trauma SIJ pain it is recommended to have at least three positive provocative specific manoeuvres and then a radiologically controlled infiltration test. „ Conservative treatment combining physiotherapy and steroid injections is the most common therapy but has a low level of efficiency. SIJ thermolysis is the most efficient noninvasive therapy. „ SIJ fusion using a percutaneous technique is a solution that has yet to be confirmed on a large cohort of patients resistant to other therapies.