Treatment of the sacroiliac joint in patients with leg pain: A randomized-controlled trial
Visser,L.H. Woudenberg,N.P. de Bont,J. van Eijs,F. Verwer,K. Jenniskens,H. den Oudsten,B.L.
Visser,L.H.
Woudenberg,N.P.
de Bont,J.
van Eijs,F.
Verwer,K.
Jenniskens,H.
den Oudsten,B.L.
Abstract
Purpose The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain. Methods Using a single-blinded randomised trial, we assessed the short-term therapeutic efficacy of physiotherapy, manual therapy, and intra-articular injection with local corticosteroids in the SIJ in 51 patients with SIJ-related leg pain. The effect of the treatment was evaluated after 6 and 12 weeks. Results Of the 51 patients, 25 (56 %) were successfully treated. Physiotherapy was successful in 3 out of 15 patients (20 %), manual therapy in 13 of the 18 (72 %), and intra-articular injection in 9 of 18 (50 %) patients (p = 0.01). Manual therapy had a significantly better success rate than physiotherapy (p = 0.003). Conclusion In this small single-blinded prospective study, manual therapy appeared to be the choice of treatment for patients with SIJ-related leg pain. A second choice of treatment to be considered is an intra-articular injection. Keywords: Sacroiliac joint, Treatment, Manual therapy, Physiotherapy Injection
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Date
2013
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Research Projects
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Visser, L H, Woudenberg, N P, de Bont, J, van Eijs, F, Verwer, K, Jenniskens, H & den Oudsten, B L 2013, 'Treatment of the sacroiliac joint in patients with leg pain : A randomized-controlled trial', European Spine Journal, vol. 22, no. 10, pp. 2310-2317. https://doi.org/10.1007/s00586-013-2833-2
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