Diagnosis and manipulative therapy of sacroiliac joint disorder

Abstract

AbstractObjectiveTo present a case study and discuss the role of an orthopaedic medicine approach (OMA) to clinical diagnosis and treatment of sacroiliac joint (SIJ) disorder in the light of recent research evidence.Case studyA 38-year-old female suffering from pain over the SIJ and right buttock was diagnosed to have an SIJ disorder using an orthopaedic medicine assessment. She was managed by a multi-disciplinary treatment approach in which improvement coincided with the addition of manipulation. The patient showed an improvement in the numerical pain rating scale from 6 to 0 and the revised Oswestry back disability score reduced from 25 to 3% at discharge.DiscussionLatest research evidence suggests that a composite of tests is more valid and reliable in the diagnosis of SIJ dysfunction than individual tests.ConclusionThe OMA may be improved by the use of a composite of tests for the diagnosis of SIJ disorder.