SI joint syndrome Flashcards
1
Q
SI joint syndrome classic presentation
A
- dull constant ache over on SI joint into buttock
- the non painful SI joint feels locked and the painful SI joint feels hypomobile
- caused by traumatic injury that load or twist pelvis
2
Q
similar DDX’s
A
- lumbar facet syndrome
- piriformis syndrome
- SI sprain
3
Q
supporting factors
A
- pain over post. SI joint
- dull ache
- constant pain over one SI joint into buttock
- non-painful SI joint feels locked and painful SI joint feels hypermobile
- caused by traumatic injury or twisting
- pain arising from sitting
4
Q
refuting factors
A
- sharp intermittent pain
- abnormal neurological findings
5
Q
relevant orthos
A
- nachlas
- belts
- goldwaiths
- hibbs
- pace and freibergs test
6
Q
referrals
A
- x-rays for degenerative and postural changes
7
Q
contraindications
A
- do not adjust hyper mobile joint - only no painful side
8
Q
technique
A
- check hip and lower limb chain (hip, knee, ankle)
9
Q
care plan
A
2 x a week for 4 weeks
10
Q
recommendations
A
- education on why adjusting the non-physical side
- potentially use trochanteric belt for 3-6 weeks
11
Q
prognosis
A
- good to excellent prognosis
