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Wednesday, 24 July 2013

Back to the SIJ?

I watched a YouTube video today by an orthopaedic surgeon on how 25% of back and hip pain may be from the SIJ. 

He noted that clinical and radiological tests are not reliable. 

The only reliable test is an anaesthetic injection to the SIJ. If the pain is gone then it was the source. 

He suggested manipulation and noted stabilisation belts as treatments. Also RF ablation and true fixation with a screw!  

It was good to do some independent CPD. The idea that some could have a true SIJ problem and do years of treatment with the wrong diagnosis is concerning. 

It will help me to think about the patients who do not get better and what could be going on for them. 

Thinking about it : I was in a similar place : treated for years for a facet or disc problem. When it was in fact stenosis. Something not diagnosable clinically. Needing an MRI and an advanced interpreter.

 Sacroiliac Joint pain, animation - Everything You Need To Know - Dr. Nabil Ebraheim, M.D.



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  2. Really interesting, thanks for sharing. I need to find a physiotherapist in Vancouver. I would love to see if they could make any improvements.

  3. My wife has been having a lot of muscle pain lately. I think she did something to injure her shoulder. Maybe a physiotherapist could assist with this. http://www.duckerphysio.com.au/about.html

  4. I have a lot of respect for approaches to medicine like this. At the end of the day, it is about making your clients feel better. I think that physiotherapy does a really good job of this.


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  8. Great details! Thanks for sharing it here. I am looking for such a professional chiropractor in Mississauga as having terrible shoulder pain and have tried various medicines but not getting any results. Finding a good chiropractor in new area is quite tough!