الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 103 |  |  |
| | | from | 103 | | |
Abstract
The Sacroiliac (SI) joint has been long over looked as a key source of low back pain. The Sacroiliac (SI) joint as a painful entity was first prescribed in 1905 by Gold Waite and Osgood during the first third of 1900”s Sacroiliac (SI) joint was consider as the primary source of pain in the low back then in1934 low back pain due to disc herniation was described and interest in sacroiliac (SI) joint as source of low back pain subsided Sacroiliac (SI) joint pain is a challenging condition affecting 15% -25% of patients with axial low back pain, for which there is no standard long-term treatment The specific etiologies that can result in SI joint pain are widespread and protean. Potential causes range from rare events such as pyogenic infection and malignancy, to more mundane occurrences such as bracing one’s legs in a motor vehicle accident, falls, and athletic injuries, Prolonged lifting and bending and torsional strain. A good understanding of the anatomy and the biomechanics of the hip, pelvis, and lumbar spine and their relationships to each other is essential The clinical diagnosis of symptomatic SIJ remains problematical, but the ability to make the diagnosis is an important objective. It may be presumed that treatment strategies for SIJ lesions should differ from strategies intended to relieve and treat pathologies of other structures such as disc, nerve root or facet joint pain. Without a readily accessible means of differentiating between these possible sources of pain, treatment strategies are perforce non-specific, and likely to have at best, modest efficacy. Trauma has been thought to be an important historical point for patients with posterior pelvic pain. Reported that 58% of those with SIJ pain by history and physical examination presented with a history of trauma. In summary; the physical examination of patients with SIJ pain must include the spine, pelvis, hip, and lower extremity. In brief, making a diagnosis of SIJ pain solely from the physical examination is not viable. The examiner must be able to not only perform a detailed physical examination, but also to interpret the sometimes subtle findings. As a result, recommendations for both the examination and the treatment of patients with SIJ pain may be very dependent on the examiner’s experience.