Turkish Journal of Physical Medicine and Rehabilitation 2004 , Vol 50 , Num 1

Sakroiliyak Eklem Disfonksiyonunun Değerlendirilmesi ve Tedavisi

Nilay Dinçer 1
1 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul

In spite of extensive research over recent years, anatomopathological cause of most episodes of low back pain is still unknown. In the past 25 years, the sacroiliac joint has gained renewed interest as a possible pain generator. Clinical assessment of this joint is diffucult, because of its anatomical location. Many of the pain provocation stress tests lack validity and reliability. The imaging sacroiliac joint have not provided any findings that correlate with sacroiliac joint pain. Therapeutic injections and diagnostic blocks have shown some evidence about sacroiliac joint pain. In recent years the role of sacroiliac joint in low back pain patients has been shown by anatomical, biomechanical and clinical researches.In this review the evaluation and conservative treatment of sacroiliac joint dysfunction, such as exercise and manipulation will be discussed.

Keywords : Sacroiliac joint, sacroiliac joint dysfunction, treatment