Visser L H, Woudenberg N P, de Bont J, van Eijs F, Verwer K, Jenniskens H, Den Oudsten B L
Department of Neurology, St. Elisabeth Hospital, PO Box 90151, 5000 LC, Tilburg, The Netherlands,
Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30.
The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain.
Using a single-blinded randomised trial, we assessed the short-term therapeutic efficacy of physiotherapy, manual therapy, and intra-articular injection with local corticosteroids in the SIJ in 51 patients with SIJ-related leg pain. The effect of the treatment was evaluated after 6 and 12 weeks.
Of the 51 patients, 25 (56 %) were successfully treated. Physiotherapy was successful in 3 out of 15 patients (20 %), manual therapy in 13 of the 18 (72 %), and intra-articular injection in 9 of 18 (50 %) patients (p = 0.01). Manual therapy had a significantly better success rate than physiotherapy (p = 0.003).
In this small single-blinded prospective study, manual therapy appeared to be the choice of treatment for patients with SIJ-related leg pain. A second choice of treatment to be considered is an intra-articular injection.
骶髂关节（SIJ）可能是坐骨神经痛的一个病因。本研究的目的是评估哪种治疗方法对与骶髂关节相关的腰腿痛有效。
采用单盲随机试验，我们评估了物理治疗、手法治疗以及在51例患有与骶髂关节相关腿痛的患者中进行骶髂关节内局部皮质类固醇注射的短期治疗效果。在6周和12周后评估治疗效果。
51例患者中，25例（56%）得到成功治疗。物理治疗在15例患者中有3例（20%）成功，手法治疗在18例中有13例（72%）成功，关节内注射在18例中有9例（50%）成功（p = 0.01）。手法治疗的成功率显著高于物理治疗（p = 0.003）。
在这项小型单盲前瞻性研究中，手法治疗似乎是患有与骶髂关节相关腿痛患者的治疗选择。要考虑的第二种治疗选择是关节内注射。
