ChiroACCESS Clinical Review

Biomechanical Sacroiliac Joint Pain: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

June 25, 2007

Text Size:     
Diagnosis of biomechanical sacroiliac joint pain (BSJP) is indeed a difficult task. The closest procedure that can be considered a “gold standard” for diagnosis is injection, with fluoroscopic guidance, of a local anesthetic. Even this method has its shortcomings. A recent systematic review found only moderate evidence for the specificity and validity for diagnostic sacroiliac joint injections (1).

A carefully taken history, with particular attention to the mechanism of injury, and a thoughtful and thorough examination of the area can provide the physician with sufficient information to strongly suspect, but not confirm, a sacroiliac lesion.

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