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Abstract
The sacroiliac joint is a synovial articulation between the sacral and iliac
articular surfaces. The sacroiliac joint (SIJ) has been implicated as the primary pain
source in 10% to 25% of the patients with low back pain. The International
Association for the Study of Pain (IASP) has proposed criteria for making the
diagnosis of symptomatic SIJ and are: (1) pain is present in the region of the SIJ,
(2) stressing the SIJ by clinical tests that are selective for the joint reproduces the
patient’s pain and (3) selectively infiltrating the symptomatic joint with local
anaesthetic completely relieves the patient of pain The main causes of sacroiliac
joint pain are seronegative spondyloarthropathies, infection, tumors, pregnancy and
trauma. Treatment of sacroiliac joint pain depends upon the cause. Any underlying
condition would receive treatment specific for that disease. Treatment modalities
include medications, physical therapy, bracing, manual therapy, injections,
radiofrequency, denervation, and arthrodesis.