More and more doctors are being educated to look at the SI joint as a potential source of low back pain. But it hasn't always been that way. The history of medical education shows us why.
History of Sacroiliac (SI) Joint Dysfunction
Sacroiliac (SI) joint disorders and the associated symptoms have been well known for over a century. In fact, in the early 1900s, symptoms that seemed to arise from the back were frequently attributed to the sacroiliac (SI) joint, and open surgical procedures were used to treat the joint.
In 1934, a paper was published on the spinal disc as a source of pain in the back.25 As a result, disc treatment became the most common operation for orthopedic surgeons, and the sacroiliac (SI) joint was all but forgotten.
SI Joint Pain Misdiagnosed as Lumbar Pain
Although nowdays, orthopedic and neurologic spine surgeons recognize that the disc is not the only source of low back pain, most of the treatment focus in the spine is still centered on the disc. Orthopedic and neurosurgical residents are rarely taught to consider SI joint disruption and degenerative sacroiliitis as the cause of a patient’s low back problems.
In addition, few, if any, lumbar MRIs extend below S1 to examine the SI joint.
According to scientific data, it's common for pain from the SI joint to feel like discogenic or low back pain. To avoid unnecessary lumbar spine surgery, SI joint disorders should be considered in low back pain diagnosis.26
How Can My Doctor Tell Whether I Have SI Joint Dysfunction?
To determine whether your SI joint is to blame for the lower back, upper buttock, or leg pain you've been experiencing, a trained doctor will consider your health history, symptoms, results from SI joint pain diagnostic exams, and potentially other medical tests.
Madaktari wengi zaidi na zaidi wanafundishwa kutazama kiungo cha SI kama chanzo cha uwezekano wa maumivu ya mgongo wa chini. Lakini si sikuzote kwamba imekuwa hivyo. Historia ya elimu ya kitiba inatuonyesha ni kwa nini. Ugonjwa wa Sacroiliac (SI) pamoja na dalili zinazohusiana na ugonjwa huo zimekuwa maarufu kwa zaidi ya karne moja. Katika miaka ya 1900, dalili za ugonjwa wa mgongo zilipatikana katika sehemu ya nyuma ya mgongo na kuonekana kuwa ni sehemu ya mgongo wa mkojo wa sacroiliac (SIA), na matibabu ya upasuaji wa wazi yalifanywa. Katika mwaka wa 1934, utafiti wa utafiti ulionyesha kwamba diski ya mgongo ni chanzo cha maumivu ya mgongo, na kwa sababu hiyo, matibabu ya diski ikawa njia ya kawaida ya upasuaji kwa madaktari wa upasuaji wa mifupa, na sehemu ya sacroiliac (SI) ikawa imesahaulika kabisa. Ugonjwa wa kiungo (S.I. - Joint Pain) - Ugonjwa wa kiungo (Lumbar Pain) - Ingawa siku hizi madaktari wa upasuaji wa uti wa mgongo na wa neva wanatambua kwamba diski sio chanzo pekee cha maumivu ya mgongo, sehemu kubwa ya matibabu katika uti wa mgongo bado inazingatia diski. Wataalamu wa upasuaji wa mifupa na wa mfumo wa neva hawafundishwi kwa urahisi kuamua kwamba ugonjwa wa viungo vya SI na ugonjwa wa degenerative sacroiliitis ndio husababisha matatizo ya mgongo wa mgonjwa. Kwa kuongezea, MRI chache, ikiwa zipo, za lumbar huenea chini ya S1 kuchunguza mshiko wa SI. Kwa mujibu wa utafiti wa kisayansi, maumivu ya kiungo cha mgongo ni ya kawaida na inaweza kuonekana kama maumivu ya mgongo. Ili kuepuka upasuaji usio wa lazima wa uti wa mgongo wa lumbar, matatizo ya pamoja ya SI yanapaswa kuzingatiwa katika utambuzi wa maumivu ya chini ya mgongo. Ili kuamua kama mgongo wako wa chini, mgongo wa juu, au mguu unaosumbua, daktari wa mtihani atachunguza historia yako ya afya, dalili, matokeo ya uchunguzi wa mgongo wa chini, na uwezekano wa vipimo vingine vya matibabu.