• Leading RIT provider in the Tampay Bay Area
  • Leading RIT provider in the Tampay Bay Area
  • Leading RIT provider in the Tampay Bay Area

Sacroiliac

Sacroiliac joint and sciatica are some of the most common problems seen in my practice for many years. 

 

Sacroiliac joint dysfunction and instability is rarely a singular problem involving this joint alone. "Cortisone" shots placed under X-ray inside the joint usually work for a short period of time. Radiofrequency was recently introduced to heat the nerves outside the joint to cure the problems within the joint.  If the problem is within this joint, why burn the nerves outside that joint and expect it to be cured, especially if the joint frequently pops out of place?  The logical way is to first put the joint in place and then keep it in place by any means.

 

The art of joint manipulation is practiced by many. The art of injecting the sacroiliac joint under X-ray is practiced by many. The art of accurate diagnosis, skillful manipulation and stabilization of a loose sacroiliac joint including the other components related to this puzzle is mastered by few. Nearly 85% of patients greatly improve after prolotherapy or Regenerative Injection Therapy.  This is because all the components of the patient's problems are methodically investigated and properly addressed. After all it is the ligaments that keep this joint in place. If you are reading this material then most probably the other methods have failed.

 

If you are interested in more detail, please visit the library section of this website.

 

 

Gedney EH. Special technic hypermobile joint: a preliminary report. Osteopathic Profession. 1937; 9:30-31.

Gedney EH. The hypermobile joint—further reports on injection method. Presented to the Osteopathic Clinical Society of Pennsylvania ; February 13,1938.

Bahme B. (1945).  Observations on the treatment of hypermobile joints by injections. Journal of the American Osteopathic Association,  45(3), 101–109.

Gedney EH. (1952, August).  Technique for sclerotherapy in the management of hypermobile sacroiliac. The Osteopathic Profession, 16–19, 37–38.

Gedney, EH. Progress report on use of sclerosing solutions in low back syndromes. The Osteopathic Profession 1954; 21, (August):16-19,37-38. 

Hackett GS. Ligament & Tendon Relaxation (Skeletal Disability)—Treated by Prolotherapy, (Fibro-osseous Proliferation). 3rd ed. Springfield , IL : Charles C. Thomas; 1958.

Ongley MJ, Klein RG, Dorman TA, Eek BC , Hubert LJ. A new approach to the treatment of chronic low back pain. Lancet 1987;2:143–146.

Klein RG, Eek BC , DeLong WB, Mooney V. A randomized double-blind trial of dextrose-glycerin-phenol injections for chronic, low back pain. J Spinal Disord 1993;6:23–33

Fortin JD, Dwyer AP, West S, Pier J. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: Asymptomatic volunteers. Spine. 1994 Jul 1; 19(13):1475-82.

Fortin JD, Aprill CN, Ponthieux B, Pier J. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part II: Clinical evaluation. Spine. 1994 Jul 1;19(13):1483-9.

Fortin JD, Falco FJ. The Fortin finger test: an indicator of sacroiliac pain. Am J Orthop. 1997 Jul;26(7):477-80. Temple University Medical School , Philadelphia , Pennsylvania , USA .

Cibulka MT, Sinacore DR , Cromer GS, Delitto A. Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain. Spine. 1998 May 1;23 (9):1009-15. Jefferson County Rehabilitation and Sports Clinic, Crystal City , Missouri , USA 

Murakami E, Tanaka Y, Aizawa T, Ishizuka M, Kokubun S. Effect of periarticular and intraarticular lidocaine injections for sacroiliac joint pain: prospective comparative study. J Orthop Sci. 2007 May;12 (3):274-80. Epub 2007 May 31. Department of Orthopaedic Surgery, Kamaishi Municipal Hospital , Kamaishi, Iwate, Japan .

Sembrano JN, Polly DW Jr. How often is low back pain not coming from the back? Spine. 2009 Jan 1;34(1):E27-32. Department of Orthopaedic Surgery, University of Minnesota , Minneapolis , MN , USA . This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Gombatto SP, Collins DR, Sahrmann SA, Engsberg JR, Van Dillen LR. Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain. Clin Biomech ( Bristol , Avon ). 2006 Mar;21(3):263-71. Epub 2005 Dec 22.  

Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, St. Louis, MO 63108, USA. This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

 

 

 

 

 

 

 

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