Treatment of the sacroiliac joint in patients with leg pain

A randomized-controlled trial

L.H. Visser, N.P. Woudenberg, J. de Bont, F. van Eijs, K. Verwer, H. Jenniskens, B.L. den Oudsten

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Purpose
The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain.
Methods
Using a single-blinded randomised trial, we assessed the short-term therapeutic efficacy of physiotherapy, manual therapy, and intra-articular injection with local corticosteroids in the SIJ in 51 patients with SIJ-related leg pain. The effect of the treatment was evaluated after 6 and 12 weeks.
Results
Of the 51 patients, 25 (56 %) were successfully treated. Physiotherapy was successful in 3 out of 15 patients (20 %), manual therapy in 13 of the 18 (72 %), and intra-articular injection in 9 of 18 (50 %) patients (p = 0.01). Manual therapy had a significantly better success rate than physiotherapy (p = 0.003).
Conclusion
In this small single-blinded prospective study, manual therapy appeared to be the choice of treatment for patients with SIJ-related leg pain. A second choice of treatment to be considered is an intra-articular injection.
Keywords: Sacroiliac joint, Treatment, Manual therapy, Physiotherapy Injection
Original languageEnglish
Pages (from-to)2310-2317
JournalEuropean Spine Journal
Volume22
Issue number10
DOIs
Publication statusPublished - 2013

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Visser, L. H., Woudenberg, N. P., de Bont, J., van Eijs, F., Verwer, K., Jenniskens, H., & den Oudsten, B. L. (2013). Treatment of the sacroiliac joint in patients with leg pain: A randomized-controlled trial. European Spine Journal, 22(10), 2310-2317. https://doi.org/10.1007/s00586-013-2833-2
Visser, L.H. ; Woudenberg, N.P. ; de Bont, J. ; van Eijs, F. ; Verwer, K. ; Jenniskens, H. ; den Oudsten, B.L. / Treatment of the sacroiliac joint in patients with leg pain : A randomized-controlled trial. In: European Spine Journal. 2013 ; Vol. 22, No. 10. pp. 2310-2317.
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title = "Treatment of the sacroiliac joint in patients with leg pain: A randomized-controlled trial",
abstract = "PurposeThe sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain.MethodsUsing a single-blinded randomised trial, we assessed the short-term therapeutic efficacy of physiotherapy, manual therapy, and intra-articular injection with local corticosteroids in the SIJ in 51 patients with SIJ-related leg pain. The effect of the treatment was evaluated after 6 and 12 weeks.ResultsOf the 51 patients, 25 (56 {\%}) were successfully treated. Physiotherapy was successful in 3 out of 15 patients (20 {\%}), manual therapy in 13 of the 18 (72 {\%}), and intra-articular injection in 9 of 18 (50 {\%}) patients (p = 0.01). Manual therapy had a significantly better success rate than physiotherapy (p = 0.003).ConclusionIn this small single-blinded prospective study, manual therapy appeared to be the choice of treatment for patients with SIJ-related leg pain. A second choice of treatment to be considered is an intra-articular injection.Keywords: Sacroiliac joint, Treatment, Manual therapy, Physiotherapy Injection",
author = "L.H. Visser and N.P. Woudenberg and {de Bont}, J. and {van Eijs}, F. and K. Verwer and H. Jenniskens and {den Oudsten}, B.L.",
year = "2013",
doi = "10.1007/s00586-013-2833-2",
language = "English",
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Visser, LH, Woudenberg, NP, de Bont, J, van Eijs, F, Verwer, K, Jenniskens, H & den Oudsten, BL 2013, 'Treatment of the sacroiliac joint in patients with leg pain: A randomized-controlled trial', European Spine Journal, vol. 22, no. 10, pp. 2310-2317. https://doi.org/10.1007/s00586-013-2833-2

Treatment of the sacroiliac joint in patients with leg pain : A randomized-controlled trial. / Visser, L.H.; Woudenberg, N.P.; de Bont, J.; van Eijs, F.; Verwer, K.; Jenniskens, H.; den Oudsten, B.L.

In: European Spine Journal, Vol. 22, No. 10, 2013, p. 2310-2317.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Treatment of the sacroiliac joint in patients with leg pain

T2 - A randomized-controlled trial

AU - Visser, L.H.

AU - Woudenberg, N.P.

AU - de Bont, J.

AU - van Eijs, F.

AU - Verwer, K.

AU - Jenniskens, H.

AU - den Oudsten, B.L.

PY - 2013

Y1 - 2013

N2 - PurposeThe sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain.MethodsUsing a single-blinded randomised trial, we assessed the short-term therapeutic efficacy of physiotherapy, manual therapy, and intra-articular injection with local corticosteroids in the SIJ in 51 patients with SIJ-related leg pain. The effect of the treatment was evaluated after 6 and 12 weeks.ResultsOf the 51 patients, 25 (56 %) were successfully treated. Physiotherapy was successful in 3 out of 15 patients (20 %), manual therapy in 13 of the 18 (72 %), and intra-articular injection in 9 of 18 (50 %) patients (p = 0.01). Manual therapy had a significantly better success rate than physiotherapy (p = 0.003).ConclusionIn this small single-blinded prospective study, manual therapy appeared to be the choice of treatment for patients with SIJ-related leg pain. A second choice of treatment to be considered is an intra-articular injection.Keywords: Sacroiliac joint, Treatment, Manual therapy, Physiotherapy Injection

AB - PurposeThe sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain.MethodsUsing a single-blinded randomised trial, we assessed the short-term therapeutic efficacy of physiotherapy, manual therapy, and intra-articular injection with local corticosteroids in the SIJ in 51 patients with SIJ-related leg pain. The effect of the treatment was evaluated after 6 and 12 weeks.ResultsOf the 51 patients, 25 (56 %) were successfully treated. Physiotherapy was successful in 3 out of 15 patients (20 %), manual therapy in 13 of the 18 (72 %), and intra-articular injection in 9 of 18 (50 %) patients (p = 0.01). Manual therapy had a significantly better success rate than physiotherapy (p = 0.003).ConclusionIn this small single-blinded prospective study, manual therapy appeared to be the choice of treatment for patients with SIJ-related leg pain. A second choice of treatment to be considered is an intra-articular injection.Keywords: Sacroiliac joint, Treatment, Manual therapy, Physiotherapy Injection

U2 - 10.1007/s00586-013-2833-2

DO - 10.1007/s00586-013-2833-2

M3 - Article

VL - 22

SP - 2310

EP - 2317

JO - European Spine Journal

JF - European Spine Journal

SN - 1432-0932

IS - 10

ER -

Visser LH, Woudenberg NP, de Bont J, van Eijs F, Verwer K, Jenniskens H et al. Treatment of the sacroiliac joint in patients with leg pain: A randomized-controlled trial. European Spine Journal. 2013;22(10):2310-2317. https://doi.org/10.1007/s00586-013-2833-2