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Description

Pain arising from the pelvic girdle and sacroiliac joint is often difficult to both diagnose and treat. In part this is due to the complex anatomy of the pelvic girdle, which this session will review. Learners will be able to discuss the multiple potential pain generators in this region, including but not limited to the sacroiliac joint (SIJ). The neural anatomy surrounding the posterior pelvic girdle will also be covered. Diagnosing pelvic girdle and SIJ pain can be further guided by evidence based medicine (EBM). The relevant literature regarding the prevalence and physical examination of SIJ pain will be reviewed. After diagnosis, deciding on treatment represents additional challenges. There are varying degrees of evidence on these treatment options. The outcome literature on physical therapy/manual therapy will be reviewed. A similar literature review will be covered for interventional treatment options. Appropriate use criteria for interventional treatment options will also be presented. Leaners will be able to discuss the available evidence for the treatment options of posterior pelvic and SIJ pain. At the conclusion of the session, the expert panel will field questions from the audience.

    Learning Objectives
    • Learners will be able to identify the multiple anatomic pain generators present in the posterior pelvis, including but not limited to the SIJ. This will include the neural anatomy of the posterior pelvis and SIJ.
    • Learners will be able to discuss to true prevalence of SIJ pain and how this is affected by varying clinic referral patterns.
    • Learners will be able to discuss the outcome literature for physical therapy/manual therapy.
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