Sciatica and the sacroiliac joint: a forgotten concept.
The definition of sciatica is restricted to the pattern and localization of pain, although much emphasis is given to root compression as causative factor. Other sources of similar pain patterns are generally neglected. Despite absence of obligatory neurological signs in radicular syndromes, a number of patients are subjected to extensive, but redundant screenings. In this report, three patients are presented with presumed radicular pain syndromes, whose symptoms finally could be linked to the sacroiliac (SI) joint either via CT and MRI scans or via pain relief by intra-articular injection with local anaesthetics. Possible mechanisms of SI joint-related pain and difficulties in diagnostic specificity of signs and symptoms are discussed.
Buijs
E
E
Department of Anaesthesia and Pain Management, Gelre Hospital Apeldoorn, PO Box 9014, 7300DS Apeldoorn, The Netherlands. e.buijs@gelre.nl
Visser
L
L
Groen
G
G
D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007270:Injections, Intra-Articular; D007405:Intervertebral Disc Displacement / Q000175:diagnosis; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D053591:Referred Pain / Q000175:diagnosis; D012446:Sacroiliac Joint; D012585:Sciatica / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000779:Anesthetics, Local