Medical Record Physical and Neurological Data That Orient to the Diagnosis of Sacroiliac Joint Dysfunction

  • STATUS
    Recruiting
  • participants needed
    140
  • sponsor
    University of Valencia
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Updated on 16 February 2024
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arthropathy
buttock pain
radiating pain

Summary

There are many patients coming daily to our office with the complaint of chronic lumbosacral pain radiating or not to the legs that need a proper diagnosis before any treatment is decided. The diagnosis, based mostly on radiological exams, carries a risk of failure to diagnose the sacroiliac joint as the cause of the pain. The study proposes that a quick interrogatory followed by a physical exam with the adequate provocative testing can raise the suspicion of the diagnosis that the pain is originating from the sacroiliac joint. Thereafter, a diagnostic sacroiliac joint block can be performed. The study aims to correlate findings from patient history and physical examination with eventual diagnosis.

Description

This is a prospective cohort study of patients seeking care for chronic low back pain. All patients will undergo a detailed history and physical examination, followed by other indicated diagnostic testing. The analysis will correlate findings from patient history and physical examination testing with the eventual diagnosis. The goal of the study is to identify key historical and physical examination criteria that raise the suspicion for sacroiliac joint pain, which is commonly underdiagnosed. Failure to diagnose a health condition could lead to inappropriate surgery.

Details
Condition Low Back Pain, lower back pain, Back Pain, Chronic Back Pain, Chronic Back Pain, Sacroiliac Joint Somatic Dysfunction, lower back pain
Age 18years - 100years
Treatment Complete clinical examination
Clinical Study IdentifierNCT04381208
SponsorUniversity of Valencia
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Patient being evaluated in clinic for chronic low back or buttocks pain with or without radiation to the legs

Exclusion Criteria

Patient has already undergone surgery for the condition of interest
Inflammatory condition
Active cancer
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