The sacroiliac joint has a normal range of motion of 0.5 cm between lying and standing. Any joint with a range of motion can be injured (ligaments permanently stretched; pained). Reason gorillas cannot walk upright is because their pelvic girdles are absent a sacroiliac joint.
The sacroiliac joint is 17 cm squared in area; largest joint in the axial spine.
The sacreoiluac joint has a massive ligament capsule. Old orthopedic surgeons, who were inculcated years ago, were taught that the SIJ were impervious to mechanical injury. Well, they were wrong.
Modern Pain Interventionists have demonstrated, via academic publications, that the sacroiliac joints are large axial spine joints & disorder of which can announce chronic low back pain.
The Occupational Disability Guidelines (ODG), the premiere publication of the Worker’s Injury World, lists 16 “Provication Maneuvers” that prove authenticity of sacroiliac joint disorder.
Since sacroiliac disorder has been academically proven as inception to ~30% of chronic low back pain, care by medical providers mandates that all providers familiarize themselves with sacroiliac joint dysfunction; demonstrated (in clinic) as a clinically demonstrated disorder.
Once sacroiliac joint has been diagnosed by at least 3 provocation maneuvers, then a diagnostic block can be undertaken. Positive diagnostic block indicates dorsal sacral median nerve ablation might provide months of significant pain relief.
Definitive therapy might be sacroiliac joint fusion. My vote would be to use diagnostic methods I invented to determine which ligament system is damaged, Iliolumbar or Sacrotuberous, & then use stem cell Prolotherapy, under ultrasound guidance, to repair the ligament system.
@threadreaderapp unroll
