In this session, faculty will discuss the diagnosis and treatment of the sacroiliac joint, including physical therapy, manual therapy, RFA and surgical treatments. During the diagnosis section, faculty will address confounders including hip disease labral tears, FAI, piriformis syndrome, spine disease facet disease, and upper lumbar root radiation (Maigne's syndrome). When discussing revisions, faculty will cover issues about failure beyond loosening and surgical technique problems. Speakers will present information on fixed implants with persisting pain relieved by caudal joint injection and why some providers have given up on doing fusions in ankylosing spondylitis patients.
Upon completion of this session, participants should gain strategies to:
- State the physical exam diagnostic criteria for sacroiliac joint pain;
- Give a comparator condition to describe the burden of disease;
- Identify the components of an optimal diagnostic injection;
- State the average Oswestry Disability Index change with surgical intervention based upon the two randomized controlled trials.
Agenda
Introduction
David Polly, MD and Heidi Prather, DO
Introduction to the Problem
Bengt Sturesson, MD, PhD
Diagnosis
Heidi Prather, DO
Physical Therapy
Ryan Tauzell, PT, MA, MDT
Manual Therapy
Allison Stout, DO
RFA
DJ Kennedy, MD
Surgery
Bengt Sturesson, MD, PhD and David Polly, MD
Revisions
David Polly, MD
Discussion, Questiosn and Answers
Faculty Panel