Physiotherapy Management of low back pain with Sacroiliac Joint Component; A Case report

This report describes a clinical case of a 71 year old man with low back pain of sacroiliac joint component. Patient reported to a physiotherapy clinic with a complaint of right-sided low back pain below the level of both posterior dimples over the past 3 weeks prior to physiotherapy. Pain description was constant, sharp and stabbing with radiation to the groin, buttock and the posterior aspect of the right thigh. Digital posterior-anterior pressure and symmetry tests of gilet, supine long sitting, standing flexion were performed. Patient underwent five sacroiliac pain provocation tests. Traditional therapies of cryotherapy, hydropak and ultrasound therapy with limited evidence were used in the acute phase. Lumbar mobilization, soft tissue mobilization and stretching were applied for a period of 10 weeks. Outcomes of treatment were assessed using tape measure, box numerical scale, oxford muscle grading scale. At the end of 10 weeks, patient had improvement in all symptoms of pain, muscle weakness, muscles tightness, limitation in spinal motion and functional ability. Findings on all provocative tests were negative. Physiotherapy outcomes were improved through the use of conventional treatment. Evidence on physiotherapy management of patients with low back pain of sacroiliac joint component appears under reported Patients presenting with low back pain should be routinely screened for sacroiliac joint component. Physiotherapists are encouraged to report their findings so as to strengthen the available evidence. Oswestry disability questionnaire,