Sacroiliac Joint Pain Clinic, Birmingham Videos
Videos by Sacroiliac Joint Pain Clinic in Birmingham. Sacroiliac joint pain and Sacroiliac joint dysfunction specialists based in the UK. We offer diagnos
Diagnosis of SIJ is not easy as it is unlikely to be found on a scan.
You begin the process by ruling out the things that do show up on investigations.
Blood tests to look for inflammatory markers including HLA B27.
MRI scans on Lumbar Spine and maybe Hips if you suspect hip involvement.
More importantly than all of the above is a practitioners clinical case history taking and physical examination. This is where attention to detail is required. Actively listening to your patient, asking searching relevant questions and orthopaedic tests.
If the patient complains of nerve pain in the leg then test for sciatic nerve root tethering. It will not be SIJ if the nerve pain is felt below the knee so look to confirm sciatica.
A common test for this is the Straight Leg Raise (SLR) but it is so flawed it can give the wrong conclusions.
Anyone with tight hamstrings will get to approx 45 degrees and then movement has to come from moving the ilia or flattening the lumbar spine curve.
Your patient will indicate pain by guarding or shouting out and you may conclude its sciatica. In fact it could be SIJ pain or lumbar spine facet joints.
A far better test is Slump Test as you are sitting on your ischium’s thus fixing the pelvis preventing movement in both SI joints and lumbar spine.
Attention to detail is the most important thing when making a diagnosis. #sijd #sacroiliacjointpain #backpain
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Diagnosis of SIJ is not easy as it is unlikely to be found on a scan. You begin the process by ruling out the things that do show up on investigations. Blood tests to look for inflammatory markers including HLA B27. MRI scans on Lumbar Spine and maybe Hips if you suspect hip involvement. More importantly than all of the above is a practitioners clinical case history taking and physical examination. This is where attention to detail is required. Actively listening to your patient, asking searching relevant questions and orthopaedic tests. If the patient complains of nerve pain in the leg then test for sciatic nerve root tethering. It will not be SIJ if the nerve pain is felt below the knee so look to confirm sciatica. A common test for this is the Straight Leg Raise (SLR) but it is so flawed it can give the wrong conclusions. Anyone with tight hamstrings will get to approx 45 degrees and then movement has to come from moving the ilia or flattening the lumbar spine curve. Your patient will indicate pain by guarding or shouting out and you may conclude its sciatica. In fact it could be SIJ pain or lumbar spine facet joints. A far better test is Slump Test as you are sitting on your ischium’s thus fixing the pelvis preventing movement in both SI joints and lumbar spine. Attention to detail is the most important thing when making a diagnosis. #sijd #sacroiliacjointpain #backpain
Manipulation of lumbar spine can be adapted for sacroiliac joints. Here is lumbar spine manipulation technique taught correctly