Sacroiliac Joint Dysfunction (SI Joint Pain)

  • Medical Author:
    Catherine Burt Driver, MD

    Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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How do health-care professionals diagnose sacroiliac joint dysfunction?

The first step in diagnosis is typically a thorough history and physical examination by a physician. The physician will ask questions to determine if there are any underlying disorders that could be causing the patient's pain. Certain signs can also help differentiate pain coming from the SI joints, lumbar spine, or hips. There are various tests a physician can perform during the physical examination that can help isolate the source of the pain. By placing the patient's hips and legs in certain positions and applying pressure, the SI joints can be moved or compressed to identify them as a source of pain. Other portions of the examination are to exclude certain possibilities that could mimic sacroiliac disease.Continue Reading

Reviewed on 6/1/2016
References
REFERENCES:

Szadek, K.M., P. van der Wurff, M.W. van Tulder, W.W. Zuurmond, and R.S. Perez. "Diagnostic Validity of Criteria for Sacroiliac Joint Pain: A Systematic Review." J Pain. 10.4 Apr. 2009: 354-68.

Tuite, M.J. "Sacroiliac Joint Imaging." Semin Musculoskelet Radiol. 12.1 Mar. 2008: 72-82.

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