Abstract
The cancer population is exposed to exceptional factors that might favor sacroiliac joint (SIJ) pain, including the cancer itself and therapy-related side effects. Yet, they are also subject to aging and structural changes. The diagnosis and treatment can be a challenge.
Highlights
Symptomatic sacroiliac joint (SIJ) disease is still poorly understood [1]
We report a male with SIJ pain and functional repercussion after anal cancer treatment, without signs of recurrence or metastasis
We considered that the source of most pain was likely the SIJ
Summary
Symptomatic SIJ disease is still poorly understood [1]. In the general population, SIJ dysfunction and pain is considered the third most common source of chronic low back pain, after disc disruption and facet joint pathology [2]. We describe a case of a 72-year-old male who came to an appointment in our Center in December 2019 with a lower back and inguinal pain, and consequent functional limitations He had a history of a cancer diagnosis in 2015, a moderately differentiated epidermoid carcinoma of the anal canal, classified as Citation: Ferro I, Sá PC, Pires C, Carvalho F, Constantino J (2021) Ultrasound-Guided Intervention in a Sacroiliitis after Cancer Consequence or Coincidence? He has been followed by an Oncologist, with no symptoms nor signs of recurrence His pain complaints started after the radiation cycle, as well as bilateral hip flexion range-ofmotion (ROM) limitation. When questioned, he pointed to the SIJ and the left inguinal regions, claiming the left as the most painful side. There was a slight improvement in the ROM, still painless, with no complaints on palpation or provocative tests
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