Chronic sacroiliac joint and pelvic girdle dysfunction in a 35-year-old nulliparous woman successfully managed with multimodal and multidisciplinary approach

Abstract

Background and purpose: Sacroiliac joint pain and dysfunction affect 15-25% of patients reporting low back pain, including reports of spontaneous, idiopathic, traumatic, and non-traumatic onsets. The poor reliability and validity associated with diagnostic clinical and imaging techniques leads to challenges in diagnosing and managing sacroiliac joint dysfunction. Case description: A 35-year-old nulliparous female with a 14-year history of right sacroiliac joint dysfunction was managed using a multimodal and multidisciplinary approach when symptoms failed to resolve after 2 months of physical therapy. The plan of care included four prolotherapy injections, sacroiliac joint manipulation into nutation, pelvic girdle belting, and specific stabilization exercises. Outcomes: The patient completed 20 physical therapy sessions over a 12-month period. At 6 months, the patient's Oswestry Disability Questionnaire score was reduced from 34% to 14%. At 1-year follow-up, her score was 0%. The patient's rating of pain on a numeric rating scale decreased to an average of 4/10 at 6 months and 0/10 at 1-year follow-up. Discussion: A multidisciplinary and multimodal approach for the management of chronic sacroiliac joint dysfunction appeared successful in a single-case design at 1-year follow-up.

Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest–Posttest Randomized Clinical Trial Protocol

“…Another study showed that pelvic tilt taping had an immediate effect on individuals with SIJ pain [ 24 ]. Moreover, the MET, along with other techniques, has been shown to help restore pubic symphysis alignment among patient with of pelvis asymmetry [ 5 , 25 ], suggesting that the MET is effective in managing SIJ pain. However, no study has yet compared the effects of MET and KT in addition to conventional physiotherapy in patients with mechanical SIJD.…”

Prolotherapy Injection Application in Craniectomy Pain

“…Jonely ve arkadaşları, 35 yaşında nullipar bir kadın hastanın 14 yıldır mevcut sakroiliak eklem ve pelvik kemer disfonksiyonunu proloterapi ve manuel terapi seansları ile 1 yıl sonunda visuel ağrı skorunun 0 olduğunu göstermişlerdir (6)(7)(8). Proloterapi yöntemi en çok başarı omuz eklemi hastalıklarında(donuk omuz) başarılı olmaktadır.…”

“…Eklem üzerine ağırlık binmediği için iyileşmesi daha çabuk olabilmektedir. Randomize çift kör yapılan bir çalışmada, ağrılı rotator kuf tendiniti ultrasonografi ile tesbit edilmiş fizik tedavi alan, 73 hastaya, proloterapi enjeksiyonlarının uzun dönem iyileşme sağladığı gösterilmiştir (7)(8)(9). Proloterapi enjeksiyonu uygulanacak hastaların iğne kalınlıklarının fazla olması nedeniyle, kişilerin ağrı eşiklerinin yüksek ve enjektör uçlarını görmemeleri gerekmektedir.…”

A missed syndrome in chronic pelvic pain: Piriformis syndrome

“…Vaginal and rectal manual examination for the pelvic floor and manipulation techniques applied to trigger points detected in the levator ani muscle also give important information on the assessment and treatment of the pelvic floor and related structures. [15,16]…”