This article in the INTERNATIONAL JOURNAL OF SPINE SURGERY reviews evidence-based non-operative treatments of the painful sacroiliac joint. They suggest using non-steroidal drugs like ibuprofen and ice for the first 2 weeks or so. They recommend avoiding activities such as running or twisting activities. Then, later on they recommend exercises, manual therapy, belting and shoe inserts as indicated. ~ Dr. Broussard
Nonoperative Treatment Options for Patients With Sacroiliac Joint Pain
Int J Spine Surg. 2020 Feb; 14(Suppl 1): S35–S40.
Published online 2020 Feb 10. doi: 10.14444/6082
PMCID: PMC7041669
PMID: 32123656
HEIDI PRATHER, DO
Abstract
Sacroiliac joint (SIJ) pain is thought to be a component of low back pain in 20% of people who suffer with it chronically. There is no consistent objective diagnostic testing that includes SIJ pain as the diagnosis and thereby it can become a diagnosis of exclusion. Treatment of SIJ pain is variable, and no set method or protocol of treatment has been found to be efficacious or reliable. Thus, the healthcare provider is often left to create an individual treatment plan based on their own experiences and expertise. The purpose of this narrative review is to describe and discuss nonoperative treatment options for patients with SIJ pain. Further, coordination of treatment options and progression of treatment will be offered.