The sacroiliac joint is located in the low back area where in the spine meets the pelvis. Sacroiliac joint pain is low back ache and stiffness that can extend through the buttock and thighs which gets worse with walking or movement. There has been a lot of discussion as to what is the best treatment for the condition. Now, a new study has found that chiropractic care is an effective and safe way to treat sacroiliac joint pain.
The dysfunction in the sacroiliac joint (SJ) is regarded as a possible cause of sciatica, resulting in chronic back pain that radiates down the leg and below the knee. The causes of SI joint pain have also been analyzed and attributed to conditions such as differences in leg length, pain or altered function of the hip, leg, and knee, and pregnancy.
The researchers compared three different treatment options namely – physical therapy, chiropractic manual therapy and intra-articular injections of corticosteroids. They analyzed about 51 adult patients suffering from acute leg ache (associated with the sacroiliac joint). The effectiveness of each treatment was first evaluated after 6 weeks. A second round of analysis was conducted after 12 weeks of treatment. The final results for each single patient were categorized as either success or failure based on relief or worsening of symptoms and average ache scores.
Chiropractic manipulation proved to be the most effective choice for treating leg pain associated with S, with a success rate of 72% compared to just 20% for physiotherapy and 50% for corticosteroid injections. It was found that both physical therapy and injections resulted in significant pain relief. On the other hand, manual therapy improved the ache signals. The study suggests that chiropractic manual therapy should be the first choice for pain management in patients with SJ-related leg pain and the study team hopes that their results will be justified by further research.