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IJPR.2020.144

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Table of Contents

Type of Article:  Case Report

Volume 8; Issue 4 (August 2020)

Page No.: 3533-3536

DOI: https://dx.doi.org/10.16965/ijpr.2020.144

MUSCULOSKELETAL PHYSICAL THERAPY FOR SACROILIAC JOINT PAIN: CASE REPORT

Anas Alhakami *1, Mohammed Qasheesh 2, Senthilkumar Cennappan Bose 3.

*1 Senior Musculoskeletal Physical Therapist, King Faisal Medical City for Southern Regions, Kingdom of Saudi Arabia.

2 Assistant Professor and Head-Physical Therapy, Jazan University, Kingdom of Saudi Arabia

3 Lecturer-Physical Therapy, Jazan University, Kingdom of Saudi Arabia.

Corresponding Author: Dr. Anas Mohammed Alhakami, Senior Musculoskeletal Physical Therapist, King Faisal Medical City for Southern Regions & Abu Arish General Hospital, Kingdom of Saudi Arabia. Mob: +966-594146435. E-Mail: alhakami.anas@gmail.com

ABSTRACT

This case report describes a clinical case of a 53 years aged male with Low Back Pain (LBP) at Sacro Iliac Joint (SIJ). Patient referred to physical therapy department with LBP over the past 3 weeks. Pain extended to posterior aspect of left thigh and worsening with prolonged standing, sitting and with stair climbing. Moreover, he found difficulty to ride his car or going from sit to stand. He had a history of road traffic accident 30 years ago that led to severe pain in his lower back area, he was a farmer as well and was working hardly more than 8 hours daily by lifting heavy objects. Patient came to the department by walking with assistive cane. By palpation, there was a local tenderness at the posterior aspect of the SIJ. Range of motion was limited by pain in lumbar flexion, extension, rotation and bilateral side bending movements. Pain scored 7 out of 10 on Numerical Pain Rating Visual Analogue Scale. Functional disability scored 19 out of 24 on Roland-Morris Disability questionnaire. Patient underwent special test of FABER, SLR and sacroiliac stress tests and Physical therapy modalities of TENS, dry cupping, myofascial release technique and manipulation, medical taping, hot packs applied before and after exercise. Stretching exercises included single knee to chest, trunk rotation, child’s pose and stabilization exercises of bird dog pose, superman’s, bridge, ball squeeze. Outcomes of treatment were assessed with same pretest measures. At the end of 3 weeks, patient improved in all symptoms of reduced pain to 2 out of 10 on Numerical Pain Rating, 3 out of 24 on Roland-Morris disability questionnaire. Post rehabilitative findings on all provocative tests were negative. Evidence on physical therapy management of patients with SIJ pain appears underreported. Patients presenting with SIJ pain should be routinely screened for sacroiliac component in LBP. Physical therapists are encouraged to report their findings so as to strengthen the evidence available for physical therapy for SIJ pain.
Key words: Diagnosis, Physical Therapy, Sacro Iliac Joint Pain.

REFERENCES

  1. Alhakami, A.M., Davis, S., Qasheesh, M., Shaphe, A. and Chahal, A. Effects of McKenzie and stabilization exercises in reducing pain intensity and functional disability in individuals with nonspecific chronic low back pain: a systematic review. Journal of physical therapy science, 2019;31(7):590-597. https://doi.org/10.1589/jpts.31.590 PMid:31417227 PMCid:PMC6642883
  2. Al-Khayer, A. and Grevitt, M.P. The sacroiliac joint: an underestimated cause for low back pain. Journal of Back and Musculoskeletal Rehabilitation, 2007;20(4):135-141.
    https://doi.org/10.3233/BMR-2007-20401
  3. Barros, G., McGrath, L. and Gelfenbeyn, M. Sacroiliac Joint Dysfunction in Patients With Low Back Pain. Federal Practitioner. 2019;36(8):370.
  4. Cohen, S.P. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesthesia & Analgesia, 2005;101(5):1440-1453.https://doi.org/10.1213/01.ANE.0000180831.60169.EA PMid:16244008
  5. McGrath, M.C. Clinical considerations of sacroiliac joint anatomy: a review of function, motion and pain. Journal of Osteopathic Medicine. 2004;7(1):16-24. https://doi.org/10.1016/S1443-8461(04)80005-4
  6. Vanelderen, P., Szadek, K., Cohen, S.P., De Witte, J., Lataster, A., Patijn, J., Mekhail, N., Van Kleef, M. and Van Zundert, J. Sacroiliac joint pain. Pain Practice. 2010;10(5):470-478. https://doi.org/10.1111/j.1533-2500.2010.00394.x PMid:20667026
  7. Morimoto, D., Isu, T., Kim, K., Matsumoto, R. and Isobe, M. Unexplained lower abdominal pain associated with sacroiliac joint dysfunction: Report of 2 cases. Journal of Nippon Medical School. 2011;78(4):257-260. https://doi.org/10.1272/jnms.78.257 PMid:21869561
  8. Schwarzer, A.C., Aprill, C.N. and Bogduk, N. The sacroiliac joint in chronic low back pain. Spine. 1995;20(1):31-37. https://doi.org/10.1097/00007632-199501000-00007
    PMid:7709277
  9. Fortin JD, Kissling RO, O’Connor BL, Vilensky JA. Sacroiliac joint innervation and pain. AMERICAN JOURNAL OF ORTHOPEDICS-BELLE MEAD-. 1999 Dec;28(12):687-90.
  10. Hansen, H.C. and Helm, S. Sacroiliac joint pain and dysfunction. Pain Physician. 2003;6(2):179-190.
  11. Bernard Jr, T.N. and Kirkaldy-Willis, W.H. Recognizing specific characteristics of nonspecific low back pain. Clinical Orthopaedics and Related Research®, 1987;217:266-280. https://doi.org/10.1097/00003086-198704000-00029
  12. Moscote-Salazar, L.R., Alvis-Miranda, H.R., Joaquim, A.F., Amaya-Quintero, J., Padilla-Zambrano, H.S. and Agrawal, A. Sacroiliac pain: A clinical approach for the neurosurgeon. Journal of neurosciences in rural practice. 2017; 8(4):622-627. https://doi.org/10.4103/jnrp.jnrp_171_17 PMid:29204025 PMCid:PMC5709888
  13. Robinson, H.S., Brox, J.I., Robinson, R., Bjelland, E., Solem, S. and Telje, T. The reliability of selected motion-and pain provocation tests for the sacroiliac joint. Manual therapy. 2007; 12(1):72-79. https://doi.org/10.1016/j.math.2005.09.004 PMid:16843031
  14. Forst, S.L., Wheeler, M.T., Fortin, J.D. and Vilensky, J.A.,. The sacroiliac joint: anatomy, physiology and clinical significance. Pain physician. 2006;9(1):61-67.

Cite this article: Anas Alhakami, Mohammed Qasheesh, Senthilkumar Cennappan Bose. MUSCULOSKELETAL PHYSICAL THERAPY FOR SACROILIAC JOINT PAIN: CASE REPORT. Int J Physiother Res 2020;8(4):3533-3536. DOI: 10.16965/ijpr.2020.144

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