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Sacroiliac joint dysfunction: clinical presentations, diagnosis, treatment

https://doi.org/10.14412/2074-2711-2019-2S-62-68

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Abstract

One of the most common anatomical sources of nonspecific back pain is sacroiliac joint (SIJ) injury. The paper gives data on the structure, features of diagnosis and treatment of pain caused by SIJ dysfunction. A multimodal approach, including psychotherapeutic techniques, kinesiotherapy, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants, is recommended for chronic pain. The authors give their own experience with drug treatment of 51 patients (36 women and 15 men; mean age, 56.4±2.1 years) with SIJ dysfunction, by using periarticular blockages with local anesthetics and glucocorticoids or radiofrequency SIJ denervation. They note the efficiency of using Airtal® as a NSAID and Mydocalm® as a muscle relaxant.

About the Authors

A. I. Isaikin
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021



A. V. Kavelina
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021



Yu. M. Shor
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

11, Rossolimo St., Build. 1, Moscow 119021



P. A. Merbaum
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021



T. I. Shadyzheva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021



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For citation:


Isaikin A.I., Kavelina A.V., Shor Y.M., Merbaum P.A., Shadyzheva T.I. Sacroiliac joint dysfunction: clinical presentations, diagnosis, treatment. Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):62-68. (In Russ.) https://doi.org/10.14412/2074-2711-2019-2S-62-68

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)