Osteopathic approach to sacroiliac joint pain in pregnant patients.

Kaori Morimoto,Claudia Nelson,Brian Loveless,Alisha Harrington

doi:10.1515/jom-2021-0231

Kaori Morimoto, Claudia Nelson + Show 2 more

Open Access

https://doi.org/10.1515/jom-2021-0231

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Abstract

This paper aims to provide a comprehensive review of the management of sacroiliac (SI) joint pain in pregnant patients. Although SI joint pain is highly prevalent among pregnant patients, the unique anatomy of the joint is rarely discussed in a clinical setting. This paper provides comprehensive review of the epidemiology, anatomy, alarm findings, standard treatment, osteopathic assessment, and osteopathic manipulative treatment (OMT) of the SI joint, and it provides a general and in-depth understanding of the SI joint pain in pregnant patients and its management.

Highlights

This paper aims to provide a comprehensive review of the management of sacroiliac (SI) joint pain in pregnant patients
SI joint pain is highly prevalent among pregnant patients, the unique anatomy of the joint is rarely discussed in a clinical setting
This paper provides comprehensive review of the epidemiology, anatomy, alarm findings, standard treatment, osteopathic assessment, and osteopathic manipulative treatment (OMT) of the SI joint, and it provides a general and in-depth understanding of the SI joint pain in pregnant patients and its management

Summary

Introduction

This paper aims to provide a comprehensive review of the management of sacroiliac (SI) joint pain in pregnant patients. SI joint pain is highly prevalent among pregnant patients, the unique anatomy of the joint is rarely discussed in a clinical setting. This paper provides comprehensive review of the epidemiology, anatomy, alarm findings, standard treatment, osteopathic assessment, and osteopathic manipulative treatment (OMT) of the SI joint, and it provides a general and in-depth understanding of the SI joint pain in pregnant patients and its management. Most pregnancy-associated SI joint pain stems from a neuromusculoskeletal mechanism, certain obstetric and nonobstetric complications that manifest or mimic SI joint pain need to be ruled out to ensure proper diagnosis and treatment. Severe pain that is nonpositional and persists throughout the night should motivate the provider to rule out bone or soft tissue tumors and pelvic

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