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

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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