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Sacroiliac joint dysfunction

Sacroiliac joint dysfunction (SIJD) refers to pain in the low back area caused by movement or slippage (subluxation) of the sacroiliac joint (or SI). The slippage may cause the SI joint to move too much, or move too little. This abnormal movement can cause pain in the low back and hip region, radiating through out the pelvis, through your abdominal region, and down the legs. The pain can be felt as mild or disabling.

Causes of sacroiliac dysfunction

Sacroiliac joint injury can develop after a fall, an accident, a blow to the pelvis,as a result of childbirth, and due to prolonged sitting.

Sacroiliac joint dysfunction symptoms

Patients will typically present with complaints of pain in the low back, buttocks, and pelvic area including the groin. Some may also complain of numbness and leg pain as far as the knees and toes.

Sacroiliac joint dysfunction diagnosis and treatment

In the medical research, it’s recognized that it is difficult to diagnose sacroiliac joint dysfunction, as it is accepted that 10% to 25% of patients with persistent mechanical low back pain below the L5 lumbar vertebrae have pain secondary to sacroiliac joint dysfunction. Further, patient history, physical exam, or radiological testing can definitively establish a diagnosis of sacroiliac joint pain. 1

The typical traditional treatment of sacroiliac joint dysfunction is equally controversial. Researchers have noted that the evidence concludes fair to poor responses for cooled radiofrequency neurotomy, intraarticular steroid injections, periarticular injections of local anesthetic and steroid or botulinum toxin, radiofrequency neurotomy, and pulsed radiofrequency. 2

Prolotherapy for Sacroiliac joint dysfunction

Prolotherapy works by treating the underlying cause of the problem: ligament laxity and joint instability.

Research shows good results with Prolotherapy in the following studies:

“Intra-articular prolotherapy provided significant relief of sacroiliac joint pain, and its effects lasted longer than those of steroid injections.” 3

“Ninety-one percent (91.0%) of (Prolotherapy) patients reported reduction in level of pain; 84.8% of patients reported improvement in activities of daily living, and 84.3% reported an improvement in ability to work.” 4

1. Simopoulos TT, Manchikanti L, Singh V, Gupta S, Hameed H, Diwan S, Cohen SP. A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions. Pain Physician. 2012 May-Jun;15(3):E305-44.

2. Hansen H, Manchikanti L, Simopoulos TT, et al. A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. 2012 May;15(3):E247-78.

3. Kim WM, Lee HG, Jeong CW, Kim CM, Yoon MH. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. J Altern Complement Med. 2010 Dec;16(12):1285-90.

4. Hooper RA, Ding M.Retrospective case series on patients with chronic spinal pain treated with dextrose prolotherapy.J Altern Complement Med. 2004 Aug;10(4):670-4.