Prp and sacroiliac pain case presentation A healthy, 30-year-old recreational runner presents with low back discomfort that has been ongoing for about 2 months.
Prp and sacroiliac pain case presentation A healthy, 30-year-old recreational runner presents with low back discomfort that has been ongoing for about 2 months. She describes pain that worsens through her runs and seems somewhat progressive. On examination, she localizes pain to the SI joint with FABER testing.
She also has a positive Gaenslen test and thigh thrust test. What is the first line treatment for this condition A. Corticosteroid injection B.
Physiotherapy introduction Sacroiliac joint (SIJ) pain has been broadly defined as pain located in the area of the SIJ that can be elicited by various pain provocation tests. Sacroiliac joint pain can also be called sacroiliac complex pain and can affect both younger and older individuals. The prevalence of SIJ pain has been reported to range from 10% to 62% based on the clinical setting, with a point prevalence around 25%.
The anatomy of the SIJ is complex. The anterior third of the sacrum and ilium serve as the true synovial portion of the joint and, without a true posterior capsule, many ligamentous connections extend over the dorsal aspect of the joint. There remains a lack of consensus regarding the innervation of the SIJ but some experts agree that L4-S3 dorsal rami are major contributors .
The treatment of SIJ pain remains a therapeutic challenge. Besides physiotherapy and systemic therapies including nonsteroidal anti-inflammatory drugs (NSAIDs) and biological agents, intra-articular and periarticular injections of SIJ, radiofrequency neurotomy, and surgical fusion are often performed for pain relief. However, those patients who fail to improve with conservative measures, oftentimes undergo SIJ intra-articular corticosteroid injections or radiofrequency (RF) neurotomy.
If you are experiencing symptoms that may be related to prp and sacroiliac pain, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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